Ask Experts Questions for FREE Help !
Ask
    mack4will's Avatar
    mack4will Posts: 1, Reputation: 1
    New Member
     
    #1

    Jun 13, 2012, 12:38 PM
    Doctor patient billing disputes
    I am being charged $30,000 for an outpatient laparoscopic gall bladder removal from my DR the Dr was out of network for my insurance who was paying at 60/ 40 my insurance paid my Dr 1300.00 Dr says I owe the rest 28,700 which I outrageous. Any help as to who I may contact to help me resolve this situation with my Dr will be appreciated.
    smoothy's Avatar
    smoothy Posts: 25,490, Reputation: 2853
    Uber Member
     
    #2

    Jun 13, 2012, 12:48 PM
    Quote Originally Posted by mack4will View Post
    I am being charged $30,000 for an outpatient laparoscopic gall bladder removal from my DR the Dr was out of network for my insurance who was paying at 60/ 40 my insurance paid my Dr 1300.00 Dr says I owe the rest 28,700 which i outrageous. Any help as to who I may contact to help me resolve this situation with my Dr will be appreciated.
    You went out of network... YOUR choice.. your insurance doesn't have to pay for out of network procedures.You have to pay this. It was YOUR responsibility to determine if they were in network before you had it done... you do remember all those papers you signed saying you would pay? Expect them to sue you for it.
    ScottGem's Avatar
    ScottGem Posts: 64,966, Reputation: 6056
    Computer Expert and Renaissance Man
     
    #3

    Jun 13, 2012, 01:47 PM
    Did the doctor know he didn't accept your coverage? Were you told how much the procedure would cost? Why did you choose to go out of network?
    Fr_Chuck's Avatar
    Fr_Chuck Posts: 81,301, Reputation: 7692
    Expert
     
    #4

    Jun 13, 2012, 01:54 PM
    Almost no protection since you decided to go out of network. You need to talk to them and see if you can reach a settlement for a lesser amount, if not, set up payment plan with them.

    Often in Network there is requirements of prices and percent co pays

Not your question? Ask your question View similar questions

 

Question Tools Search this Question
Search this Question:

Advanced Search

Add your answer here.


Check out some similar questions!

Who painted the good doctor and his little patient? [ 0 Answers ]

+who painted the good doctor and his little patient?

Doctor/Patient Relationships [ 2 Answers ]

I had my third appointment last week with my neurologist who also happens to be a board certified psychiatrist. He has only provided neurological care so far, but on my last visit I became emotionally upset when talking to him about having to file for divorce. He came over to the table with...

Doctor Patient Trust and Cooperation [ 4 Answers ]

Recently, I was dismissed from my family doctor saying that they would not provide me services because the patient doctor trust and cooperation is not there. What are the laws surrounding this? I was told that I had 30 days from when the letter was mailed to me. I never received this letter,...

Billing a patient if auto insurance did not pay the medical claim in full [ 2 Answers ]

Can a health care provider bill a patient for any balance after the motor vehicle insurance has not paid in full.

On-going doctor patient relationship [ 1 Answers ]

Two weeks a go I had bi-lateral knee replacements in an out of town hospital. Prior to surgery I needed some medical results faxed to the hospital from my local family physicians office to the out of town hospital where I was scheduled for surgery. After repeated requests to my family physicians...


View more questions Search