Reply to Why Is It My Job to Sort Out Billing and Insurance Issues?

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Reply to "Why Is It My Job to Sort Out Billing and Insurance Issues?"

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[quote=Anonymous]I have been stunned by the lack of consumer protections from insurance companies. They can just deny claims improperly and as long as they eventually approve things after a big fight, they face no consequences. They have every incentive to make things exceedingly difficult for providers, patients and their families. We thankfully have a plan that reimburses for providers that don't accept insurance. I truly cannot blame them for not accepting insurance. I'd rather they focus their energies on providing services instead of dealing with paperwork and their rates are perfectly reasonable. I actually have less sympathy for providers that take insurance and then charge people paying OOP 2-3x times the amount they take from insurance. And I have absolutely dealt with providers that are at fault for insurance issues. Like billing me because "insurance didn't pay enough" when in fact insurance paid their contracted rate, and it takes a minimum of 30 minutes of my time to convince them they screwed up. Or another provider that sent the claim to the wrong address, but I have to call them 3 times to convince them that (1) my insurance is in effect and (2) they need to resubmit the claim. It is exhausting.[/quote]

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