Wellness

[I am still oxox]

Last week I was checking my EOB's on line and I see a few unpaid bills. The following morning I spend 90 minutes on the phone with the insurance company trying to figure out the error. First I was told our insurance started and ended on 1-1-17, my answer well you paid for my husband's 3 surgeries that year, the answer is oh well you will have to pay us back for what we paid out. i was put on hold to be told oh there were are error and your insurance is fine.

In the meantime 8-10 bills were returned to the provider as unpaid. I have alerted my doctors but this is a huge needless hassle and the insurance company refuses to send me a letter to send to my doctors.

I was so livid I could not even think straight 

[Peaches McPhee]

Wow, you are sure more patient that I am.  I wouldn't have even bothered, figuring they'd catch up with themselves sooner or later.

[spiderw]

I am sorry you had to go through all that stress.  I am not going to say a lot except wouldn't it be nice if EVERYONE had access to health care without hassles or stress.  I do hope one day this will happen as our health is number one priority.  Everything else falls into place behind good health.  

[I am still oxox]

@Peaches McPhee

I am glad I knew before I started getting bills of over $1000 from my doctors offices

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@Peaches McPhee wrote:

Wow, you are sure more patient that I am.  I wouldn't have even bothered, figuring they'd catch up with themselves sooner or later.

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[BirkiLady]

If the bills have already been paid, your Dr. isn't involved is he? So far, you are probably the only one who has been notified you need to repay the money. Which as I now understand it, has been corrected to "Everything is fine. You don't owe us the money we have already paid." 

Therefore, your Dr. probably knows nothing about your letter or today's communication. Get a good nights sleep. Tomorrow everything will be fine. You don't owe that money! Relax. It was a mistake. They happen. Peace.

[I am still oxox]

@BirkiLady

Bills were not paid originally EOB;s were sent out saying I owe the full amount, this happened with at least 3 providers.

I had to call them and make them aware that it was being taken care of

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@BirkiLady wrote:

If the bills have already been paid, your Dr. isn't involved is he? So far, you are probably the only one who has been notified you need to repay the money. Which as I now understand it, has been corrected to "Everything is fine. You don't owe us the money we have already paid." 

Therefore, your Dr. probably knows nothing about your letter or today's communication. Get a good nights sleep. Tomorrow everything will be fine. You don't owe that money! Relax. It was a mistake. They happen. Peace.

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[graciesmom1003]

try the state insurance commissioners office, they may be able to help advocate with insurance. you could also speak to employer's benefit manager. insurance companie are the devil incarnate!!

[BirkiLady]

@I am still oxox  Sorry. I misunderstood your original post. My apologies. From what I understood, it is now taken care of and you do not owe any monies. Correct? 

[Misplaced Parisian]

@I am still oxox Whatever state you live contact the insurance commissioner's office of that state.  Each state has one and it has a complaint department.  File a complaint!  You should be able to do this online.  The insurance department will force the insurance company to respond, pay what it should pay, etc.  Most states demand a response from the insurance company withtin 10 business days.  If you have questions, ask and I'll do my best to guide you.

[jlkz]

I was sorting and organizing the different monthly and EOB reports for my and DH’s health insurance so I can get things ready for storing 2018 things.

Noticed that 2 of the EOB’s had notations that items that were not being paid by insurance.  When I called my insurance customer #, they reviewed the 2 items and said the provider had dropped the charges.  

Really ?  One was for a blood test my doctor ordered and was recommended to protect against liver cancer ( Hepatitis C ) and should have been covered.

Mistakes and miscoded information can happen at any point in the process.  I usually eyeball the monthly statements to make sure I had something done on the dates noted ( I make brief notes on my paper desk calendar and file it with the year’s bills, bank statements, etc. ).  

Now, I will highlight any notations that deny payment so I can check on them later.