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Does anyone understand health insurance?
I got an EOB from my insurance company this morning. I don't know how they can call something this arcane an "explanation" but that's a different matter.
One procedure was billed at $448. (Medicare allows $247.51.) My insurance company will pay $81.76. I paid $16.35 to the doc and insurance company paid $65.41. The doc says we're square - he's been paid in full.
Another procedure: Charged $146.00. Insurance allowed $9.51. The doc accepted $9.51 as payment in full.
How can medical billing be anything but fiction when bills for $448 are routinely settled for $81 and a bill for $146 is settled at $9.51 without protest?
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