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the insurers live to deny. case in point:
my wife had an epiderul for a pinched nerve
prior to the procedure she:
verified the procedure code was covered
verified the dr was covered
verified that the Anestesiologist (the real crook ) was covered
verified that the facility was covered
she then :
had all the verifications REDONE by:
The dr performing the service
the anestesiaologist
the facility
she then:
REVERIFIED again keeping track of names of the people she spoke with
she then:
has service done knowing ALL costs to us that we would be responsible for.
what happened?
BCBS denies the claim for:
unapproved service
out of network dr (the anestisiaologist)
out of network facility
we get a $3500 bill JUST for the facility...where she was at for less than 25 minutes.
Now the dr's offices are scrambling as are the facility's as we ALL verified the procedure. The facility wants to get paid, they have a collection dept that is not backing off us owing 3500
our payment was SUPPOSED to be $400
result?
my wife cannot get the other 2 epidural to help her back/neck
so she is in constant pain
I am livid with the insurance company and they don't care. I pay $12k a year and am afraid to see ANY dr because they ALWAYS screw the billing up and i have to fight.
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"People willing to trade their freedom for temporary security deserve neither and will lose both"
~Benjamin Franklin
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