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RyanPsych (354 posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:12 PM Original message |
Blue Cross Blue Shield refuses to pay my little brothers $30,000 hospital bill |
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virgogal (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:13 PM Response to Original message |
1. Why? What reason did they give? |
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The Velveteen Ocelot (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:13 PM Response to Original message |
2. Why did they deny the claim? |
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RyanPsych (354 posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:15 PM Response to Reply #2 |
4. Their health care "expert" |
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ChazII (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:23 PM Response to Reply #4 |
6. Sorry to be dense but who was the 'expert'? |
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RyanPsych (354 posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:30 PM Response to Reply #6 |
10. I wish |
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Horse with no Name (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:56 PM Response to Reply #10 |
21. I had gynecological surgery |
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haele (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:47 PM Response to Reply #4 |
15. Appendicitis kills. It wasn't a necessary expense to remove it? |
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kestrel91316 (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 10:03 PM Response to Reply #15 |
23. No. The kid had a duty to die. |
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Horse with no Name (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:51 PM Response to Reply #4 |
19. Easy enough to prove |
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RyanPsych (354 posts) Send PM | Profile | Ignore | Fri Jun-03-11 10:08 PM Response to Reply #19 |
24. Stayed less than 24 hours, actually |
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Horse with no Name (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 10:12 PM Response to Reply #24 |
27. that is medically appropriate. I'd challenge the expert. n/t |
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AmBlue (1000+ posts) Send PM | Profile | Ignore | Sat Jun-04-11 06:27 PM Response to Reply #4 |
49. BCBS did that to me and I won. |
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BlueIris (1000+ posts) Send PM | Profile | Ignore | Sat Jun-04-11 08:55 PM Response to Reply #49 |
52. Thanks for sharing that. It gives me (a bit of) hope. nt |
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AmBlue (1000+ posts) Send PM | Profile | Ignore | Sun Jun-05-11 01:06 AM Response to Reply #52 |
53. You're welcome & good luck! |
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anneboleyn (1000+ posts) Send PM | Profile | Ignore | Sun Jun-05-11 01:13 AM Response to Reply #4 |
54. Please consider challenging this -- ask the brother's doctor and/or the admitting physician to help. |
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ixion (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:14 PM Response to Original message |
3. what's wrong? The Health 'care' industry, for starters, but it's a long, long list |
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eridani (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:22 PM Response to Original message |
5. ACA makes claims denial perfectly legal |
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RyanPsych (354 posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:32 PM Response to Reply #5 |
11. They've appealed |
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uberblonde (993 posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:51 PM Response to Reply #11 |
18. Report it to your state insurance commission. |
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Horse with no Name (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:58 PM Response to Reply #18 |
22. Depends on the state |
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RyanPsych (354 posts) Send PM | Profile | Ignore | Fri Jun-03-11 10:12 PM Response to Reply #22 |
26. They live in Texas |
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NotThisTime (1000+ posts) Send PM | Profile | Ignore | Sat Jun-04-11 05:57 PM Response to Reply #11 |
48. I have so much experience with this... start keeping records, get the doctors office involved to |
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enough (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:23 PM Response to Original message |
7. How often and how long can this sort of thing keep happening before there is |
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eridani (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:47 PM Response to Reply #7 |
16. For quite a long time, unfortunately, because most people will never get expensively sick |
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RyanPsych (354 posts) Send PM | Profile | Ignore | Fri Jun-03-11 10:24 PM Response to Reply #7 |
28. they are selling a con job |
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Mariana (1000+ posts) Send PM | Profile | Ignore | Sat Jun-04-11 01:14 AM Response to Reply #7 |
43. They won't wake up because they just don't see it. |
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rateyes (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:23 PM Response to Original message |
8. your family needs to call the local newspaper |
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RyanPsych (354 posts) Send PM | Profile | Ignore | Fri Jun-03-11 10:37 PM Response to Reply #8 |
33. If it gets that far |
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pa28 (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:28 PM Response to Original message |
9. Who do you talk to when the "regulators" are actually industry cheerleaders. |
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obxhead (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:34 PM Response to Original message |
12. So glad we could mandate this broken system to guarantee the |
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RyanPsych (354 posts) Send PM | Profile | Ignore | Fri Jun-03-11 10:24 PM Response to Reply #12 |
29. Amen |
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anneboleyn (1000+ posts) Send PM | Profile | Ignore | Sun Jun-05-11 01:18 AM Response to Reply #12 |
55. Amen, seconded! |
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HipChick (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:41 PM Response to Original message |
13. I had to appeal my claim...get the media involved, start with local media sources |
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likesmountains 52 (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:44 PM Response to Original message |
14. Your parents need to get the hospital and the surgeon to appeal..just ask them. |
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DeadEyeDyck (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:49 PM Response to Original message |
17. My Aunt works for Met Life as a Claims approver |
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dflprincess (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 10:11 PM Response to Reply #17 |
25. They also do it because they know most people won't fight a rejection |
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RyanPsych (354 posts) Send PM | Profile | Ignore | Fri Jun-03-11 10:25 PM Response to Reply #25 |
30. how sick is that? |
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Historic NY (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 09:54 PM Response to Original message |
20. Tell the hospital to re-submit...they can get around anything... |
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The Unawriter (158 posts) Send PM | Profile | Ignore | Fri Jun-03-11 10:26 PM Response to Original message |
31. Shit like this REALLY pisses me off |
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RyanPsych (354 posts) Send PM | Profile | Ignore | Fri Jun-03-11 10:29 PM Response to Reply #31 |
32. When you get that rich |
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RyanPsych (354 posts) Send PM | Profile | Ignore | Fri Jun-03-11 10:39 PM Response to Original message |
34. My mom is thankful for all your suggestions DU! |
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Glimmer of Hope (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 10:56 PM Response to Original message |
35. Initially denying a claim is one of the many practices BCBS tries to |
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gvstn (485 posts) Send PM | Profile | Ignore | Fri Jun-03-11 11:38 PM Response to Reply #35 |
37. Ditto |
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anneboleyn (1000+ posts) Send PM | Profile | Ignore | Sun Jun-05-11 01:23 AM Response to Reply #35 |
56. This sh*t is really evil, isn't it? And it is going on everywhere, with every private insurer. |
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Glimmer of Hope (1000+ posts) Send PM | Profile | Ignore | Sun Jun-05-11 06:26 AM Response to Reply #35 |
58. I just noticed that I haven't received a claim check that they |
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Hugabear (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 11:08 PM Response to Original message |
36. Health insurance is nothing more than legal organized crime |
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Maru Kitteh (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 11:44 PM Response to Reply #36 |
39. Is berating the poster is an appropriate action here? |
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Hugabear (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 11:56 PM Response to Reply #39 |
40. I wasn't berating the poster |
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Maru Kitteh (1000+ posts) Send PM | Profile | Ignore | Sat Jun-04-11 12:43 AM Response to Reply #40 |
41. That's a nice thing to do. It do completely agree with your point, too. n/t |
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Newest Reality (1000+ posts) Send PM | Profile | Ignore | Fri Jun-03-11 11:44 PM Response to Original message |
38. What is wrong with this country? |
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99th_Monkey (1000+ posts) Send PM | Profile | Ignore | Sat Jun-04-11 12:55 AM Response to Original message |
42. These guys are also trying to foist an annual rate hike of like 22% on Oregonians |
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Scuba (1000+ posts) Send PM | Profile | Ignore | Sat Jun-04-11 05:55 AM Response to Original message |
44. Of course they do. They're not into the business of paying claims. n/t |
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1monster (1000+ posts) Send PM | Profile | Ignore | Sat Jun-04-11 04:44 PM Response to Original message |
45. I don't know your details or the insurance wills/won'ts in the policy, but check them! |
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otohara (1000+ posts) Send PM | Profile | Ignore | Sat Jun-04-11 05:18 PM Response to Original message |
46. Start writing letters ... Cc your congressman |
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Gin (1000+ posts) Send PM | Profile | Ignore | Sat Jun-04-11 05:24 PM Response to Reply #46 |
47. maybe it was the end of a quarter and they had to make their numbers... |
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glinda (1000+ posts) Send PM | Profile | Ignore | Sat Jun-04-11 08:15 PM Response to Original message |
50. Every BCBS in the Country should be investigated. BCBS is corrupt to the core. |
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vssmith (1000+ posts) Send PM | Profile | Ignore | Sat Jun-04-11 08:49 PM Response to Original message |
51. How would BCBS ever make money if they paid all these frivolous |
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StarsInHerHair (1000+ posts) Send PM | Profile | Ignore | Sun Jun-05-11 03:56 AM Response to Original message |
57. well a lumpectomy cost $80,000, back in the 1970s I had my tonsils taken |
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