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> A growing body of research suggests that this nightmare scenario is fairly common for Americans. This is just about every interaction with the medical system
by erentz 7y ago
> A growing body of research suggests that this nightmare scenario is fairly common for Americans.
This is just about every interaction with the medical system for me. It’s not just surgery. At the moment the current one I’m dealing with is a case from UW medical center. They’re billing my wife for special neurological testing that was denied by Cigna. I look at the Cigna policy and her diagnosis is covered for the testing. But they have a specific list of DX codes and the very generic one that UW supplied on their claim isn’t in it. They need to use the ever so slightly more specific code relevant to my wife’s condition. But trying to get them to understand this and resubmit it is like talking to a wall. Additionally being in network apparently they shouldn’t bill for denied tests. But here they are billing. I hope we will be able to resolve it eventually but once again it’s hours upon hours of effort from multiple people going into something that just shouldn’t happen in any other system.
- innagadadavida 7y agoWhat are the consequences of simply refusing to pay the bill? I know your credit rating would suffer and you will get many calls from collectors but are there more serious consequences? At least in California? For example, can the insurance or hospital refuse to give you care or cancel your policy? One of my friends did this after the insurance refused ambulance bills and while the experience was harrowing, just refusing to pay might just be how to deal with this.
- gowld 7y agowww.commondreams.org/news/2020/02/11/outrageous-and-un-american-sanders-says-city-kansas-jailing-people-unpaid-medical