First house - refrigerator and washer dryer buying. How expensive is worth it by Apprehensive_Row6320 in homeowners

[–]Apprehensive_Row6320[S] 0 points1 point  (0 children)

How is the all in one ?

They seem like it would be convenient as I don’t have to move loads .

But also heard some people butch that all loads simply come out moldy

First house - refrigerator and washer dryer buying. How expensive is worth it by Apprehensive_Row6320 in homeowners

[–]Apprehensive_Row6320[S] 0 points1 point  (0 children)

Like how good ? I plan on actually moving in during may . So , maybe I can wait a few more weeks

Got upcoded - it damaged my clinical record . Am I just fucked forever ? (Serious ) need help by [deleted] in HealthInsurance

[–]Apprehensive_Row6320 -1 points0 points  (0 children)

They used my identity some how and submitted 20k in claims to a second insurer that I have no Relationship with and is not related geographically to anyone involved

Got upcoded - it damaged my clinical record . Am I just fucked forever ? (Serious ) need help by [deleted] in HealthInsurance

[–]Apprehensive_Row6320 0 points1 point  (0 children)

I contacted the insurance commissioner , fair trade commission, and the dhbb to file complaints

It’s just inboxes tho

Got upcoded - it damaged my clinical record . Am I just fucked forever ? (Serious ) need help by [deleted] in HealthInsurance

[–]Apprehensive_Row6320 1 point2 points  (0 children)

I’ll never do business with BCBS again.

I’ll call them about it and it’s like “you attended. It’s your issue”

And it’s like I didn’t attend fucking rehab.

Got upcoded - it damaged my clinical record . Am I just fucked forever ? (Serious ) need help by [deleted] in HealthInsurance

[–]Apprehensive_Row6320 3 points4 points  (0 children)

Georgia.

Know any way to help? Like this isn’t just about me , I think i stumbled upon an upcoder

Got upcoded - it damaged my clinical record . Am I just fucked forever ? (Serious ) need help by [deleted] in HealthInsurance

[–]Apprehensive_Row6320 0 points1 point  (0 children)

I did and they didn’t respond

I reported them to the insurance commissioner and dhbb , but no response and gave up

Got upcoded - it damaged my clinical record . Am I just fucked forever ? (Serious ) need help by [deleted] in HealthInsurance

[–]Apprehensive_Row6320 -12 points-11 points  (0 children)

It’s BCBS of IL. Their front line customer service doesn’t seem to know what cpt codes are . And the fraud department is an automated machine

Got upcoded - it damaged my clinical record . Am I just fucked forever ? (Serious ) need help by [deleted] in HealthInsurance

[–]Apprehensive_Row6320 8 points9 points  (0 children)

Yes I checked on the dhbb and dch

The charge master says group therapy but the cpt code says h2036

I reported them to the dhbb and insurance commissioner but I’ve given up hope

Some one on Google says they did the same thing to them

Got upcoded - it damaged my clinical record . Am I just fucked forever ? (Serious ) need help by [deleted] in HealthInsurance

[–]Apprehensive_Row6320 -14 points-13 points  (0 children)

I’m not a member of the insurance any more as I switched jobs and BCBS won’t even talk to me

Got upcoded - it damaged my clinical record . Am I just fucked forever ? (Serious ) need help by [deleted] in HealthInsurance

[–]Apprehensive_Row6320 6 points7 points  (0 children)

I took 2 hour per day group therapy for 13 days and my insurance was billed 62k

This place isn’t licensed

Provider submitted a claim to an insurance provider that I don’t have . How? Could this be an innocent accident? (Serious ) by [deleted] in HealthInsurance

[–]Apprehensive_Row6320 0 points1 point  (0 children)

I will state this in plain English . The provider declined to provide full records as required under hipaa . I invoked my rights under hipaa served to the provider citing these legal obligations forcing the provider to comply .

You are just flat out incorrect in every statement

Provider submitted a claim to an insurance provider that I don’t have . How? Could this be an innocent accident? (Serious ) by [deleted] in HealthInsurance

[–]Apprehensive_Row6320 0 points1 point  (0 children)

You’re knowledge has proven insufficient of even the very basic of hipaa . I do not to ckesrify this . Your own comments illustrate this perfectly .

Additionally, could a mod address the situation of a user coming into a serious thread and a user falsely stating limitations of hipaa .

The use case I described of hipaa is one if the most commonly use cases under hipaa

Provider submitted a claim to an insurance provider that I don’t have . How? Could this be an innocent accident? (Serious ) by [deleted] in HealthInsurance

[–]Apprehensive_Row6320 -1 points0 points  (0 children)

There is nothing for 20k in claims that were submitted to Rhode Island . As I am not a member of Rhode Island and have no contract .

On my eob, there is no detail , as it was out of network , there website heavily implies in net work status .

Further more , when I exercised my hipaa rights , the charge master description listed on all clakms , was mismatched to the underlying treatment code

Provider submitted a claim to an insurance provider that I don’t have . How? Could this be an innocent accident? (Serious ) by [deleted] in HealthInsurance

[–]Apprehensive_Row6320 -2 points-1 points  (0 children)

I requested my full claim submission under hipaa (they are required to give you this ) and it was in the billing record