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Health

NYC_SKP

(68,644 posts)

20. Complicating matters, CoveredCalifornia had my correct birthdate, Anthem screwed it up.

Reply to lostincalifornia (Reply #18)

Tue Jul 8, 2014, 11:26 PM

Jul 2014

And it too about a month before they straightened it up. I still wonder if that error (their error) isn't behind some of these issues.

I think the surgical team was/is great, all the staff are.

I think this is a business office problem, at both organizations.

Thanks!

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Can an "in network" hospital bring in "out of network" physicians who you then have to pay???? [View all] NYC_SKP Jul 2014 OP

Not sure, SKP, contracts and insurance being what they are, elleng Jul 2014 #1

Thank you! NYC_SKP Jul 2014 #2

If there was no "in network" physician at that hospital who was there and able to handle your case Warpy Jul 2014 #7

Thanks, Warpy! NYC_SKP Jul 2014 #9

ARTICLE: Anthem lists Stanford area doctors as in-network, turns out they are not. NYC_SKP Jul 2014 #8

Could be. elleng Jul 2014 #11

That is with all insurance programs from medical to dental yeoman6987 Jul 2014 #13

They make exceptions for emergency services, I had a lot of things covered. NYC_SKP Jul 2014 #17

I wish you the best of luck yeoman6987 Jul 2014 #21

Oh God, I feel for you! MannyGoldstein Jul 2014 #3

Well, they do bring paperwork to read and sign as you're laying on a gurney in the hallway. NYC_SKP Jul 2014 #6

That's under duress. What choice did you have? MannyGoldstein Jul 2014 #10

Thanks. I did a little research. NYC_SKP Jul 2014 #12

As a member of the Medico-Industrial complex, I can assure you MannyGoldstein Jul 2014 #19

It's SUCH a racket Brainstormy Jul 2014 #34

Also complain to the hospital for not informing you they accept ACA, but don't ride herd on docs. Hoyt Jul 2014 #4

Will do, it takes a shitload of phone calls to get anywhere. NYC_SKP Jul 2014 #5

Rest. elleng Jul 2014 #14

Good advice. They aren't likely to pressure patient for months, and even then there are limits on Hoyt Jul 2014 #26

Yes and they'll be paid the undisputed amounts initially, elleng Jul 2014 #27

With my wife in Stanford for a total of a month in 2012 DJ13 Jul 2014 #15

This message was self-deleted by its author lostincalifornia Jul 2014 #18

Complicating matters, CoveredCalifornia had my correct birthdate, Anthem screwed it up. NYC_SKP Jul 2014 #20

This message was self-deleted by its author lostincalifornia Jul 2014 #24

This message was self-deleted by its author lostincalifornia Jul 2014 #22

This message was self-deleted by its author lostincalifornia Jul 2014 #16

The short answer is yes, but give 'em hell. Daemonaquila Jul 2014 #23

thank you for the help and the links. NYC_SKP Jul 2014 #25

Technically, yes but insurance may pay the charge JayhawkSD Jul 2014 #28

bark up the chain. mopinko Jul 2014 #29

Hey sister! NYC_SKP Jul 2014 #30

stbex's secret plan- you dont have to hit anyone with a hammer if you play it right. mopinko Jul 2014 #31

This sounds eerily familiar. WilliamPitt Jul 2014 #32

Thanks! Fortunately, the CoveredCalifornia representative was very kind and helpful! NYC_SKP Jul 2014 #36

I saw an article just this morning about a lawsuit against Anthem . . . StatGirl Jul 2014 #33

Thanks, this is most helpful in building my case. NYC_SKP Jul 2014 #35

Great! StatGirl Jul 2014 #37