"For your protection" is a strange way to put it, but I think they mean that if the insurance company didn't pay them, you would be held responsible. Or maybe not, hahahaha!!!! That's my guess anyway. If they file a new claim every time, it doesn't go back to the original claim number, at least in the cases I've dealt with. I think that would depend on the insurance company's system. With some companies it may match up by date of service, but in some it is only by claim number. Hard to say what has been happening without seeing the EOB's.
I mean if they do get multiple claims sent to them shouldn't that ring a bell to the insurance CO that something is out of whack? nyyanks81 ========================= Not if they have the bell on ignore. LB 59
I'm sure glad I pay the bills in FULL then IF I exceed the DEDUCTABLE...I send them to the insurance company...
There is one thing that needs to be considered in all of this. If there is a contract between the insurance company and your clinic, if you pay the bill IN FULL and then go back for reimbursement from the insurance company - you may only be reimbursed the contract rate not the amount you paid. The difference between the billed amount and the contractual reimbursement that your clinic and insurance company has agreed to could be outrageous. Be careful.
arghh I called the insurance co today and the rep who was handling my case is out today and will be back tomorrow. Would it be necessary to ask the clinic if there is some kind of "due date" for this bill before something bad happens like go to collections?
How frustrating!! I think I would call them and tell them I am trying to resolve it, and I want to make sure that the status of the account is still okay at this point, That I wouldn't want them to think I was allowing the account to become delinquent, blah blah blah ...don't say it outright, but let them know you care about that, and you are trying to resolve it with the insurance company, but the girl was out. Also that they are having to check on what happened to the money...would it be okay if it takes a few more days... you know... be indirect about it, don't say "how long do I have before you send this to collections?" That's what I do.
I called the lady at the insurance co on tuesday and she said she got all the papers I faxed her and sent it to the claims department for payment tracking and see what happened. I was told to call back in 1 week to find out what went on.
Update....... I called the clinic today to inquire about my account, she told me that the insurance co contacted them on the wednesday the 14th for them to fax over their part of the claim and she said this account is still currently being processed so its "ok". I also called the insurance co earlier today and they say that the rep I spoke to originally, sent the info to their claims dept on the tuesday the 13th and they do not yet have an update on their computer system on what the situation is as of today and was told to call back next week. I hope they have this thing all fixed by next week so that everyones happy...........
I called the insurance co again, and they indicate that I need to wait up to 45 days for a response from their claims dept by mail. They do not show any new updated info in their system and that claims is working on it. Today is the 28th day and tomorrow I plan to call the clinic to update them on the matter. (I think the insurance co and the clinic has been communicating with each other, so the clinic might have a better idea on whats going on?)im guessing this because the insurance claims dept does not accept calls from members(patients), only doctors and hospitals can call that dept. I tried calling the claims dept and they asked if I was a doctor and I said no so they said they will transfer me to member services because they do not handle member calls. When I call the clinic tomorrow, what should I be telling them or inquiring about?
