kawi kid Posted September 1, 2010 Report Share Posted September 1, 2010 I got a medical billing question, is there anyone in this field that I could bounce a few questions off of? Thanks in advance. Quote Link to comment Share on other sites More sharing options...
SpeedTriple44444 Posted September 1, 2010 Report Share Posted September 1, 2010 No, the herpes test is not covered by worker's comp. Quote Link to comment Share on other sites More sharing options...
kawi kid Posted September 1, 2010 Author Report Share Posted September 1, 2010 Lol but what if I'm pretty sure I got it on the clock? Quote Link to comment Share on other sites More sharing options...
that dude Posted September 1, 2010 Report Share Posted September 1, 2010 make 5.00 payments every month... shows your making an attempt. no negative credit reporting Quote Link to comment Share on other sites More sharing options...
SpeedTriple44444 Posted September 1, 2010 Report Share Posted September 1, 2010 Lol but what if I'm pretty sure I got it on the clock?Where else you going to get it? Oh... you said cLock... nevermind. Quote Link to comment Share on other sites More sharing options...
kawi kid Posted September 1, 2010 Author Report Share Posted September 1, 2010 That's not really what I'm looking for. I need to know what to do when you have one hundred percent coverage and the hospital keeps billing me because they dropped the ball in filing things properly. Quote Link to comment Share on other sites More sharing options...
kawi kid Posted September 1, 2010 Author Report Share Posted September 1, 2010 Where else you going to get it? Oh... you said cLock... nevermind.Lol Quote Link to comment Share on other sites More sharing options...
SpeedTriple44444 Posted September 1, 2010 Report Share Posted September 1, 2010 I've wondered about that too. I usually take the bills to someone in HR at work or call the insurance company and submit it to them myself. It's pretty common. I seem to remember Children's Hospital billing us like that after an emergency room visit for one of the kids. Quote Link to comment Share on other sites More sharing options...
kawi kid Posted September 1, 2010 Author Report Share Posted September 1, 2010 Yeah so I just don't understand how I get penalized when I essentially did nothing wrong? Because the hospital didn't do their job correctly instead of one hundred percent coverage it to fifty percent and I'm left with the bill! Quote Link to comment Share on other sites More sharing options...
SpeedTriple44444 Posted September 1, 2010 Report Share Posted September 1, 2010 Insurance company's sole purpose is to try and not cover you by any clause they can come up with. It makes them more profitable. The guy that sits next to me at work had a procedure done, and another doctor from the same practice filled in for his doctor. Guess what... doctor wasn't on the group "plan"... CHA-CHING! $2k bill. Quote Link to comment Share on other sites More sharing options...
kawi kid Posted September 1, 2010 Author Report Share Posted September 1, 2010 But this is where I guess I need help, who is on my side lol. Quote Link to comment Share on other sites More sharing options...
MidgetTodd Posted September 2, 2010 Report Share Posted September 2, 2010 Sadly none of us are on your side anymore because you don't have a bike anymore and you killed that poor innocent deer. Quote Link to comment Share on other sites More sharing options...
Disclaimer Posted September 2, 2010 Report Share Posted September 2, 2010 Are you for or against health care insurance reform? Quote Link to comment Share on other sites More sharing options...
MidgetTodd Posted September 2, 2010 Report Share Posted September 2, 2010 Yea, Justin just reminded me..... Obama is fixing everything, you should forawd it to the White House. Quote Link to comment Share on other sites More sharing options...
C-bus Posted September 2, 2010 Report Share Posted September 2, 2010 Tell the hospital that you are waiting on the insurance EOB (explanation of benefits) to tell you what you owe. If you didn't/ can't get one, it's because they didn't file. If they do file and the EOB states "denied due to timely filing ", you don't owe. Quote Link to comment Share on other sites More sharing options...
kawi kid Posted September 2, 2010 Author Report Share Posted September 2, 2010 Are you for or against health care insurance reform?I am for insurance reform not healthcare overhaul. This is pretty much a backward situation, it's not the evil insurance company trying to fuck me, it's the hospital cuz they didn't do their job and now they are trying to penalize me for it. Quote Link to comment Share on other sites More sharing options...
kawi kid Posted September 2, 2010 Author Report Share Posted September 2, 2010 Are you for or against health care insurance reform?Tell the hospital that you are waiting on the insurance EOB (explanation of benefits) to tell you what you owe. If you didn't/ can't get one, it's because they didn't file. If they do file and the EOB states "denied due to timely filing ", you don't owe. you got mail Quote Link to comment Share on other sites More sharing options...
SWing'R Posted September 2, 2010 Report Share Posted September 2, 2010 I got a medical billing question, is there anyone in this field that I could bounce a few questions off of? Thanks in advance.My wife is a medical biller/coder. Send her a PM. Quote Link to comment Share on other sites More sharing options...
kawi kid Posted September 2, 2010 Author Report Share Posted September 2, 2010 Ok thanks Quote Link to comment Share on other sites More sharing options...
hummingbird Posted September 2, 2010 Report Share Posted September 2, 2010 But this is where I guess I need help, who is on my side lol.nationwide is on your side Quote Link to comment Share on other sites More sharing options...
Raincheck Posted September 2, 2010 Report Share Posted September 2, 2010 and still yet, life comes at you fast. Quote Link to comment Share on other sites More sharing options...
DiamoGirl Posted September 2, 2010 Report Share Posted September 2, 2010 You need to call the insurance company and get them involved with the situation. Most hospitals mess up on billing. I have insurance companies call me all the time. Just let them know and they can call on your behave and talk to the people at the hospital. Quote Link to comment Share on other sites More sharing options...
kawi kid Posted September 2, 2010 Author Report Share Posted September 2, 2010 I talked to the insurance and they just tell me it was not pre certified and by contact they only pay half now and that is it pretty much. Quote Link to comment Share on other sites More sharing options...
AndyJ Posted September 2, 2010 Report Share Posted September 2, 2010 Keep arguing it. The insurance co. is hoping you'll just give up and pay up so they don't have to. My wife argues with ins. co's about chemo drugs all day; stall tactics are SOP. Ask to talk to a manager/supervisor. No need to answer, but was this something like surgery or a procedure where the precert should have been done by the hospital? I'm thinking if the hospital dropped the ball on that, they should help with this Quote Link to comment Share on other sites More sharing options...
kawi kid Posted September 2, 2010 Author Report Share Posted September 2, 2010 It was a knee surgery I had in jan of 09. The disputed stuff all surrounds my physical therapy. The hospital never pre certified it with the insurance company so yea the hospital essentially dropped the ball and is trying to pin it on me. Quote Link to comment Share on other sites More sharing options...
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