| Posted By |
Message |
|
|
Insurance question re.: ER visit
I needed to bring DS to the ER 3 weeks ago and my co-pay for the visit is $100. Yesterday I received a bill from LIJ Pediatric ER for $375 for the sevices provided by the ER room Dr. It also says that this bill is separate from the fee paid to the hospital. Does that sound right? We were their for 4 hours and all they did was discomfort my son, give him 2 doses of tylenol and sent us home. I thought all that would have been covered by my insurance?
|
Posted 2/21/07 1:01 PM  |
| |
|
Long Island Weddings
Long Island's Largest Bridal Resource |
Shelly
She's 7!!!
Member since 8/05 14624 total posts
Name:
|
Re: Insurance question re.: ER visit
It should be covered by the insurance. I would call the doctors office. I think either they made a mistate or are trying to scam you.
|
| Posted 2/21/07 1:04 PM |
| |
|
LuckySV
LIF Adult
Member since 10/05 4675 total posts
Name:
|
Re: Insurance question re.: ER visit
You insurance may not have paid the bill yet which may be why you're getting a bill. Otherwise, call billing and make sure they have all your correct insurance info.
Message edited 2/21/2007 1:05:04 PM.
|
| Posted 2/21/07 1:04 PM |
| |
|
anonttcer
BOOOO for fall!
Member since 7/06 10082 total posts
Name:
Meaning a NON ttcer!
|
Re: Insurance question re.: ER visit
You should probably call the insurance company to see if they paid the claim yet.
They will probably tell you to submit the bill to them for payment.
|
| Posted 2/21/07 1:09 PM |
| |
|
CunningOne
***
Member since 5/05 26975 total posts
Name:
|
Re: Insurance question re.: ER visit
Posted by npbride
You insurance may not have paid the bill yet which may be why you're getting a bill. Otherwise, call billing and make sure they have all your correct insurance info.
I wouldn't pay it. Your insurance company probably hasn't cut them the check yet, so they are still billig you. I had those same problems and I called my insurance company and they were able to tell me when they would send the check.
|
| Posted 2/21/07 1:11 PM |
| |
|
dm24angel
Happiness
Member since 5/05 34581 total posts
Name:
Donna
|
Re: Insurance question re.: ER visit
Most ER Dr's dont participate in insurance. Any ER you step foot in is gonna have like 50 signs that say that the Dr's bill is seperate from the Hospital charge.
I work in Insurance, and most larger insurance companies, depending on the type of policy you have will go ahead and make the payment for you because of the circumstances.
There are some employers who require the Insurance not to make any exceptions and you could be held responsible.
First thing is call the Insurance, see if it was billed to them. Ask the insurance if they pick up the bill as a courtesy. If they say no, Ask them how to appeal.
Good luck.
|
| Posted 2/21/07 1:13 PM |
| |
|
LuckySV
LIF Adult
Member since 10/05 4675 total posts
Name:
|
Re: Insurance question re.: ER visit
Posted by chmlengr
Posted by npbride
You insurance may not have paid the bill yet which may be why you're getting a bill. Otherwise, call billing and make sure they have all your correct insurance info.
I wouldn't pay it. Your insurance company probably hasn't cut them the check yet, so they are still billig you. I had those same problems and I called my insurance company and they were able to tell me when they would send the check.
Right, you should not pay it. Even LIJ will tell you not to pay it! LIJ's billing is set up so that you automatically get a bill until they receive payment from the insurance company.
|
| Posted 2/21/07 1:21 PM |
| |
|
ali120206
2 Boys
Member since 7/06 17792 total posts
Name:
|
Re: Insurance question re.: ER visit
This happened to me when I went to the ER. I called the insurance company and they took care of it and apologized!
|
| Posted 2/21/07 1:26 PM |
| |
|
My2Boys
Love.
Member since 10/05 4796 total posts
Name:
|
Re: Insurance question re.: ER visit
Posted by dm24angel
Most ER Dr's dont participate in insurance. Any ER you step foot in is gonna have like 50 signs that say that the Dr's bill is seperate from the Hospital charge.
I work in Insurance, and most larger insurance companies, depending on the type of policy you have will go ahead and make the payment for you because of the circumstances.
There are some employers who require the Insurance not to make any exceptions and you could be held responsible.
First thing is call the Insurance, see if it was billed to them. Ask the insurance if they pick up the bill as a courtesy. If they say no, Ask them how to appeal.
Good luck.
This is excellent advice. We just resolved the exact same issue with LIJ's ER (including the $375 charge). Since it was an ER visit and we didn't request that specific doctor, our insurance covered it. Our only responsibility was $25. Call your insurance. We have Empire.
|
| Posted 2/21/07 1:33 PM |
| |
|
LightUpOurLife
Totally in love
Member since 8/06 12785 total posts
Name:
Bonnie-Jean
|
Re: Insurance question re.: ER visit
Since the visit was only three weeks ago, I highly doubt your insurance company has even seen a bill. They probably goofed.
|
| Posted 2/21/07 4:10 PM |
| |
|
Mommy2Boys
My Boys!!!!
Member since 6/06 14437 total posts
Name:
C
|
Re: Insurance question re.: ER visit
Call your insurance company. Hospital's are notorious for billing patients when they should not. It has happened to me NUMEROUS times and it is a PIA.
|
| Posted 2/21/07 4:21 PM |
| |
|
LBG30
:)
Member since 9/05 3423 total posts
Name:
Noelle
|
Re: Insurance question re.: ER visit
I know with some insurances you have to contact your insurance company when you go to the ER-I would call and find out-you should be covered.
|
| Posted 2/21/07 5:00 PM |
| |
|
rose825
Best Friends
Member since 6/05 10228 total posts
Name:
|
Re: Insurance question re.: ER visit
my hospital also bills seperately. Just call the number and ask them to submit it to your insurance.
|
| Posted 2/21/07 5:01 PM |
| |
|
