Reply to Some ER docs in Alex/Springfield (INOVA) not in network with BCBS

Forum Index » Health and Medicine

Reply to "Some ER docs in Alex/Springfield (INOVA) not in network with BCBS"

Subject:

Emoticons





More smilies

Text Color: Font: Close Marks

[quote=Anonymous][quote=Anonymous][quote=Anonymous]File an appeal. If it's an emergency situation in which you don't have control over which doctor sees you, the doctor should not balance bill you. I had a similar issue with CareFirst. Filed an appeal and they settled it with the surgeon[/quote]

Thanks for the tip!  I didn't realize I could have some recourse in this situation.  You filed an appeal with the insurance company?  Or the provider?  And what does filing an appeal involve?  Writing a letter?[/quote]

I started with my company's benefits coordinator (private company). Since it was out of network, CareFirst sent me a check for a portion of the bill. Once I sent that money to the surgeon I got a copy of the balance and typed up a letter to CareFirst explaining that I was an in-network hospital but did not have an option of who my surgeon was (middle of the night emergency appendectomy). They settled up with the surgeon. I have no idea if that means they paid the surgeon the balance or told them to piss off. It took a long time and the surgeon was threatening to take me to collections, but it worked out.[/quote]

Options

	Disable HTML in this message
	Disable BB Code in this message
	Disable smilies in this message

Review message

Search Recent Topics Hottest Topics