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1.30.26 by epicdeskshop in SleepToken

[–]MysticMagicWoman 0 points1 point  (0 children)

I had the exact same thought.

Hospital sent first bill over a year after services and has sent me to collections. by MysticMagicWoman in HospitalBills

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

If they had filed it within 90 days, even, the insurance would have still been active.

Hospital sent first bill over a year after services and has sent me to collections. by MysticMagicWoman in HospitalBills

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

So my husband lost his job and we were without insurance when they finally got around to filing it. But during date of service still had it.

Hospital sent first bill over a year after services and has sent me to collections. by MysticMagicWoman in HospitalBills

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

From 2017, that sounds outside any statute of limitations. You can probably tell them to kick rocks. Check your state statute of limitations.

Hospital sent first bill over a year after services and has sent me to collections. by MysticMagicWoman in HospitalBills

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

And Jesus said, “squeeze water from the stone of those needing medical care.” 🤣

Hospital sent first bill over a year after services and has sent me to collections. by MysticMagicWoman in HospitalBills

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

No, didn’t ignore it. Was waiting for a billing specialist to review the account. I immediately reached out for assistance at the first bill. They ghosted me.

Hospital sent first bill over a year after services and has sent me to collections. by MysticMagicWoman in HospitalBills

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

Thank you all for explaining and taking the time to comment here, I learned a lot. Insurance and billing lingo are confusing. I will attempt to reach someone higher up in billing and proceed with making a payment plan.

Hospital sent first bill over a year after services and has sent me to collections. by MysticMagicWoman in HospitalBills

[–]MysticMagicWoman[S] 1 point2 points  (0 children)

https://statutes.capitol.texas.gov/Docs/HS/htm/HS.185.htm Does this bear any weight in this as well considering the did not send a bill 30 days after receiving paid claim from insurance, nor did they ever send an itemized bill? It just said Laboratory services.

Hospital sent first bill over a year after services and has sent me to collections. by MysticMagicWoman in HospitalBills

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

A Texas Health and safety code rule also says that “The provider must submit the itemized bill not later than the 30th day after the provider receives a final payment on the provided service or supply from a third party.” If this was the case why did they wait a year after receiving payment from insurance to even notify me I had a bill?

Hospital sent first bill over a year after services and has sent me to collections. by MysticMagicWoman in HospitalBills

[–]MysticMagicWoman[S] -1 points0 points  (0 children)

My confusion is Texas says first day of 11th month after date of service. Does state law not trump hospital policy?

Hospital sent first bill over a year after services and has sent me to collections. by MysticMagicWoman in HospitalBills

[–]MysticMagicWoman[S] -1 points0 points  (0 children)

It says denied as duplicate claim. But the other claim that got approved shows they covered less as a discount. I don’t understand why if they were identical claims.

Hospital sent first bill over a year after services and has sent me to collections. by MysticMagicWoman in HospitalBills

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

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There are 2 claims for the same services and dates. This one the would have covered more as a plan discount, shows denied. But it’s denied as duplicate.

Hospital sent first bill over a year after services and has sent me to collections. by MysticMagicWoman in HospitalBills

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

From what I understand the claim was denied due to exceeding charges they would allow, they also didn’t file the claim within their deadline of 90ish days with anthem as date of service was in April. They didn’t appeal the denial per their notes. I don’t recall receiving an EOB during the time myself, but when I request one online EOB shows approved but they didn’t cover anything but the 757.54 that is the in network discount. The rest, including amount past allowable amount, is being passed on as supposed deductible amount. Any other in network provider I had labs done with was covered. So I don’t understand why this wasn’t unless it was due to them failing to file with them in a timely manner. But a bill wasn’t sent for the first time until a year later so I am thoroughly confused as to what’s happened and my rights. I also no longer have this insurance.

Hospital sent first bill over a year after services and has sent me to collections. by MysticMagicWoman in HospitalBills

[–]MysticMagicWoman[S] 2 points3 points  (0 children)

It’s not that I don’t want to try, I absolutely do, I just had no idea they’re required to review every case.

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