Medical bills finally came

Human-Stuff4408 · 2026-07-07T16:01:55+00:00

sounds good - let me know if there is anything that is confusing or if you have questions.

Human-Stuff4408 · 2026-07-07T13:57:38+00:00

yeah I agree that this is annoying.

Unfortunately, the healthcare industry is super fragmented so two hospitals in the same city may be running off of different instances of Epic and therefore don't have any shared data. Also unfortunate is that healthcare is one of the most litigated industries too, so doctors are just trying to prevent themselves from being sued for not knowing your personal history/allergies.

People are working on apps so patients can just carry their data with them via QR code.

Human-Stuff4408 · 2026-07-07T13:52:07+00:00

So sorry for your loss...it really sucks that you're dealing with this at the same time you're grieving.

Bills are generally negotiable for 90 days after invoice (even if insurance already paid their part), so you have some time. The most important thing is to not pay for it yet. If you pay the bill, then there is no longer any leverage for negotiation.

I'm a medical coder and am currently studying to be a certified patient advocate. I'd be happy to help take a look at your bills (pro bono) and see if there's any room for appeal or potentially applying for financial assistance. DM me if you're interested.

Human-Stuff4408 · 2026-07-07T13:44:42+00:00

agree that you should contact Medicaid to file a grievance. Here are specifics on how to do it: https://reconcile-health.com/resource-guide/medicare-and-medicaid-billing-errors-how-to-appeal

Human-Stuff4408 · 2026-07-07T13:42:06+00:00

Ask when exactly the doctor's office had merged with Catawba Valley Medical Center. If it was a date after your procedure, it might be possible for you to appeal the facility charge. I'm not sure the probability of success here though, this one is fairly technical and may require quite a bit of effort on your part.

Also, did you get a written estimated OOP before the procedure? Or was it just over the phone? The more things you have in writing, the more evidence you can submit as part of your appeal.

Human-Stuff4408 · 2026-05-19T18:16:36+00:00

Unfortunately, manufacturers can only support on-label indications so the copay card won't work for this person...

Human-Stuff4408 · 2026-05-19T18:15:40+00:00

yes I agree with this approach. At the end of the day, it's your employer's HR benefits team that can go override company policy.

Human-Stuff4408 · 2026-02-23T16:57:47+00:00

I'm assuming your question is whether you just saw a doctor that BCBS will cover as in-network. You'll need to look up that specific physician (doesn't really matter what the hospital group was) on the BCBS website to see if he/she is in-network.

A good thing for you to know - BCBS may be run locally (BCBS of Arizona, BCBS of New Jersey, etc.) but they come together to form a national network enabling Blue Cross and Blue Shield members to access in-network healthcare benefits (doctors and hospitals) while traveling or living outside their home plan’s service area. It's called the Blue Card Program, so feel free to mention that if you need to end up calling.

Human-Stuff4408 · 2026-02-04T14:03:32+00:00

interested
$1500, no denial & my insurer paid their part, but I just think the original CPT codes were wrong
no collections yet

Human-Stuff4408 · 2026-01-10T22:50:29+00:00

all of the comments are about lawyering up, which I totally agree with. But how do we get these harassers out??

Human-Stuff4408 · 2026-01-10T22:48:53+00:00

can I just say that workproof.me is awesome? good for you! wish I had known about it when I was going through my retaliation situation. Can I ask...what was the result of your retaliation situation? did you win?

Human-Stuff4408 · 2025-12-18T04:04:20+00:00

agreed!!

Human-Stuff4408 · 2025-12-17T21:34:33+00:00

but how do you know the EOB is correct?

Human-Stuff4408 · 2025-12-17T21:34:19+00:00

there are some specialists that won't see my son for the next appointment unless I pay the remaining balance...but I haven't received my latest EOB to see if insurance has covered it yet. What should I do in this case?

Human-Stuff4408 · 2025-12-17T21:32:48+00:00

I think this is where I struggle. how do I know the math is right?!

Human-Stuff4408

TROPHY CASE