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outlet hogan italia network bills following surgery
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outlet hogan italia network bills following surgery
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发表于: 2015-05-14
关键词:
gioielli
tiffa,
network bills following surgery
My question is actually two parts. I had shoulder surgery in January through an in network orthopedic surgeon. When I went
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in for surgery, the center told me they were actually out of network but would provide me with a waiver to make it the same as in network cost. I had to pay $600
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at that time
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and was told that there may be a "slight" adjustment
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after the surgery, but not to worry. Four months later I received a bill for $1200. However, I was never
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informed of this prior to the surgery and NEVER would have had the procedure done if I would have known the expense. Thanks for the question. I'm sorry to be the bearer of bad
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news
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however it is strictly the patient/member's responsibility to make
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sure their providers are in network. Sometimes, it's
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hard to determine who the proividers (physicians) will be in a surgery setting. Was the procedure done inpatient? Sometimes the hospital has an arrangement with anesthesiologists to pay them. I suggest you try and
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find the billing company for the surgeon's office and/or the hospital to find out what's really going on behind
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the bills. I'm
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sorry but $1900.00 is a lot to owe.
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Even if it's out of network why didn't
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the insurance company pay some of it
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or did they?You can also call the
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insurance company and let them know what you were told by the surgeon that the
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claim would be processed as in
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network. This way you will find out if a (what we call in the insurance contracting business) letter of agreement was done between the surgeons and the ins plan. The insurance plan would have the Letter
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of agreement on file.Are you sure it's a bill and not a statement? They are two different things. Most anestheiologists will
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not do a service out of network because they know they will not be paid. They
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usually make special
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arrangements to get paid.
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Check into it.
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