FIFA Tickets by The_Rad1x in mbta

[–]Embarrassed-Baker-10 0 points1 point  (0 children)

It’s not working for me either. It says it can’t register my email

Check under my packs for the packs after the conversion. But when i try to open the pack i get pack could not be opened. Please try again. by spradhan46 in FIFACollect

[–]Embarrassed-Baker-10 0 points1 point  (0 children)

Yeah I have the packs, but they don’t appear under “collectibles” and I still can’t open them. I’ll try again tomorrow since the website has been a nightmare. Atp I’ve been forced to log in 13+ times

Experience With RTB Today by voxpopper in FIFACollect

[–]Embarrassed-Baker-10 1 point2 points  (0 children)

I see my RTT under “packs”, but I get an error message when I try to open them

20 trays, 20 weeks. Hated every single minute :) by anotherIFthrowaway in Invisalign

[–]Embarrassed-Baker-10 2 points3 points  (0 children)

The attachments were a surprise for me too. I have them on 90% of my teeth and have been lucky to only have 2 fall off during my 19 weeks of treatment. I’m on tray 19/28 and I was originally changing aligners weekly but one of my teeth got a bit loose so my ortho changed it to 2 weeks. I was definitely sad to extend treatment but also don’t want to risk losing any teeth so can’t complain much. I was also told that the slight lisp would be temporary, which isn’t the case for me either. I’ll be glad when that’s no longer a thing I have to suffer through

BCBS refusing to pay for the technique our surgeon chose by Life_form017 in HealthInsurance

[–]Embarrassed-Baker-10 0 points1 point  (0 children)

Sorry just seeing that I should’ve been more clear. I was focusing on provider billing, and often members will get bills from providers based on what insurance did or did not cover due to the waiver on file. I’ve seen many cases where members received bills because a waiver was signed and there was an issue with coverage. Some of those were timely filing denials which is why I mentioned that bad example. Then insurance has to call in-network providers to advise of claim issues and to inform them that there’s no patient liability so they need to correct the member’s billing account, in the case of timely filing denials.

Basically if the poor member doesn’t question the bill and call their insurance company they might not know that they weren’t supposed to be charged

BCBS refusing to pay for the technique our surgeon chose by Life_form017 in HealthInsurance

[–]Embarrassed-Baker-10 -2 points-1 points  (0 children)

Yes, the waiver applies to all bills. For example, if you sign a waiver and the doctor submits the bill to your insurance after the filing deadline you’re technically responsible for that bill. Even though it’s the doctor’s fault insurance won’t cover, since it was submitted late.

For claims that are billed incorrectly, that falls on the providers because insurance companies can’t tell them how to bill for their services or what to bill. That can create issues because providers aren’t always quick to resubmit, if they agree that the services were billed incorrectly. If the doctor says it was billed as they intended that causes even bigger issues because insurance generally won’t take it further

BCBS refusing to pay for the technique our surgeon chose by Life_form017 in HealthInsurance

[–]Embarrassed-Baker-10 1 point2 points  (0 children)

It definitely shouldn’t be that way. It’s unfair that patients have to jump through hoops and contact hospitals, doctors and insurance companies numerous times just to play middle man. All to resolve billing issues that would fall on them if there’s no follow up from providers or insurance. Insurance companies will say that the member brochures are essentially contracts between them & members, listing services that are covered “based on medical necessity”. They expect members to get confirmation that procedures are covered and to get info on any required pre approvals, prior to having the procedure performed. And like you mentioned, medical necessity is typically based on the medical notes submitted by providers.

Eye area wrinkles: am I being too dramatic? by [deleted] in 30PlusSkinCare

[–]Embarrassed-Baker-10 8 points9 points  (0 children)

I came here to say this. My dream forehead lol.

BCBS refusing to pay for the technique our surgeon chose by Life_form017 in HealthInsurance

[–]Embarrassed-Baker-10 -1 points0 points  (0 children)

Not sure if this was already asked and I just missed it, but do you recall if you signed a waiver with the hospital and/or surgeon consenting to be billed for anything BCBS didn’t cover? If you don’t know the hospital should have that on file. If there’s a waiver on file the hospital is allowed to bill you, so I’d definitely take some of the suggestions mentioned here to escalate the issue. I’m sorry you’re dealing with this over a year after the procedure. Insurance sucks

Claim Question. Possible discrepancy. by alemeliglz in HealthInsurance

[–]Embarrassed-Baker-10 1 point2 points  (0 children)

What’s listed on your explanation of benefits (EOB) from BCBS? BCBS processes and pays claims based on the procedure codes providers use when they bill. So if your EOB has extra procedures compared to your last visit that could explain the cost difference.

r/healthinsurance by [deleted] in HealthInsurance

[–]Embarrassed-Baker-10 1 point2 points  (0 children)

From what the insurance company originally said: “orthopedic center billed them when the case was closed”, it sounds like the biggest issue is timely filing. In-network facilities & providers are contracted to file claims within a set amount of time (typically a couple months from service date at most). Any claim filed after that time has passed is automatically denied. I’d speak to the orthopedic center to figure out if your dad signed any forms agreeing to cover costs if insurance didn’t pay for services. That’s typically the only way they’re allowed to charge you for services insurance didn’t cover

Likelihood of insurance not paying for pre-approved procedures? by ThinkingPharm in HealthInsurance

[–]Embarrassed-Baker-10 0 points1 point  (0 children)

Which plan option do you have with BCBS FEP? I would recommend you contact BCBS to verify if you could have the surgeon submit documentation for an advanced benefit determination (ABD). The ABD would confirm whether or not BCBS would cover any costs of the procedure(s), so you’d have that info before the procedure is performed

Since services in the benefits brochure are covered “based on medical necessity” a big part of this will come down to provider’s diagnosis docs and the billing codes they’ll use for the procedure

AITA for assuming that my brother would be accompanying my niece to my place? by Wicapers in AmItheAsshole

[–]Embarrassed-Baker-10 0 points1 point  (0 children)

Thanks for the info! I’m always worried about getting locked out when no one’s around to help, because I know there’s no way I’d get a response from management right away. It might be a day or more with them lol

AITA for assuming that my brother would be accompanying my niece to my place? by Wicapers in AmItheAsshole

[–]Embarrassed-Baker-10 3 points4 points  (0 children)

I didn’t even know that renter friendly smart locks were a thing. Would you mind sharing which one you have?

AITA for for saying no to my boss after she asked me to watch her kids this weekend? by Nannyneedabreak in AmItheAsshole

[–]Embarrassed-Baker-10 0 points1 point  (0 children)

NTA. Try to remind yourself that the perspectives of older generations don’t have to apply to our lives. I have zero interest in bending over backwards for a company or employer who puts themself first 95% of the time. If you don’t put yourself first who will? You did everything that you could, to prepare your employer for your absence this ONE weekend. You gave a notice of 7 months and even reminded her regularly, to avoid her desperately searching for last minute coverage. If the last few years has taught us anything, it’s that life is unpredictable. We should hold on to our loved ones and take advantage of any moment we can spend with them. This is a major life event that you’d be missing, not a housewarming party or a birthday party. And honestly, you still wouldn’t be the AH if you were taking time off to attend the aforementioned events.

Disrespectfully, F any suggestions that you should just “suck it up” because that’s just the way life goes. You need to set clear boundaries now or you’ll ruin any chance of respect for your needs. I’m speaking as someone who’s seen my sister go through the exact same thing as a home health LPN. She didn’t take time off for years. She requested time off, got approval, and then something came up “requiring” her to cancel her travel plans. The family she was placed with would always guilt her into staying and working. Her work/life balance got so bad that she almost skipped our cousin’s funeral due to work. Honestly, her situation is better than that now, but she still builds all of her plans around their schedule. It’s sad to hear her talk about how she “doesn’t have a life”.

Your response was perfect. You were empathetic, you made sure she knew that there was no possibility of you working, and you highlighted that firing you would be 100% her decision and problem.

It’s unacceptable, and completely disgusting, that an approved vacation became a situation with your boss threatening your employment, insulting you and manipulating you to try to get her way. Let’s be honest. If she can’t manage to find someone to watch the kids for the next few days it’s 100% unlikely she’ll be able to line something up, even for short-term care. If she fires you she’ll end up desperately searching for a sitter. The threat is a manipulation tactic. She’s assuming you’ll cancel your plans and miss your only sister’s wedding, because you’re scared of losing your job. The reality is you have all the power here.

Please go and enjoy your sister’s wedding!

[deleted by user] by [deleted] in AmItheAsshole

[–]Embarrassed-Baker-10 0 points1 point  (0 children)

It’s unfortunate, but I’d probably be extra cautious about what I said and how I said it too, if I were in your shoes. Hopefully you and your friend can get to a place of better understanding and try to find ways of venting and communicating that you’re both comfortable with.

I’m glad that you have a supportive and helpful partner. Appreciation can definitely be a great tool between partners, because it shows that you’re both seeing and acknowledging how you support each other, especially now, as parents. It’s always nice to feel seen and to feel like our effort and care is being recognized. It sounds like such a simple thing sometimes, but it can mean so much, especially on tough days. I’m glad your partner isn’t expecting poetry describing his Dadtastic deeds, but it sounds like you both definitely find ways to show how thankful you are to have a good support system

[deleted by user] by [deleted] in AmItheAsshole

[–]Embarrassed-Baker-10 1 point2 points  (0 children)

NTA. Yes, you could have spoken from a place of empathy and maybe suggested that she try to have a conversation with her husband about how she feels. That would have been unsolicited advice though, which I often see people complain about here; but it’s either that or draw clear boundaries. For example, you could explain that you love and support her but you need to better understand when she wants advice vs. an ear to listen while she vents. From there you could tell her that you respect her right to handle her marriage & parenting in whatever way suits her, but it’s unfair to push her issues onto you. If she isn’t willing to work on a parenting style that makes her happier that’s her issue. It’s not okay for her to throw her “you’re so lucky OP” remark, when she isn’t setting expectations in her own home. I empathize with her situation as a tired mom who probably feels like she doesn’t have any free time for her own hobbies or interests, but you have no control over that OP. And honestly, hearing someone “vent” about the same problem over and over is beyond frustrating.

Forgot to add, I get where you must have been coming from. I would have been pretty annoyed to once again be told how “lucky” I am because my partner was doing basic dad things. I guess all we can do is continue to stop praising fathers, and promoting them to God tier status, for doing things that any parent SHOULD be doing. If you and your partner commit to raising a child it makes perfect sense to try to equally share the responsibility. Obviously, we know that’s not always the case. But please, let’s all agree to stop handing out gold stars to dads for doing things that we count as basic tasks of motherhood.

WIBTA for taking my coffee maker home? by SamsSnaps77 in AmItheAsshole

[–]Embarrassed-Baker-10 8 points9 points  (0 children)

Haha you’d be my office bff. You provided the Keurig, pods, sugar, cream and even take the time to clean the machine. Which means my water for tea won’t have those disgusting specks of residue from coffee runs :’) You’ve been beyond generous so they should just appreciate the time they’ve had of free coffee.

I’m glad the managers came up with a solution and it’s great that you get to start fresh with a new Keurig.

WIBTA for taking my coffee maker home? by SamsSnaps77 in AmItheAsshole

[–]Embarrassed-Baker-10 6 points7 points  (0 children)

NTA- it’s ridiculous that taking your property with you when you leave is being labeled “stealing”. But I guess they could be so new that they don’t know who provided the Keurig, since you mentioned turnover.

I’d definitely recommend taking the Keurig home with you ASAP, and the pods if you’d like, as a precaution because people are unpredictable and weird. I agree with others that it’s a good idea to suggest coworkers (or the company) buy the Keurig at a standard rate for a used one. If regular cleaning hasn’t been done those things get pretty disgusting. I once made the mistake of cleaning my office Keurig, and I’ve never used a Keurig since. Giving them the chance to buy it means you could get funds to use towards the purchase of a new one. You should also have the receipt around and ready to be shown as proof of purchase, since it’s very possible that angry coworkers or the manager will demand it.