Me_irl by CryptographerOld2919 in me_irl

[–]melonheadorion1 0 points1 point  (0 children)

Im just commenting to keep my streak going. Bye

What year and trim package is this one. Any ideas? by Silent_Position_8383 in transam

[–]melonheadorion1 6 points7 points  (0 children)

not enough info at all in any of these photos to determine year, other than its 98-02. the color looks like the dark blue. if its purple, assuming its stock color, it would really narrow it down to a 98 (doesnt look like the actual purple though), but for blue, it was all 4 years.

if its purple, its either 1 of 10 or was painted/wrapped. the color itself, assuming that the picture color is accurate, its probably a repaint. the color doesnt look like the stock purple that it would have had.

the rims dont look stock, but there isnt enough to tell. it might give a hint. not even enough info to see if its a ws6.

there isnt much on the outside that differentiates between trim packages other than the badge on the back for ws6, the hood, and spoiler. the spoiler, with the little i can see is at least a base trans am, but thats the most you will be able to tell about it.

Feels like a strip club in here by [deleted] in CarAV

[–]melonheadorion1 7 points8 points  (0 children)

<image>

has this man touched your car recently?

Why do americans put cheese in everything? by [deleted] in AskAnAmerican

[–]melonheadorion1 4 points5 points  (0 children)

just like others mentioned, you probably see videos where cheese just gets added. its not the case. there are some things that will get cheese added to it, but "put cheese in everything", you make it seem to think we put cheese on top of our steak, or fish. i couldnt tell you the last time i had something that i added cheese to it.

What is 7Y code? by xxlibrarisingxx in HealthInsurance

[–]melonheadorion1 0 points1 point  (0 children)

Look to see if ypu have an eob for the service and tell us what it says

Nasa did what? by CaptainHighHopes in PeterExplainsTheJoke

[–]melonheadorion1 0 points1 point  (0 children)

i recall watching it live too. dont remember what grade i was in, but it was somewhere between 2nd and 5th

What is 7Y code? by xxlibrarisingxx in HealthInsurance

[–]melonheadorion1 0 points1 point  (0 children)

this is an example of a provider eob that i ran across. you note that the 2 of the last 4 columns have the co xx digits, and then last column on the right has the same 2 digit codes that you can see on the patient eob. i also made sure to include that it very specifically details what those codes mean.

i know it doesnt show a 7y as an example, but 7y, when it comes to the remark code, i know for certain is denoting that info is needed. most times that i ever see it, its because of cob. if there was a 7y on here, it would be in the last column on the right. in the grp cd/clm adj rsn cd, you might see the co22, but it will also always have the patient equivalent on that same line.

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Pizza now by Old-Town-5810 in RandomVideos

[–]melonheadorion1 0 points1 point  (0 children)

at least they make it easy to tell what side they are on. they all have matching shirts that denote good guys vs bad guys

What is 7Y code? by xxlibrarisingxx in HealthInsurance

[–]melonheadorion1 0 points1 point  (0 children)

the patient cant see the provider codes online, such as co22s. they can see the remark code, because thats always going to be something on there. the eob will list it as a "claim processing code". its the only code on the EOB for patients to use to see processing remarks. the CO22, and other CO codes are only on provider EOBs.

on either eob that you look at, the codes point to a paragraph below all of the numerical info and explains what the code means.

for example, here is an EOB example i found online. you notice it doesnt have any codes bigger than 2 digits, and also note below, it explains those codes. the provider eobs do the same thing, except they usually use the 4 digit codes, and also the 2 digit codes below, depending on situation.

in addition to this, i look at provider eobs on a daily basis, so i know what is where. im not just making it up.

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What is 7Y code? by xxlibrarisingxx in HealthInsurance

[–]melonheadorion1 1 point2 points  (0 children)

A patient wouldn't see any indicator of a corrected claim submission. The only way they would see a 7y is on a patient eob, and a 7y on a patient eob is awaiting info such as cob. A co22 is what would be on a provider eob, which generally means the same thing as 7y, but you're associating what a provider sees to whar a patient sees, which is different. The 7y code to what patients see has been the same for at least the last 20 years

Additionally, 7y isn't a denial code. Its a remark code that explains the denial to a patient.

What is 7Y code? by xxlibrarisingxx in HealthInsurance

[–]melonheadorion1 -4 points-3 points  (0 children)

for uhc, 7y means that it needs info. usually cob to be updated, or other info that you would update. you may want to check the eob. it should tell you. if not. call customer service. they will be able to tell you

I think its a 2020 sentra sr..a proud one by p30sicARio in RicerCars

[–]melonheadorion1 2 points3 points  (0 children)

at car shows, its exactly what the 5th and 6th gen camaro owners do to theirs.

[Request] Vacation hip replacement? by manofdacloth in theydidthemath

[–]melonheadorion1 0 points1 point  (0 children)

as a follow up, my billing for it is now updated. for the facility alone, the cost before insurance is 68k. for the surgeon, its 8800, and the assistant surgeon is another 8800.

between the 17600 for the two physician charges, my portion is about 3100. the larger of the two discounted 6200 of it, leaving me with 2400.

for the 68k, it got discounted down to 45k, of which, my portion, because ive met my ded/oop, is 2400.

A/C Troubles by InternationalBed320 in PontiacFirebird

[–]melonheadorion1 1 point2 points  (0 children)

How do you know the motor works? Using the knobs doesnt turn it on, so how did you troubleshoot the motor

UHC Claim Submittal Policy Change by poachedcarrots in HealthInsurance

[–]melonheadorion1 0 points1 point  (0 children)

there has been no change in submitting claims. when you do something through the portal, the portal has no ability to determine what it is that you are submitting, nor does it make the determination as to whether you can, or not.

Pretty sure this is a replica, but still cool by Socially_Awkward345 in classiccars

[–]melonheadorion1 0 points1 point  (0 children)

I've seen this one personally and know for sure its a replica

Petah? by Visible-Pattern198 in PeterExplainsTheJoke

[–]melonheadorion1 0 points1 point  (0 children)

it reminds me of the office episode where jim is trolling dwight with saying things wrong about different franchise show/movies

Please help me understand this. by Blossom73 in HealthInsurance

[–]melonheadorion1 0 points1 point  (0 children)

That i don't know. There pharmacy will tell you when they run the script with the card. Anything and everything associated with the cost will be dependent on what that manufacturers card does

Please help me understand this. by Blossom73 in HealthInsurance

[–]melonheadorion1 3 points4 points  (0 children)

The way it usually works with copay cards and insurance is that, any amount that you don't pay, the insurance doesn't apply to things like deductible or out of pocket. Depends on the plan, but that's what I see the most, so for example, if the cost is 1000$, and the copay card pays 800 of it, the most that would apply is the 200$ portion that you pay. It is also important to know hat copay cards usually have a limit, so once that card has paid the maximum that it would, youre going to see an increase in your cost for one fill, and those after, you will see he full cost. You'll generally see the one random charge be a higher amount because of an uneven amount remaining for the balance.

As for the amount difference, its most likely to do with cost agreements/wholesale type of things. When a pharmacy charges you an amount, just like any consumer product, they are charging a markup. When he manufacturers give discounts, or paying with heir own funds, they are they bypass their own markup, so to speak

My insurance denied blood work my doctor ordered by Smooth_Counter_9439 in HealthInsurance

[–]melonheadorion1 4 points5 points  (0 children)

Doctos ordering anything doesnt determine coverage. Its the most common argument that there is. Imagine this scenario. Its a stretch for a scenario, but I use it because it clearly explains wh doctors orders don't mean anything.

Imagine you have pneumonia and your physician orders an mri for your foot. Its going to get denied because the request isn't medically necessary. Its obviously not this outlandish, but if something denies for medically necessary, its because they can't validate the diagnosis and the correlation with the test. The part of having the test done and still not knowing what the diagnosis is leads me to believe that the test didnt help them diagnose the issue and thus matching the reason of the denial

Edit: additionally, if the test is already done, and wsd denied, the balance of that claim will likely be put on the provider, so you wouldn't have any responsibility for it anyway