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re: Big price difference between 2 medical service providers for same procedure - acceptable?

Posted on 9/20/22 at 12:31 pm to
Posted by Witty_Username
Member since Jul 2021
443 posts
Posted on 9/20/22 at 12:31 pm to
quote:

You don’t want your biller submitting a $200 bill to blue cross when they would pay $400.


As a patient, I would love this if that's what it actually cost the clinic with reasonable oh&p mark-up. Insurance companies cause way too much strife for providers to provide actual care.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 9/20/22 at 12:36 pm to
quote:

As a patient, I would love this if that's what it actually cost the clinic with reasonable oh&p mark-up. Insurance companies cause way too much strife for providers to provide actual care.


It’s not about what it would cost the clinic because the clinic doesn’t get to decide the price. It’s dictated to them by the insurance companies which base their price off of government insurance.

It’s the fact that every plan has a different negotiated price and it’s constantly changing. You are right that it is creating too much strife and it’s why there are so many administrators now.

Trust me, doctors hate it, what you are seeing is them trying to be as efficient as possible in the environment they are operating.

TLDR point is that we don’t need to tear the system down. The billing issues just need to be reworked.
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