It’s not eliminating surprise payments that’s the issue tho. The bill is the bill. What we should eliminate is surprise

Feb 24, 2021
7:21:25pm

Virginia Ute Ute Troll

insurances not willing to pay the bills that they should pay. They’d rather just not negotiate in network contracts with docs so that these kinds of things happen and it leaves the patient holding the bag.

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Virginia Ute

Previous username: VirginiaUte
Bio page: Virginia Ute
Joined: Jan 16, 2009
Last login: Apr 29, 2024
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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

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

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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