As I explained HERE, United Healthcare denied coverage of my hospitalization because they said I should not have been admitted (even though I had internal bleeding).
I sent a copy of my rebuttal of United Healthcare’s denial of coverage to the hospital.
Well, I received the bill from the hospital. I guess they’re not going to fight it. The bill was for $19K. United Healthcare knocked $16K off of that. I now owe the hospital only $2700 and change. I still owe the anesthesiologist, the lab, and some others but that’s it for the hospital bill.
I just don’t get it. Why wouldn’t the hospital fight back? This is a truly bizarre and disturbing situation. It certainly explains why hospitals charge so much. They have to charge everybody too much for everything because they will inevitably not get paid by insurance companies for a variety of reasons.
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Angela,
This is where it might pay you to hire someone to go through the bills and see what can be “adjusted” due to coding errors. There are also attorneys (Medical Billing Attorneys) who work with you, especially if the insurance company has denied your claim. Unfortunately, there is no one I can recommend.
According to a dear friend, medical coding clerks are under huge pressure to insert codes. Or, the billing process is shipped overseas. The number of errors is unbelievable. She has shared some of the bloopers, which although unfortunate to tragic, are also morbidly funny. Think of your Worst Query Letters column.
Does your hospital have a patient ombudsman who will advocate for you?
Angela, my heart goes out to you. Praying for your healing and that there is a timely resolution to this mess.
God bless,
Nancy L.
I don’t have to pay the portion that United Healthcare refused to cover. Apparently that’s part of their contract with the hospital. I just feel bad that the hospital took such amazing care of me and they’re now not going to be paid in full. 🙁