 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / Diseases and Disorders / Prostate Cancer / August 2003To all people in the US
We received a bill for John's cat and bone scans on July 3 yesterday. Since we are on the Blue Cross PPO, preferred participating providers sign a contract whereby they are only allowed to charge so much for procedures. I checked this bill against the Blue Cross statements and found that they neglected to include a Blue Cross payment of $262 in the total payments and they overcharged John by this amount. This is just another example of why we should check our bills carefully. They make mistakes but I think they also count on our not catching them. Just my 2 cents.  SignatureDebbie Trujillo Please visit my website at http://mysite.verizon.net/res21yh8/index.html. I agree that we have to check carefully, and there are definitely unscrupulous operators that would try to rely on our lack of attention and interest to score an unwarranted payment. Just yesterday I called my credit card company on a charge for some software that I ordered which showed thirty nine dollars on the credit card statement, but the invoice was thirty two dollars. That kind of thing could easily slip by if a person did not check carefully. Has anyone paid attention to the difference between the charges on the benefit statements and the amount the insurance company pays? Less than half in my case. I have Blue Cross HMO. Hope everyone is doing well. Thank you. David S. RRP Version. > This is just another example of why > we should check our bills carefully. They make mistakes but I think they > also count on our not catching them. > > Just my 2 cents. Here's some of my experience with my Blue Cross PPO which by the way has paid everything correctly and promptly. The bill my urologist submitted to the insurance was $6,500 for my surgery. The insurance paid $2,011 and then there is a note stating $4,489 "is the amount in excess of the allowed expense for a participating provider. The member (me), therefore, is not responsible for this amount." Does this mean my doctor only gets $2,011 for his services and gets stiffed for the balance? I know my balance due to my doctor is zero so I assume he charges $6,500 to everyone hoping some without insurance will pay to cover those also without insurance who don't pay and that all he realistically hopes to get from insurance companies is the $2,011. Anyone have a better or a correct explanation? Dave Perry > Has anyone paid attention to the difference between the charges on the > benefit statements and the amount the insurance company pays? Less than > half in my case. I have Blue Cross HMO. > Hope everyone is doing well. > Thank you. > David S. RRP Version. That's exactly what it means. Doctors and hospitals negotiate volume discounts with insurers who get staggeringly large discounts from them. The folks who can't affort Insurance get to pay full price. Doesn't exactly sound equitable to me, but that's our U.S. medical system for you. Wonder why people say it's broken??? Now if you firmly believe in letting the free market absolutely rule every aspect of society, then this is the way to go. The people who send the majority of business to someone should get a lower rate because they're guaranteeing a certain volume of business. Guess it's all in your perspective. -- Dave H (from NH) Dx March 4, 03 at age 53 PSA 11.0 LRP June 10, 03 Post Op Pathology: Gleason 7(4+3) negative Nodes & vesicles positive margins no extracapsular PSA @+5 weeks 0.05 i know this thread started with blue cross and medical bills, but don't stop there. when my dad died, it was in another state and he had to be flown back by air. we have an airport that lands jets, but this plane for transporting caskets has to be so big, etc, etc, that it had to land over 100 miles away. the billing for the air fare was really high and we found an extra charge and when we question it, they took it off. the funeral home picked up the body and did the services. when we went over the bills there was 4 things that we were charged for that they didn't provide and it was an extra 1200 dollars. get this - they charged for the mileage of picking up the body from the airport, they charged for the time it took. and further down on the bill, they had charged a pick up charge from the hospital/nursing home. now, how could my dad die and be at two places at the same time. when we called their hand on it, they said they would adjust the bill. but how many times do we pay it, thinking the bill is correct. ~ curtis knowledge is power - growing old is mandatory - growing wise is optional > We received a bill for John's cat and bone scans on July 3 yesterday. Since > we are on the Blue Cross PPO, preferred participating providers sign a [quoted text clipped - 6 lines] > > Just my 2 cents. I think you are being extremely paranoid. Do you honestly think they have a plan, to have their accounting sneek another $262 by you? If they had any money problems, all they need to do is raise the premiums another notch. A billion dollar company with a license to print money doesn't need to steal. That's reserved for the private sector!! LOL SignatureJK Sinrod NY Sinrod Stained Glass www.sinrodstudios.com Coney Island Memories www.sinrodstudios.com/coneymemories |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.