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Date Posted: 06:17:19 04/21/08 Mon
Author: Dennis
Author Host/IP: unio-cas1-cs-15.dial.bright.net / 209.143.16.145
Subject: Re: Happenings
In reply to: Janet 's message, "Re: Happenings" on 04:43:19 04/21/08 Mon

It is the adjuster that is holding things up. They have
not paid a cent on medical bills yet. My insurance paid
up till their max of $5000. They want reimbursed. I've
tried going to the main office, his supervisor, too, and
had no luck yet. They ain't too bright because the medical
proceedure I need can be done out patient and would be
much cheaper than a law suit.

>Dennis, I am now certified in medical coding. Please
>check with your doctor's office and also get them
>involved. If they do not code your medical condition
>properly, the insurance company will not pay based on
>those coding. Don't be afraid of bugging them and get
>them involved. Insurance companies have been known
>for turning down claims just to see if any one will
>dispute them. Of course they will deny this. Is it
>your insurance company turning you down or the other
>person? Get everyone involved & complaining.
>Document all phone calls, & paper trails. If one
>person can't help you then ask for a supervisor. In
>other words be a "pain in the butt"

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