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Feb 24, 2021
7:10
:05
pm
BYU28_Miami21
3rd String
Have you tried to work with the ERs billing department? If they refuse to work
With you, you may have to hire an attorney.
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BYU28_Miami21
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BYU28_Miami21
Joined
Aug 11, 2016
Last login
Dec 30, 2021
Total posts
902 (1 FO)
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Messages
Author
Time
Health insurance billing question: ER doc trying to charge me more after the negotiated payment
jdub
FORMER USER
2/24/21 7:02pm
Have you tried to work with the ERs billing department? If they refuse to work
BYU28_Miami21
2/24/21 7:10pm
I think we called them way back when this all started. We thought it was taken care of then.
jdub
2/24/21 7:11pm
Yes, do. Tell them what happened, show them the documentation. Even without that
TailgateU
2/24/21 10:32pm
Is he/she an out of Cigna network doc?
AT Cougar
2/24/21 7:10pm
Possibly. The hospital was not (Utah Valley), and we got whatever doc was in the ER that night.
jdub
2/24/21 7:12pm
Most hospitals will write off the added expense for those ER visits. However,
jreid191
2/24/21 7:16pm
My MIL had a similar situation when my FIL was admitted to an IHC hospital with
jreid191
2/24/21 7:21pm
similar experience, we had a billing issue with Utah Valley
ral1988
2/25/21 3:39am
It’s not eliminating surprise payments that’s the issue tho. The bill is the bill. What we should eliminate is surprise
Virginia Ute
2/24/21 7:21pm
But what does the term "negotiated price" mean in that case? It would imply the doctor agreed to it.
jdub
2/24/21 7:26pm
The ER group has a meeting every 5 years or so with the insurer. They negotiate what the insurer will pay for each
Virginia Ute
2/24/21 7:32pm
Thanks man, that's what I'll do.
jdub
2/24/21 7:51pm
Good luck to ya. Hope it gets sorted out.
Virginia Ute
2/24/21 7:57pm
I’ve been in your boat before as a patient tho, and it’s just flat out stupid.
Virginia Ute
2/24/21 7:33pm
Medical billing is awful. That said, I guarantee you that ER doc has no idea that you continue to be billed or that you
Slim
2/24/21 7:17pm
Seriously. The billing sucks so bad. Funny the way he worded it, though. Like the ER doc is just sitting at home sending
Virginia Ute
2/24/21 7:18pm
Yeah, it would have been the ER doc's billing, who then passed it onto collections. I get that.
jdub
2/24/21 7:20pm
I'm sure he doesn't, that's why it's a collections agency. So, what do you recommend? ER billing?
jdub
2/24/21 7:19pm
I don’t really know how to fix it but the ER doc likely works for a large group that is contracted by the hospital. That
Slim
2/24/21 7:23pm
That will be my first call tomorrow. Thanks!
jdub
2/24/21 7:26pm
My condolences for your situation. I HATE that I literally have no idea how much someone is going to be charged for my
Slim
2/24/21 7:29pm
Sane here. As a physician I have been hit with major surprise billing.
BYU28_Miami21
2/24/21 8:20pm
Be prepared:
AT Cougar
2/24/21 8:26pm
We have a similar deal going on right now for us. Last summer we were in an auto
cougarfan84
2/24/21 7:40pm
All of this is fixed with the new surprise billing law from dec 2020
BYU '80
2/24/21 8:18pm
This kind of crap makes me so mad. I'm sorry. I hope you can get it sorted out
zerigke
2/24/21 7:50pm
Tell them you consulted your attorney and they need to cease and desist.
Mayor of Cougartown
2/24/21 7:57pm
Tell who? The collections agency? Does that really work?
Slim
2/24/21 7:59pm
yes, the collections agency. Anecdotally I've seen it work.
Mayor of Cougartown
2/24/21 8:05pm
DO NOT DO THIS UNLESS YOU'VE ACTUALLY CONSULTED WITH AN ATTORNEY
Elwood Blues
2/24/21 9:55pm
I have Cigna here in Arizona and they always tell me if I go to the ER for
VenturaCoug
2/24/21 8:01pm
They told us the same thing, and have helped previously. That's part of why I thought this was over.
jdub
2/24/21 8:20pm
I had a similar problem. Eventually I got the insurance company to call the
JustKeyrock
2/24/21 8:21pm
+1. I did this by doing a 3 way call. It also helped that the collection agency
sah22
2/24/21 9:23pm
The beauty of American healthcare.
spugeddy24
2/24/21 8:22pm
If that Doc isn’t in the Cigna network the negotiated rate won’t mean squat to
Fargo
2/24/21 8:38pm
My insurance pays the er docs the full amount if I went to an in network er
LaserCoug
2/24/21 8:56pm
Did the hospital and doc bill separately? If working with the hospital doesn't
ManicBlue
2/24/21 8:57pm
Sounds like there may be a violation of the Fair Debt Collections Practices Act.
jcvlaw
2/24/21 10:19pm
Here are a few thoughts
bigjohn
2/24/21 11:07pm
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