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United denies everything they possibly can and they make "mistakes" that take so long to find you get past their dispute time. Do not go through United trying
by jseifer 16y ago
United denies everything they possibly can and they make "mistakes" that take so long to find you get past their dispute time.
Do not go through United trying to get them to pay this. Prepare for a day spent on the phone with the hospital until you find the person in the billing or services department who can really get to the bottom of it. They will figure out for you which technicality the insurance company is trying to use and what the correct one is. I had something similar happen and, after a day on the phone, was able to get the incorrect code that was used, how much they were supposed to pay, and what to say to them (this needs to be reprocessed according to X agreement).
From there you need to write a letter to United saying you want the case appealed. Send it certified mail and be prepared for the first response acknowledging your letter and the second one, about 30 days later, with the result of your appeal.
PS: I would have emailed this to you but couldn't find any contact information in your profile.
- cookiecaper 16y agoAgain, health insurance does this because insurance is all about paying for something and not using it. Since everyone uses health insurance, insurers resort to schemes like this to keep their profits where they like them. Insurance is a completely horrible paradigm for medical billing.
- jseifer 16y agoThis was really meant more as advice to the commenter I replied to, having been through it before and learned how to deal with that particular company.