1/2 the problem with healthcare is the billing process and syncing with insurance

[OldLarry]

I seem to get billed for everything at least twice, with 0 common reference numbers or specifics on what I am being billed for and what exactly insurance has covered.

50 pct of it is flT out gibberish. None of it is online for easy cross referencing.

Is there any way this is not deliberate?

[Obstruction]

Once a month you'll find me cursing at the kitchen table with a stack of bullshit from the providers and the ins. companies. Gibberish it is and it appears that it was meant to be just that.

[Benny Profane]

Couple of socialist whiners. Let the free market provide. What's your fucking problem? Move to France, if you don't like it.

[GeezerSteve]

why do you hate freedom?

[Cruiser]

I work with a lot of salesmen from a lot of different companies. I feel sure that some of the larger companies send duplicate bills, fail to issue credits, and "mistakenly" add small charges to our account in an effort to add to their bottom line. I suspect it's the same way with the insurance companies and healthcare providers. They figure that if 5% of the time their customers fail to notice a charge that has already been paid or negotiated away then they'll clear a little extra easy profit.

Hopefully this doesn't get all polyasshat on us.

[Benny Profane]

I work with a lot of salesmen from a lot of different companies. I feel sure that some of the larger companies send duplicate bills, fail to issue credits, and "mistakenly" add small charges to our account in an effort to add to their bottom line. I suspect it's the same way with the insurance companies and healthcare providers. They figure that if 5% of the time their customers fail to notice a charge that has already been paid or negotiated away then they'll clear a little extra easy profit.

Hopefully this doesn't get all polyasshat on us.

Credit card companies have been caught doing this. As you said, the 5% of people who don't even notice are worth millions.

[jfost]

...I suspect it's the same way with the insurance companies and healthcare providers....

most providers are pretty small and independent, so the mistakes there are (usually) legit mistakes made by an admin.

the ins. companies ABSOLUTELY do this ON PURPOSE in their correspondence with providers too, so they are most assuredly jacking around on both ends.

[Obstruction]

Couple of socialist whiners. Let the free market provide. What's your fucking problem? Move to France, if you don't like it.

Where's these free markets at? I'm tired of paying for my groceries too!

[jfost]

Just print out a form letter that states that their bill has been placed under administrative review on your end, and it will be reprocessed in 60-90 days... then another 90 days later that says their bill has been denied due to timely filing requirements.

[neufox47]

Aetna gives me an online account where I can see everything, including what was charged, paid by them, I owe them, or they owe me (reimbursement). I thought it was a great idea. Pneumonia only cost me $195 and that was all prescriptions. About to test them out for PT.

[Tunco]

I had the same problem with my Pow mag subscription and their 'collection' agency.

[PNWbrit]

I had the same problem with my Pow mag subscription and their 'collection' agency.

I think you're onto something there.... let's cover our hospitals and medical staff in ads but have them provide not very much content and when they do make it almost unintelligible because of the appallingly over done graphic design, fonts and color choices.

[systemoverblow'd]

You need to call your ins provider and argue every bill. I can't tell you how many times my bill was reduced by making a call and talking with a person. They do it intentionally and anyone who just pays the bill deserves to get fleeced since they have no common sense.

[jon gaper]

Just get a Mex drivers Lic for $5 and its all free

[jfost]

Just get a Mex drivers Lic for $5 and its all free

you mean "vaquero the fuck up"???

[OldLarry]

You need to call your ins provider and argue every bill. I can't tell you how many times my bill was reduced by making a call and talking with a person. They do it intentionally and anyone who just pays the bill deserves to get fleeced since they have no common sense.

This is what happened with active.com 3x and Amex 2x. Guarding against flat out fraud should not be a full time job-

[pepperdawg]

What ever happened to Old Larry? Miss the loafer porn.

[Skidog]

I seem to get billed for everything at least twice, with 0 common reference numbers or specifics on what I am being billed for and what exactly insurance has covered.

50 pct of it is flT out gibberish. None of it is online for easy cross referencing.

Is there any way this is not deliberate?

I ALWAYS wait until I get an EOB from the Insurance company. Typically the provider will bill for full, or nearly full services BEFORE the ins co has processed their side. EOB will let you know (and have paper trail) how much you are actually responsible for.

[evdog]

I had a visit to urgent care a couple months ago. Got the EOB. It listed a whopping 1% discount for being in-network. "You saved 1%!" Thank god.

What the fuck is the point of in-network if that is all the discount you get? I'd be better off negotiating and paying cash.

[bigdude2468]

Aetna has it right. Absolutely no problem with our Aetna Medicare Advantage plan. In two and a half years I have never had an error. The statements are easy to read, simple and what if any part of a service is our responsibility. In May I had four services provided. Received a statement from Aetna on June 10th that gave an itemized accounting of what the provider charged, the amount that Aetna covered, any charges we are responsible for AND because it's Medicare the amount billed that is above the Medicare reimbursement rate. Our previous advantage plan was not nearly as good. Part of the issue is that the provider needs to have the systems in place to know exactly what the insurance plan is going to pay. When the provider sends a bill charging more than what the patients responsibly is that is when it gets to be a PIA.