Tag Archives: insurance claims

You aRe getting on my NerVes

I  need to vent.

Here’s the story:

I received an envelope from my health insurance company. It was a “Check Summary Statement” and a check for $3236.00.

The attached reimbursement check has been issued in response to a request for reimbursement from you or your health care provider … If this service was provided by a non-network physician, payment is being made directly to you. As result, you are responsible for paying the provider the full amount of the check, in addition to any applicable copay.

What are all these charges and who is this doctor? I called my daughter (the patient) and ask her. She has no clue. I looked up the doctor. His office is in NYC on the UWS. He specializes in mesotherapy treatment, cellulite, weight loss, bioidentical hormone replacement therapy . . . there’s more, plenty more but not a word about nerves. I called the insurance company and tell them that this charge is a mistake. “Looks like a scam to me,” I said. I wanted them to investigate this claim and get back to me with their findings.

That evening I got a phone call from the chiropractor. She said I would be receiving a check and could I send it to the office so they can forward it to the doctor. Apparently, a while back, my daughter was asked if she wanted a nerve test. They have a  doctor who comes into the office periodically.

So this is the doctor they use? A weight loss guru?

Office outpatient visit is $350 and then an additional $250 charge for prolonged office visit? Umm, what else? Oh yeah, the nerve test (nrv cndj test) was $4000.00. So I call my daughter and ask her about it. She said the test took all of 5 minutes, the results were normal and there was no self care management training ($180.)  (Can someone tell me what a diagnosis of “other lesion of median nerve” means?)

I told the chiropractor that I was waiting to hear back from the insurance company before I released the check. $4550 for a five minute visit? Seriously, this is the doctor you use and no one has complained? She said it was the going rate. Totally disgusted and, on top of it all, I waited 2 weeks and the insurance company never called me back. So I sent the check to her and I’m done with it. (Maybe if I tag the insurance company I’ll get a response.)

Anyone know the going rate for this 5 minute nrv cndj test?

So my husband goes to the podiatrist and he puts in a claim for an office visit. Claim denied. Seriously!!!!

 

billblog

 

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