Reply to Shady Grove - what were they thinking

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[quote=Anonymous]BTW - I'm pregnant - the embryos will be siblings.

If Shady Grove (I say shitty grove to my friends) can't do something as simple as billing right then how do we know they can do fertility stats right?

And here is the thing that someone who is paying out of pocket should be concerned about - SG didn't get per-clearance for some of my treatments (this is not the first time).  I'm considered an insured patient so they have to get per-clearance - their failure to do so means I'm not obligated to pay.  So far they didn't get per-clearance for $4k worth of treatments.  Per their contract with my insurance company neither the patient (me) or the insurance company is obligated to pay for anything not pre-approved.  That means Shady Grove had to eat $4k worth of fertility treatments.

Do you really think that this money is coming out of Cleveland's salary or any of the staff their that failed to do their jobs per billing right?

it doesn't - they pass that cost on to people like you who have to pay full price.

My insurance had a negotiated rate for ICSI at $1900; SG charges folks like you $3,500.  If they don't get approvals for that they eat it and your costs can go up.

I barely paid anything for my IVF so I don't need to be bitter over costs.   They charge you $15 for a blood draw; they charge me $3 because that is my insurance negotiated rate.

7 1/2 months pregnant - all is well and my billing still isn't resolved.  My insurance company has made it clear I'm not to pay another cent.

It's simple math - they can't do it and they charge folks like you a lot more.

I'm not bitter for me - but I am for my friends who have to pay out of pocket; had 3 miscarriages and no money to try for a fourth.

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