xp - Post-op Insurance Problem Update #5 (I think)
For those of you who have been following the drama...here's the latest...
UHC called me this morning to let me know that my claim has finally been processed (as of Friday). Of the $39,954.79 that my doctor billed for surgery, they paid $10,928.21. My responsibility is $29,178.79 of which representative told me to NEGOTIATE, NEGOTIATE, NEGOTIATE!!! 2 of the procedures he billed for are NOT separately reimbursable services under the codes and they total $9,611.00 by themselves. Many of you were right...talk about overbilling!!!
I called the doctor's office and told them it was processed and to expect an EOB sometime this week. After the drama of last week, I really need a break from them for a few weeks. I will start my negotiations in a few weeks. I want to break down the bill, check out what self-pay patients have paid him and then go from there.
For all of you who have read my rants and offered advice and support...THANK YOU a thousand times over!!! I appreciate the simple fact that you fellow Oh'ers are willing to share and try to keep each other sane and supported. I will keep you posted as to negotiations and any further harrassment from the doctor's office (if they dare). As soon as I get the EOB I will post that too so those of you in the whole insurance process nightmare have some reference for what it's worth.
Thank you all again!
UHC called me this morning to let me know that my claim has finally been processed (as of Friday). Of the $39,954.79 that my doctor billed for surgery, they paid $10,928.21. My responsibility is $29,178.79 of which representative told me to NEGOTIATE, NEGOTIATE, NEGOTIATE!!! 2 of the procedures he billed for are NOT separately reimbursable services under the codes and they total $9,611.00 by themselves. Many of you were right...talk about overbilling!!!
I called the doctor's office and told them it was processed and to expect an EOB sometime this week. After the drama of last week, I really need a break from them for a few weeks. I will start my negotiations in a few weeks. I want to break down the bill, check out what self-pay patients have paid him and then go from there.
For all of you who have read my rants and offered advice and support...THANK YOU a thousand times over!!! I appreciate the simple fact that you fellow Oh'ers are willing to share and try to keep each other sane and supported. I will keep you posted as to negotiations and any further harrassment from the doctor's office (if they dare). As soon as I get the EOB I will post that too so those of you in the whole insurance process nightmare have some reference for what it's worth.
Thank you all again!
day of surgery - 296 current goal - 195 highest ('98) - est'd 320
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