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Started By
Message
OT Lawyers (and Doctors, to a degree)
Posted on 11/2/18 at 11:26 am
Posted on 11/2/18 at 11:26 am
My 19 year-old son was in a car accident six months ago and had to be airlifted by helicopter to a nearby hospital. About a month after the accident we got a bill for over $46,000 from the company that provided the helicopter service. We were shocked, to say the least. I immediately called and gave them my insurance information and asked them to file. About a month later, I received a letter from the company saying that my insurance company had denied coverage, and they included a grievance/appeal letter that they asked my son to sign and return so that they could send it to my insurance company. We sent it back signed. About a month after that, we got a notice from the insurance company that they had paid over $7000 on the claim. The next day, we received another form letter from the company that they want to send to the insurance company saying that the payment that they received is unacceptable and that we are certainly not able to afford to pay off the balance. They also sent a HIPPA release form for my son to sign, giving them permission to access his medical records. I am pretty apprehensive about pushing this, especially giving them a HIPPA release. Am I right or should I allow them to continue the appeal for more money from my insurance company?
ETA: I don't see any reason for the helicopter company to need access to my son's medical records.
ETA: I don't see any reason for the helicopter company to need access to my son's medical records.
This post was edited on 11/2/18 at 11:28 am
Posted on 11/2/18 at 11:28 am to High C
The company that does air evacs in this area sells subscriptions. Less than $100/year covers a family.
Posted on 11/2/18 at 11:30 am to High C
You need to talk to a lawyer that represents you. You are seeking specific legal advice and shouldn't trust any you receive here.
Posted on 11/2/18 at 11:37 am to PearlJam
quote:
talk to a lawyer that represents you. You are seeking specific legal advice and shouldn't trust any you receive here.
Please go talk to a lawyer. Be ready to pay for the consultation, but know that it’s better than potentially being on the receiving end of a collections lawsuit unprepared.
Posted on 11/2/18 at 11:40 am to High C
I am not a lawyer, but I think the answer here is wanton violence against everyone involved.
Posted on 11/2/18 at 11:40 am to High C
Get Gordon, get it done
This post was edited on 11/2/18 at 11:41 am
Posted on 11/2/18 at 11:40 am to High C
Was your son at fault for the accident?
Why was your insurance claim denied coverage?
Why was your insurance claim denied coverage?
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.
Posted on 11/2/18 at 11:45 am to High C
In all seriousness get a lawyer
This post was edited on 11/2/18 at 12:08 pm
Posted on 11/2/18 at 11:47 am to High C
(no message)
This post was edited on 11/2/18 at 11:53 am
Posted on 11/2/18 at 11:47 am to High C
I'm not a lawyer, but it sounds as if this is pretty much standard procedure for the airlift service seeing as they have this shite ready to go every step along the way.
Chances are they're just vying for more money from insurance and will write it off eventually, but don't take this as legal advice.
I suggest you contact an attorney.
Chances are they're just vying for more money from insurance and will write it off eventually, but don't take this as legal advice.
I suggest you contact an attorney.
Posted on 11/2/18 at 11:51 am to High C
You need to talk to an attorney who specializes in auto insurance claims. If the airlift was deemed medically necessary I don't see how your insurance could refuse to pay though.
Posted on 11/2/18 at 11:53 am to High C
Did he fly around the globe a couple times and then see a specialist in Switzerland? $46k is freaking ridiculous. The medical billing industry is out of freaking control.
I fully understand the costs here, but I can rent a Helicopter ride for 60 minutes for $500. There's no way it should cost $46k for 3 hours of flight time.
First thing I'd do is tell them that they either talk to you today or you contact your lawyer tomorrow and everything else is through your lawyer.
I fully understand the costs here, but I can rent a Helicopter ride for 60 minutes for $500. There's no way it should cost $46k for 3 hours of flight time.
First thing I'd do is tell them that they either talk to you today or you contact your lawyer tomorrow and everything else is through your lawyer.
Posted on 11/2/18 at 11:58 am to baldona
quote:
Did he fly around the globe a couple times and then see a specialist in Switzerland? $46k is freaking ridiculous. The medical billing industry is out of freaking control.
I fully understand the costs here, but I can rent a Helicopter ride for 60 minutes for $500. There's no way it should cost $46k for 3 hours of flight time.
First thing I'd do is tell them that they either talk to you today or you contact your lawyer tomorrow and everything else is through your lawyer.
Several years ago my grandfather was still alive he got sick and I took him to our local hospital, they decided he needed to go to a big city hospital and that he wouldn't survive an ambulance trip, so they loaded him on the Life Alert and flew him 90 miles north to the closes big hospital. Some months later as I was paying his bills and such the bill for that helicopter ride came in. 90 miles $18K . I was shocked, but that old fart "Should have just let me die rather than pay that" hell VA paid for it anyway , but that is ridiculous for a helicopter ride.
Posted on 11/2/18 at 12:01 pm to High C
just tell them your son didn't consent to a helicopter ride
Posted on 11/2/18 at 12:05 pm to High C
don't sign anything unless it's to hire a lawyer. You can get a free initial consultation with most lawyers.
Posted on 11/2/18 at 12:05 pm to Jim Rockford
quote:
The company that does air evacs in this area sells subscriptions. Less than $100/year covers a family.
Do they also sell DeLoreans?
Posted on 11/2/18 at 12:10 pm to eScott
as much as i hate to refer you to a lawyer, you may need to at least sit and talk with one.
Posted on 11/2/18 at 12:11 pm to eScott
I'm sorry to derail, but $20,000 5 days a week is $5.2 mil a year. I have no idea how often those helicopters are used.
There was one at my Kids' school fair the other day.
The hospital probably signed off on $25,000 in donations to the school for the 30 minutes that helicopter was there.
There was one at my Kids' school fair the other day.
The hospital probably signed off on $25,000 in donations to the school for the 30 minutes that helicopter was there.
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