mandm829's Blog

When I was in Ohio the hospital sent my birth father a bill for one my sisters being born. I was from 1962 LOL...My birth father refused pay it and told em his insurance payed it back then...He was not the only one they did it to many people, It was said because of a mualty million doller suit aginst them they they lost.. I guess they was trying to get money from old bills...LOL

Great blog and yes check it out. They "mess" things like add extra visits for Pre-Op or calculate 88% coverage if you have 90%. It's the little things that reduced the price of my shoulders to only $50,000! LOL - yeah it was covered on insurance. It's also funny when you see the bill you have 3 sets of numbers. One, the "actual" charge....$25,000...then a discount of $22,000...new net due is $3,000 (contractual amount of Doctor) and then take your percentages. I can honestly say that if it weren't for insurance....I'd be LEANING left (Dem) and right (Rep)...LOL!

AMEN! This is a great and sad blog. Sad because elderly, people with cancer or another disease that requires many visits and treatments do not have the energy to fight these criminal medical billings. Who is at fault? The billing office? The insurance company? They do not care they expect you to figure it out or pay it. We are going through ONE test ordered by a in network UNITED HEALTHCARE MD before he could do surgery on my feet. OK I am a good pateint(because I have worked Social services for 11 years and help hundereds of Seniors figure out their bills and Medicare)I call second office to check do you take UHC, are you in network... I get procedure MAy 30th,2007. Myself and my hisband have made over 30 phone calls,written 3 appeals(even with mailing confirmation they said they didn't get them??) We are being billed my cop ay plus 2300! I have heard so many different answers my head is spinning and I thought I waas an EXPERT! They refuse to talk billing dept to insurance company they want you to somehow know their CODES?! I pay for insurance, I am covered for 90% of in office diagnostic testing and I have heard--too many units,not on plan,unites should be coded blah blah blah, not medically neccesary, not covered,but the best one...I SHOULD OF WENT TO THE EMERGEMCY ROOM TO HAVE DIAGNOSTIC TESTING Are you kidding me? Do they think we are all stupid?!! And then as mentioned if the insurance would pay their part it would probally be DISCOUNTED to 400.00 dollars!!!!I have had all of my primary, Gyno and podiatrist say UHC are idiots and DO NOT WANT TO PAY! No healthcare shou

I used to work at Blue Cross Blue Shield and yes alot of claims were filed incorrectly and billed incorrectly. they have a whole department devoted to fixing claims(that is where I worked). There are so many codes that it is very easy for the doctors office to put the wrong code and the claim will not pay with the wrong code so always watch the eob's!!