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re: Shoulder surgery cost...bananas.

Posted on 2/19/24 at 6:38 pm to
Posted by Roscoe14
Member since Jul 2021
178 posts
Posted on 2/19/24 at 6:38 pm to
quote:

What is the purpose of the insane bill sent to the insurance company?

The insurer won't pay the full amount of the bill because, in order to be "in network," the medical provider has to (typically) agree to take UCR (usual and customary).
But, guess what? You don't have an agreement with the medical provider and if your insurer denies coverage (say, not medically necessary) the provider can come after you for the full amount.
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