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Health and Medicine
Reply to "United Healthcare will no longer cover uncecessary ER visits"
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[quote=Anonymous][quote=Anonymous]The problem with this is that it will not hit the pocketbook of the person who is inappropriately using the emergency room. The provider, who by federal law is required to perform an assessment, will not be reimbursed, but by contract will not be able to balance bill the patient.[/quote] I'm pretty sure the provider can send a bill if a visit is not covered. Balance billing is when your insurance doesn't pay the full amount and they come after you for the rest. There are situations where contracts prevent the provider from doing this. It may take your provider more than a year to invoke the clause on your behalf, but it's there![/quote]
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