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Infertility Support and Discussion
Reply to "Help being my own advocate for billing issues"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I used to handle pre-auths for an RE office and MDIPA generally processes theirs within a week or so. That said, full payment up front isn't out of the ordinary, especially considering that insurance will likely reimburse pennies on the dollar once everything is approved. I know this isn't the norm for medical care but this isn't a life or death situation, this is optional treatment. Just to clarify, you said two week labwork. Is this post IUI HCG testing? If so, why not go to a lab? Or is this like to check LH levels on CD 12/13? I would think a sono to check follicles would be more telling. Lastly, I would ask the office if they offer a flat fee for the IUI cycle. That would cover labs, sperm wash, sono, insemination, etc. And here it is 12 days later but I already typed this out on my iPad screen so I'm going to post it anyway. Hope this brings you a BFP. :) [/quote] [b]Full payment upfront is great if you can be sure that any money due you (once insurance pays the RE) will be credited back immediately[/b]. I've dealt with a local clinic and had to fight for months to get my refund -because they kept messing up the insurance processing. I will never fall for that again. I realize this is not life-saving treatment, but consumer proctection organizations call this kind of behavior predatory. And, of course, doctors don't want to get involved. They just want their paychecks. [/quote] Well....yeah. That's the point. Who should bear the burden of the risk that the insurance company won't pay? You, the person receiving the expensive treatment, or the doctor providing the expensive treatment? [/quote]
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