Page 3 of 3 FirstFirst 1 2 3
Results 21 to 24 of 24
  1. #21
    Join Date
    Jun 2006
    Location
    Massachusetts
    Posts
    22,560

    Default Re: Error in Treatment Approval Dates

    Well done. Glad to hear it. Merry Christmas!

  2. #22

    Default Re: Error in Treatment Approval Dates

    I received a letter from the Hospital about the $14k charge. They are asking me to get BCBS to pay it, or provide an EOB to them. I called and they asked for a copy of the EOB. My EOB shows me as responsible for $0 which the insurance company has also stated when I contacted them. The Hospital says they have an EOB showing customer responsible for $14k. They also said they made an adjustment to the bill, bringing my amount due down to $2k. BCBS adjusted another separate claim from the hospital down from $21k to less than $200. I would expect they would have also adjusted this claim to less than $200 as it was also in network. So I will mail them the EOB by certified mail. Any guesses as to what their next response will be?

  3. #23
    Join Date
    Feb 2008
    Posts
    812

    Default Re: Error in Treatment Approval Dates

    claims adjustments will depend on what the services are and how they are specifically contracted to be paid. Just because one was less than $200 doesn't mean they all will be.

  4. #24
    Join Date
    Jan 2006
    Posts
    35,997

    Default Re: Error in Treatment Approval Dates

    The insurance provider creates the eob’s so if they have one as they claim, so does the insurance company. It may be there are more than one eob for a given claim especially if it was reconsidered and recalculated

    ask the hospital for a copy of theirs. The latest date wins.

    1. Sponsored Links
       

Page 3 of 3 FirstFirst 1 2 3

Similar Threads

  1. Home Insurance: Error by Insurance Agent in Obtaining Home Insurance Coverage
    By Lorenw5 in forum Insurance Law
    Replies: 3
    Last Post: 09-04-2016, 01:32 PM
  2. Health Insurance: Can Current Health Insurance Cover Treatment During Time with Lapse of Coverage
    By IT Field Technician in forum Insurance Law
    Replies: 3
    Last Post: 10-29-2013, 08:52 AM
  3. Health Insurance: Cancellation of Health Insurance Coverage
    By thefr1tz in forum Insurance Law
    Replies: 1
    Last Post: 07-09-2012, 05:06 PM
  4. Health Insurance: Dependant Health Insurance Coverage
    By Rillo in forum Insurance Law
    Replies: 1
    Last Post: 08-17-2010, 10:01 AM
  5. Health Insurance: Dental Insurance Payment Deducted But Denied Coverage For Treatment
    By JustAskingToo in forum Insurance Law
    Replies: 5
    Last Post: 03-15-2008, 04:31 PM
 
 
Sponsored Links

Legal Help, Information and Resources

Forum Sponsor
Legal Forms - Buy easy-to-use legal forms.