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re: OT Lawyers (and Doctors, to a degree)
Posted on 11/2/18 at 11:44 am to High C
Posted on 11/2/18 at 11:44 am to High C
The first thing I would do is tell you to deal with your insurance company first...ignore the bills. Find out (from your insurance company) what was billed, what was denied and what was paid. If something was denied, find out why. Get the explanation of payment. The first thing you need to see is what isn't being paid and why. That is info you should get from your insurance company and NOT the transport service. Once you have determined what is and what is not covered and what your cost sharing is, it will help what say what your next step should be.
Im not totally sure on ambulance, helicopter services but they are usually only reimbursable in certain medically necessary situations. Meaning, your insurance company won't pay for one if you say you have a headache. Its possible that they want to see what the medical records say because your insurance company might be denying the charge saying it wasn't medically necessary. Again, I'd refer you back to your insurance company for that info.
quote:
I don't see any reason for the helicopter company to need access to my son's medical records.
Im not totally sure on ambulance, helicopter services but they are usually only reimbursable in certain medically necessary situations. Meaning, your insurance company won't pay for one if you say you have a headache. Its possible that they want to see what the medical records say because your insurance company might be denying the charge saying it wasn't medically necessary. Again, I'd refer you back to your insurance company for that info.
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