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I used to be a lawyer (thankfully have since moved to a more rewarding career). My girlfriend at the time was erroneously billed $2000 for a procedure that the
by stult 7y ago
I used to be a lawyer (thankfully have since moved to a more rewarding career). My girlfriend at the time was erroneously billed $2000 for a procedure that the insurance company had pre-approved but later denied the claim for. She had them recorded pre-approving, and they failed to decline her claim within the statutorily specified period anyway so it was a prime facie invalid denial. I had to write several letters, talk on the phone with their legal department for hours, and ultimately get the state insurance commission to initiate an investigation before getting them to back down. It took over 60 hours of work from a qualified attorney to handle a grossly invalid claim denial. Had I charged her at what was then my actual hourly rate, it would have cost $18000 to handle her $2k problem, for which she received no compensation. I honestly don't know how people get healthcare in this country without getting a law degree first.
- Ididntdothis 7y agoInteresting to hear that even lawyers can’t manage this better. I can’t think of any other industry with such corrupt and flawed billing practices that doesn’t get forced by law to clean up its practices. My girlfriend has spent months fixing problems that were clearly caused by the insurance. On the way the insurance lied repeatedly but in the end she was still on the hook for 100s of thousand of dollars if she didn’t fix this. Better to deal with a mafia loan shark than with hospitals or insurers. Mobsters probably have stronger ethics.