Our services are of great benefit to individual users. Here are
several categories:
- UNINSURED - Did you know that this category
of patient pays the most! Under national standards, all patients are
charged the same amount. This is usually a highly inflated
figure. Medicare, Medicaid, and Insurance Companys get a discount from
this amount. If you have no insurance, you get to pay the undiscounted
and inflated amount that other don't have to pay.
- UNDERINSURED - If you have insurance that
pays a flat amount per day or per procedure, you have found that there
is a big gap, you are now expected fill, that your insurance
didn't cover Maybe you have a very high deductible, large copays
or high out of pocket limits. It doesn't take long for a
hospitalization or visits to various medical specialists to create a very
big bill.
- INSURED - You have good
insurance but still have some large bills. Did your insurance company
calculate your copays correctly? Did you get credit for deductibles
for family use of your insurance? In Network, Out of Network
charges? Did you insurance company pay according to your Benefit
Book? Did they deny payment for services?
- MEDICARE - Were you
denied coverage for a charge? Your Medi-gap insurance didn't pay as
you thought it would? Being charged by your provider before Medicare
or Insurance has paid?
It is our job to
compare what you are being charged with what you should pay. Don't Pay More Than You Should! It is so easy for mistakes to be made. Many of the people
that input charges or process them for insurance companies are overworked and
underpaid. They process thousands of charges every day and errors are
the norm, not the exception. Some providers have found ways to charge
far more than they should. We have seen hospital bills that contained
charges of $53 for a pair of disposable gloves, $10 for a individual plastic
pill cup and delivery room charges for a male patient!!!
Your hospital bill probably contains a Summary of charges.
Would you go to a grocery store and pay $25 for meat, $15 for produce or $18
for dairy products without knowing what specifically you are being charged
for? Of course not. But that is what routinely happens with your
hospital bill. A detailed bill is your right but even getting one of
those will present you with a codes and terminology that is hard to
understand. You won't know if the charges are reasonable and
customary, allowable or correct but we will.
Let us help you weed through all of this. Call
now.