What in the hell is wrong with medical billing?

The issue isn’t with the doctors office or the billers, it’s your insurance carrier.

I have the same issue. And it takes so long for insurance to figure out what they’re paying that I lose track of everything and end up just paying whatever bills I get

I like how you can go to 1 hospital and end up with 683 different bills

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I seemingly pay a copay at all and still get these stupid bills?

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Is this english?

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but why can’t they get it right from go?

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Hit my deductible then had to have wrist surgery in August
Said I had to pay 1600.00 when I got there
Got EOB in September showing total charges was 600.00
Called them & they confirmed credit & told me it would be mailed within 2 weeks
Called mid October, was told I was on list of refunds to be sent in November
Still don’t have my 1000.00 & all they say when I call is I’m on the refund list

I match up every EOB with my bills, they aren’t going to make it easy to get any overpayments back

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I guess I need to start keeping records of all of this

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You do. They frick up all the time. I catch things multiple times a year.

It's an overly complicated system is the most straightforward answer.

There's many different insurance carriers and within each carriers theres a variety of policies with different deductibles, Co pays, coinsurance etc. There's no way doctors offices to account for all of theses differences outside of collecting the known co pay for the visit.

On top of that, what's being done for the visit isn't known until after the visit. Yeah, you get the office visit charge(e&m) but if youre kid had vaccinations, maybe had a strep test, or labs etc. These are all separate codes(cpts)/charges that will get submitted to insurance that has to be figured out on the backend depending on your deductible(if you have or haven't met it), your coinsurance, and what the contracted rate the doctor, hospital, etc. Afterwhich you get a bill.

There's a reason why administrative costs of delivering Healthcare is one of the main reasons for our high Healthcare costs.

American Medical billing is a pandemic. Its the most disorganized system in the world.

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What in the hell is wrong with medical billing?

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If you met many of the people who have billing and coding jobs you'd understand.

Kid #2 had tubes, we had three different invoices for the same amount for the same hospital.

shite we got another one today for the same amount and it's been 10+months. I want to punch the doctor in the mouth just so he fixes it.

ETA: it was paid the first time.