Almost had a stroke...not literally

educ8nc
on 5/26/09 10:46 am - Canton, NC
I get a bill from the hospital for over $16,000 say ing the insurance had done their part.  I was told at most 2,000 bucks after insurance.  I was preapproved and everything. 

I went online and checked the claims and apparently, they denied it.  I talked to a friend who does the insurance/billing for the hospital and she said it was apparently filed wrong. 

Anyone else have this happen with BCBS and/or State Health Plan? 

If they think I can pay all that back, they're nuts.  I can but it'll be 50 years from now.  they'll just have to take my birthday.

I knew everything was going to smoothly, and something would go wrong.

Michelle



**Ticker shows weight loss since I started the program in December..not since surgery!

299/281/202/180
Highest/Day of Surgery/Current/Goal

Anniep59
on 5/26/09 11:16 am - Pittsboro, NC
Hi Michele,
Do Not Panic sometimes these things need to cycle through.
I dont understand how things like this happens but sometimes it does only to find mistakes have been made.
                                                           Annie

It is never too late to be what you might have been.?


www.youravon.com/annieadams 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

educ8nc
on 5/26/09 11:27 am - Canton, NC
Annie,

Thanks,  it's just soooo scary.  Especially since I'm apparently going to get a pay cut.  I'm trying to be calm

Michelle



**Ticker shows weight loss since I started the program in December..not since surgery!

299/281/202/180
Highest/Day of Surgery/Current/Goal

Fionna
on 5/26/09 9:29 pm - NC

Glad that stroke was not for real!

I was working for the state when I had my surgery 3 years ago. Your starting BMI on your ticker would have more than qualified you without any comorbidities. BCBS seems to be pretty good about approving patients. My 'guess' is that something was not filed correctly.

Call the office and have them recheck the information and resubmit it.

Take a deep breath and I'll be praying   that it is all a big misunderstanding!


If I am gonna eat   like a fat girl, then I gotta workout   like a skinny girl!

Valerie

Barbara C.
on 5/26/09 9:42 pm - Raleigh, NC

I'm sure that it's a 'snafu' and that it will all be resolved soon...As Valerie said, call the Dr's insurance specialist to get them involved and working with your carrier. We had something like this on a somewhat smaller scale happen when my husband had his surgery. They approved and paid for the surgery, but not the anesthesia... Yeah right... Like they are really going to do major surgery without anesthesia?! At any rate, after a few phone calls and a couple of months, it all got ironed out and was paid by the insurance. 

Take care and deep breath... I'm sure it will all work out fine.

Barbara
ObesityHelp Coach and Support Group Leader
http://www.obesityhelp.com/group/bcumbo_group/
High-264, Current-148, Goal-145

educ8nc
on 5/27/09 3:26 am - Canton, NC
I talked with my friend who does the hospital's billing/insurance.  She said it was denied because of "missing information."  It was resubmitted and that I shouldn't have gotten a bill at all.  The Vice President of the hospital called me personally to apologize!  Wow!

My friend also spoke the BCBS and was told that everything was in order and it would be the middle June, but it would be resolved.

WHEW!!!!! 

Thanks for all the advice though!



**Ticker shows weight loss since I started the program in December..not since surgery!

299/281/202/180
Highest/Day of Surgery/Current/Goal

kelibr
on 5/27/09 11:07 am
Michelle,
It sounds like it was coded wrong.  I also have SHP and I hope it doesn't happen to me.. I am keeping this approval letter they sent just in case...   I do know from past experiences with my kids if things are coded wrong it's denied.  Don't worry.  Call the hospital and tell them to fix the coding.  And don't panic.. they can't take away your birthday or they would have already had mine =)

Kelly

High/Surgery/Current/Goal
       288/242/138/145

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