Claims, Copays, Insurance Companies...

virgovictoria

Tight Pants and Lipstick
PREMO Member
...Doctor Bills, Incompetent Office Staff, and Reasonable Insanity...

I have to vent, then step away from the pc!

I receive a bill from my specialist's office. For the cost of the visit. They are in network. I gave them a referral. I paid my copay. I call and leave a voicemail explaining detailed instructions on how to resubmit the claim for payment (as the referral was not submitted correctly). I receive another bill. I talk to the cool chick who is not responsible for billing; she says she'll leave a message. Guess what? Another bill. I see them tomorrow. I call my insurance company :dead: and f/u - the Dr's office staff finally resubmitted the effing claim LAST MONTH! I saw them in September the first time (and have seen them 2x's since)

The same general route occurs for my dentist office. Only, they submitted the claim right; they just decided to right off what they wanted, not what was allowed. I left a message. I thought it was no big deal - it was under $20. Until even after my message they sent a big red DELIQUENT notice. So, I had to print out the PROPER write offs, adjust their amount for them, request they show the dentist that I had loved so much that they have now lost a client over $4.60 because of the way they handled the situation. Don't overbill me, not get in touch with me, then send me a red notice!!!

Then my effing VETERINARIAN'S OFFICE can't find our records (again). They rejected PetMed's request for our Interceptor Refill. Get this - THE OFFICE MANAGER IS THE ONLY ONE WHO COULD AUTHORIZE A REFILL (not even a vet?) and therefore we had to wait for a return call to sort things out. As I was on the phone with this gal, who was so sure that our girls haven't been in their office as of 2006, I pulled out my records and started reciting their invoice numbers, vaccinations, bill total, their effing weight at the time. I told her that it was simply not my problem that they did not have the records nor the organization, but what she needed to do was authorize our heartworm prophylactives immediately as she already caused us to be behind. She actually had the nerve, after the attitude, to ask us to drop off a copy of the records for the office. :rolleyes:

Good thing someone knows what they're doing, huh? And I didn't proof this.. so forgive any craziness.
 
Last edited:
...Doctor Bills, Incompetent Office Staff, and Reasonable Insanity...

I have to vent, then step away from the pc!

I receive a bill from my specialist's office. For the cost of the visit. They are in network. I gave them a referral. I paid my copay. I call and leave a voicemail explaining detailed instructions on how to resubmit the claim for payment (as the referral was not submitted correctly). I receive another bill. I talk to the cool chick who is not responsible for billing; she says she'll leave a message. Guess what? Another bill. I see them tomorrow. I call my insurance company :dead: and f/u - the Dr's office staff finally resubmitted the effing claim LAST MONTH! I saw them in September the first time (and have seen them 2x's since)

The same general route occurs for my dentist office. Only, they submitted the claim right; they just decided to right off what they wanted, not what was allowed. I left a message. I thought it was no big deal - it was under $20. Until even after my message they sent a big red DELIQUENT notice. So, I had to print out the PROPER write offs, adjust their amount for them, request they show the dentist that I had loved so much that they have now lost a client over $4.60 because of the way they handled the situation. Don't overbill me, not get in touch with me, then send me a red notice!!!

Then my effing VETERINARIAN'S OFFICE can't find our records (again). They rejected PetMed's request for our Interceptor Refill. Get this - THE OFFICE MANAGER IS THE ONLY ONE WHO COULD AUTHORIZE A REFILL (not even a vet?) and therefore we had to wait for a return call to sort things out. As I was on the phone with this gal, who was so sure that our girls haven't been in their office as of 2006, I pulled out my records and started reciting their invoice numbers, vaccinations, bill total, their effing weight at the time. I told her that it was simply not my problem that they did not have the records nor the organization, but what she needed to do was authorize our heartworm prophylactives immediately as she already caused us to be behind. She actually had the nerve, after the attitude, to ask us to drop off a copy of the records for the office. :rolleyes:

Good thing someone knows what they're doing, huh? And I didn't proof this.. so forgive any craziness.
You need Latzo to go in there and knock some heads together.
 

MMDad

Lem Putt
I had surgery Monday. Yesterday, I got a notice from my insurance company that part of the procedure will not be covered because it does not meet their criteria. The Dr. did that part for free because she doesn't believe that the insurance company should be making that decision for her. :yay: to the Dr., :boo: to the insurance company.
 

ginwoman

Well-Known Member
She actually had the nerve, after the attitude, to ask us to drop off a copy of the records for the office. :rolleyes:


UFB :doh:

I hate that kind of stuff.
 

Pandora

New Member
A month ago, I got this huge check sent to me by my insurance company. I knew it was a mistake and come to find out it was. Some idiot in billing sent me a check instead of the doctor. It actually wasn't funny because no sooner did I get the check, I got some threating letter from them about returning the money. The check was already in the mail back to them and then the doctor's office sent me a letter saying I was responsible for paying the bill.

They really have messed everything up because of their error. I should have just drove down, deposited the check and went over to the office and paid them the money. It would have been a hell of a lot less hassle that way.

I just think too many people rush through what they are doing these days and make far too many mistakes they shouldn't. :ohwell:
 
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