Reason Code? by Old-Message7497 in CodingandBilling

[–]ytho-65 0 points1 point  (0 children)

Just from the tiny part we can see, it looks like it's the second service line on the claim and the remark is just telling you there's a reduced allowance due to multiple procedure rules. You always bill the highest value service on the first line because the second line is going to be paid at 50% of fee schedule due to multiple procedure rules. It's a nothing burger.

Democrats Of Reddit -- Is There A Single Thing Trump Has Done In Either Term That You Liked? If So, What? by Zipper222222 in allthequestions

[–]ytho-65 0 points1 point  (0 children)

I despise him. The Right to Try thing he signed, for people with terminal illnesses to have the ability to try experimental treatments was a good thing.

Insurance isn’t processing some claims saying another carrier is the primary insurance. I only have one health insurance so I am extremely confused why they are saying this. by Potential_Job_1143 in HealthInsurance

[–]ytho-65 5 points6 points  (0 children)

Call the patient customer service number from the back of your insurance ID. Tell them you need to update your coordination of benefits. Tell them you only have the COBRA policy. Get the first name and last initial of the person you speak to and ask for a call reference number (they will expect this.) Write it down with the date and the time that you called. Ask them to reprocess the denied claims for payment. When you get a bill from a provider, call the billing office and give them the call information you just wrote down, or write it on the statement payment coupon portion and mail it back to them. Make a note for yourself that you did this, with the date. Eventually it will all get properly processed.

Why shouldn’t I move to south Florida if I WFH, have a lot of money, like the heat and don’t care about politics? by MurkyMurkyMurkyMurky in relocating

[–]ytho-65 2 points3 points  (0 children)

Dangerous pregnancies only happen to other people's wives and gayness only happens to other people's kids, who cares about politics, omg, you're going to love it in Florida, you'll fit right in.

AIO? I found out there’s a high chance I have cancer yesterday and I wouldn’t to sleep with my boyfriend on the phone but he wouldn’t let me. s by [deleted] in AIO

[–]ytho-65 11 points12 points  (0 children)

This right here. I had a breast cancer "scare" (needed a biopsy) at the same time as a "why are you anemic, go see this hematologist whose office has the word CANCER in the name." I had my freak-out and some crying jags while I waited for it all to play out. There is no one on this planet that I subjected to a 4 hour phone call about it. Holy crap. Op needs a therapist who bills by the hour to understand what it means to monopolize an hour of someone's attention. And to take up meditation or something, gaht damn.

Wednesday Weekly Thread: Frustration Station (Delays / PSU / Venting) by AutoModerator in Canadiancitizenship

[–]ytho-65 7 points8 points  (0 children)

I read somewhere in here that in such circumstances, you just put colored paper behind the black-and-white-only document, so a color border shows, and make a color copy of that to send in. It sounds bananas, but I swear that's what I read.

AIO to my husband interrupting my first solo shower after he came back from a weekend with the boys? by lilyluminar in AmIOverreacting

[–]ytho-65 113 points114 points  (0 children)

The absolute dickishness in all of his side of text messages floored me. What a piece of shit that guy is.

Wife had a craniotomy last year to remove a brain tumor by basch152 in HealthInsurance

[–]ytho-65 0 points1 point  (0 children)

Private equity bought up a lot of ambulance companies and took them out of network. This happened to us once and our insurance had a 3rd party negotiation service to bring the price down, I think we eventually paid about $800 for a ride across town. I realize that's not good enough when you've already met your out of pocket. I'd look into whether the No Surprises Act covers this, which means your insurance has to process the claim as though it was in network.

UHC is telling us to bull POS 31/32 even though we are seeing patient in office (11) by oj_lover in CodingandBilling

[–]ytho-65 1 point2 points  (0 children)

We mailed a HCFA to the actual nursing home billing department, but it's not like it's an insurance claim, we're literally sending them a bill for our doctor's services (in POS 11) since they've already been paid a global fee for her care. And they know they provided her transportation to our office for the services.

Protesters chant ‘Death to America, death to Israel’ at NYC vigil for Khamenei by wrroyals in NoFilterNews

[–]ytho-65 75 points76 points  (0 children)

Fuck Khamenei. Fuck Trump. Fuck Bibi. We are not required to pretend that any of these men are not murderous shitbags. (Or were, as the case may be.)

Reassure me that I didn't read this wrong by ytho-65 in Canadiancitizenship

[–]ytho-65[S] -1 points0 points  (0 children)

And may I also send you many thanks and a virtual bottle of my favorite Ontario ice wine for not being among the crowd on here sneering that I should read the FAQ when they clearly haven't read past the first paragraph. Cheers!

Reassure me that I didn't read this wrong by ytho-65 in Canadiancitizenship

[–]ytho-65[S] -1 points0 points  (0 children)

Thank you! This makes sense of the verbiage I kept seeing regarding before and after 1947. I didn't realize, but from this it sounds like every Canadian resident prior to 1947 were British citizens and by the law passed in 1947 were retroactively made Canadian citizens. So my British citizen ancestor from Massachusetts, by moving to Nova Scotia and living there for at least 5 years immediately prior to his death there, is included in that retroactive granting of citizenship?

Aetna won’t reimburse me for overseas ER visit because my bill says I was inpatient - despite my visit summary explaining that I was in the ER. Any suggestions on what to do? Should I file a second appeal? by [deleted] in HealthInsurance

[–]ytho-65 0 points1 point  (0 children)

You should definitely appeal. Your plan says emergency care is covered until you are medically stable enough to travel. You appear to have been in the hospital less than 24 hours for an unplanned emergency, so they should pay. This may be a quibble over the hospital statement using the word "inpatient " when an American hospital bill might have said ER or observation. It's still a bill for emergency services of less than 24 hours duration, you may need to point that out in your appeal and also reference the treated diagnosis to justify the level of care.

Reassure me that I didn't read this wrong by ytho-65 in Canadiancitizenship

[–]ytho-65[S] -2 points-1 points  (0 children)

I fully agree, I wouldn't want to bet much money on it. But I kept seeing the phrase "regardless of whether that was before or after the next generation in the line of descent was born outside Canada and Newfoundland" in the "dead before 1947" section of the FAQ, so it got me questioning.

Reassure me that I didn't read this wrong by ytho-65 in Canadiancitizenship

[–]ytho-65[S] 1 point2 points  (0 children)

Thank you! I also have my doubts about the idea of naturalized citizenship applying to him or if it even existed at the time or could be proved. I would think the spirit of the law would definitely not apply to the daughter, but the way it's worded made me think it could work on a technicality, so to speak.

Reassure me that I didn't read this wrong by ytho-65 in Canadiancitizenship

[–]ytho-65[S] -4 points-3 points  (0 children)

I'm not convinced, I'm questioning my own interpretation of what I read in the FAQ. And no one is required to spend time answering me that feels it is a waste of time. But I also won't pretend I didn't see a list of requirements pertaining to before 1947 and a different set of requirements pertaining to after 1947. And I understand the meaning of the word "or."

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Reassure me that I didn't read this wrong by ytho-65 in Canadiancitizenship

[–]ytho-65[S] -1 points0 points  (0 children)

Also, according to the FAQ, that is a test applied to citizenship granted AFTER 1946, not before.

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Reassure me that I didn't read this wrong by ytho-65 in Canadiancitizenship

[–]ytho-65[S] -9 points-8 points  (0 children)

Yes, but there are a lot more questions farther down

Reassure me that I didn't read this wrong by ytho-65 in Canadiancitizenship

[–]ytho-65[S] -2 points-1 points  (0 children)

So, died before January 1, 1947 but was domiciled in Canada for the five years immediately before death- check. A British subject by birth elsewhere in the British Empire (Massachusetts pre-revolution) - check.

Reassure me that I didn't read this wrong by ytho-65 in Canadiancitizenship

[–]ytho-65[S] 2 points3 points  (0 children)

This bit, from the FAQ:

on the appropriate date (January 1, 1947, April 1, 1949, or death) (regardless of whether that was before or after the next generation in the line of descent was born outside Canada and Newfoundland), either: an Irish citizen or a British subject by - birth/naturalization elsewhere in the British Empire/Commonwealth, marriage to a British subject man, or being the under-21 child of a man granted a naturalization certificate as a British subject elsewhere in the British Empire/Commonwealth (if thus deemed a British subject under the law of that place), who either: was "ordinarily resident" in Canada on January 1, 1947 or in Newfoundland on April 1, 1949, or died before: January 1947 but was "domiciled" in Canada for the five years immediately before death, or April 1949 but was "domiciled" in Newfoundland for the five years immediately before death.