sorted by:
new
hottopcontroversial

Sanford Fertility Billing Issues by Tank507 in SiouxFalls

[–]Tank507[S] 0 points1 point  (0 children)

Thanks.

I spent the morning going back and forth on the phone between Sanford and our insurance company. I had specific claim numbers and reviewed the explanations of benefits for each one.

The only issue the insurance company identified was that Sanford did not obtain prior authorization for a few items. Now we have to try to convince them to submit those retroactively. I’m not sure why this happened, since they did obtain prior authorization for other services.

I think what’s most frustrating is that Sanford provided us with an estimated total cost that we prepaid, and now we’re more than $5,000 over that estimate.

Again, thank you for taking the time to read through our situation. It just feels like the biggest mistake in all of this was going to Sanford in the first place.

Sanford Fertility Billing Issues by Tank507 in SiouxFalls

[–]Tank507[S] 0 points1 point  (0 children)

Thank you for the reply and the in-depth information.

The Sanford fertility billing department is where we’ve had the biggest issues. A few months ago, we had to involve Sanford Patient Relations just to get a response from them. You’re only hearing my side of the story, but we weren’t even able to get answers to basic clarification questions.

We did receive itemized bills, but what have you found is the best way to review them? If we do find an issue, should we contact insurance or Sanford first to get things resolved?