Insurance carrier or provider, oh, which one!!!

[cuthatcard]

Last year had a MRI, pre-approved by my carrier. After all the months pass by, I got hit by a CA hitting my reports in Jan '08 of a collection of $167.00. OMG!! I immediatly called my insuance carrier who contacted me back and said it was a "computer error", how-a-about-that....said the computer thought I had out-patient surgery when it saw that I had an IV line inserted. Whereby my deductible would have been higher than what my co-pay is ($10.00). I never, never, never remember getting any bill on this from the provider. Anyway, the Ins. Carrier has made the adjustment and paid all but the $10.00 co-pay and told me that the provider said that when I paid it, they would recall it from the CA. I Called the provider right then and there asked them the same, and was answered the same and paid by CC. A month has went by and the TL is still showing and I call the provider back, get a SA CSR and says, "sorry, it'll show paid". I call up the Ins. Carrier and tell them I want a greivance form to fill out on them or some help one since they should have paid this to start with. CSR tells me to call provider back 1 more time and try to get a nicer CSR from the provider and see if they will work with me.

 

I am about ready to do a nut Case on the CA, a HIPAA on the provider and a greivance and a state Ins greivance with the Ins (if possible). The Ins CSR told me today there was nothing I could greivance them about since they paid it and I said yes there is, my interest rates on 2 CC are up and FICO's are down 50+ points on 3 reports because of YOUR CO's failure to pay on time.

 

Bow, what-a -time

[Why Chat]

Last year had a MRI, pre-approved by my carrier. After all the months pass by, I got hit by a CA hitting my reports in Jan '08 of a collection of $167.00. OMG!! I immediatly called my insuance carrier who contacted me back and said it was a "computer error", how-a-about-that....said the computer thought I had out-patient surgery when it saw that I had an IV line inserted. Whereby my deductible would have been higher than what my co-pay is ($10.00). I never, never, never remember getting any bill on this from the provider. Anyway, the Ins. Carrier has made the adjustment and paid all but the $10.00 co-pay and told me that the provider said that when I paid it, they would recall it from the CA. I Called the provider right then and there asked them the same, and was answered the same and paid by CC. A month has went by and the TL is still showing and I call the provider back, get a SA CSR and says, "sorry, it'll show paid". I call up the Ins. Carrier and tell them I want a greivance form to fill out on them or some help one since they should have paid this to start with. CSR tells me to call provider back 1 more time and try to get a nicer CSR from the provider and see if they will work with me.

 

I am about ready to do a nut Case on the CA, a HIPAA on the provider and a greivance and a state Ins greivance with the Ins (if possible). The Ins CSR told me today there was nothing I could greivance them about since they paid it and I said yes there is, my interest rates on 2 CC are up and FICO's are down 50+ points on 3 reports because of YOUR CO's failure to pay on time.

 

Bow, what-a -time

Opt out

Send the medical dispute letter to each CRA where it is reporting:

http://whychat.5u.com/hipaadisp.html

 

If you get a "verified" you can send the CA this:

 

http://whychat.5u.com/ltrcavalhipaa.html

 

The problem is that unless and until the report is changed to "paid" you can't "get" the OC for any violation.

Now, IF your reports change to a PAID collection, you can send the OC health care provider the HIPAA letter insert "b"

http://whychat.5u.com/hipltr.html