I recently had a endoscopy - routine - and the hospital put in a wrong code that suggested the procedure was ended prematurely. Insurance said they do not cover that. We sent them the doctors notes, the pathology reports, the recovery notes, etc. that priced the procedure was fully performed. hospital kept saying they had coded it correctly and we owed them. It took months on the phone for hours at a time to fix an obvious clerical error that would have cost us $3,000 This situation is tailor made for my wife, she never lets something like this go. Ever. Once it was fixed insurance paid promptly. But i would have given up and paid because they’d have worn me down. And that would be the last routine endoscopy I ever got, which is dumb but that’s how Id react, I know it.
—”the hospital put in a wrong code “
My personal physician sent me for a normal, scheduled PSA test.
The hospital lab requested I sign for $400.00 that would NOT be covered??? This is a $70.00 test and I had top-of-the-line insurance (before 0care).
I spent time beating my gums and they brought out managers...
Thinking my Doc speced some odd test by mistake, I stopped by his office.
And was he unhappy!
He believes the hospital does this with intent and said it’s not an accidental slip-up.
He pulled up another patient’s record, covered the name, and showed the billing; ~$10 cost for the test, and said ~$7 at an outside lab.
I went to a different branch lab of the same hospital, presented the same paperwork; in and out, done?
I do not know?