haele
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Fri Jun-03-11 09:47 PM
Response to Reply #4 |
| 15. Appendicitis kills. It wasn't a necessary expense to remove it? |
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Some health expert. Probably thought it was the same sort of procedure as getting tonsils removed -
Oh, wait, if the post-lingual tonsils get inflamed and swollen, they can close up your windpipe right above the larynx.
Haele
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| -Blue Cross Blue Shield refuses to pay my little brothers $30,000 hospital bill |
RyanPsych |
Jun-03-11 09:12 PM |
#0 |
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Why? What reason did they give? |
virgogal |
Jun-03-11 09:13 PM |
#1 |
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Why did they deny the claim? |
The Velveteen Ocelot |
Jun-03-11 09:13 PM |
#2 |
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Their health care "expert" |
RyanPsych |
Jun-03-11 09:15 PM |
#4 |
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Sorry to be dense but who was the 'expert'? |
ChazII |
Jun-03-11 09:23 PM |
#6 |
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I wish |
RyanPsych |
Jun-03-11 09:30 PM |
#10 |
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I had gynecological surgery |
Horse with no Name |
Jun-03-11 09:56 PM |
#21 |
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Appendicitis kills. It wasn't a necessary expense to remove it? |
haele |
Jun-03-11 09:47 PM |
#15 |
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No. The kid had a duty to die. |
kestrel91316 |
Jun-03-11 10:03 PM |
#23 |
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Easy enough to prove |
Horse with no Name |
Jun-03-11 09:51 PM |
#19 |
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Stayed less than 24 hours, actually |
RyanPsych |
Jun-03-11 10:08 PM |
#24 |
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that is medically appropriate. I'd challenge the expert. n/t |
Horse with no Name |
Jun-03-11 10:12 PM |
#27 |
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BCBS did that to me and I won. |
AmBlue |
Jun-04-11 06:27 PM |
#49 |
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Thanks for sharing that. It gives me (a bit of) hope. nt |
BlueIris |
Jun-04-11 08:55 PM |
#52 |
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You're welcome & good luck! |
AmBlue |
Jun-05-11 01:06 AM |
#53 |
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Please consider challenging this -- ask the brother's doctor and/or the admitting physician to help. |
anneboleyn |
Jun-05-11 01:13 AM |
#54 |
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what's wrong? The Health 'care' industry, for starters, but it's a long, long list |
ixion |
Jun-03-11 09:14 PM |
#3 |
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ACA makes claims denial perfectly legal |
eridani |
Jun-03-11 09:22 PM |
#5 |
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They've appealed |
RyanPsych |
Jun-03-11 09:32 PM |
#11 |
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Report it to your state insurance commission. |
uberblonde |
Jun-03-11 09:51 PM |
#18 |
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Depends on the state |
Horse with no Name |
Jun-03-11 09:58 PM |
#22 |
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They live in Texas |
RyanPsych |
Jun-03-11 10:12 PM |
#26 |
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I have so much experience with this... start keeping records, get the doctors office involved to |
NotThisTime |
Jun-04-11 05:57 PM |
#48 |
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How often and how long can this sort of thing keep happening before there is |
enough |
Jun-03-11 09:23 PM |
#7 |
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For quite a long time, unfortunately, because most people will never get expensively sick |
eridani |
Jun-03-11 09:47 PM |
#16 |
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they are selling a con job |
RyanPsych |
Jun-03-11 10:24 PM |
#28 |
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They won't wake up because they just don't see it. |
Mariana |
Jun-04-11 01:14 AM |
#43 |
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your family needs to call the local newspaper |
rateyes |
Jun-03-11 09:23 PM |
#8 |
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If it gets that far |
RyanPsych |
Jun-03-11 10:37 PM |
#33 |
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Who do you talk to when the "regulators" are actually industry cheerleaders. |
pa28 |
Jun-03-11 09:28 PM |
#9 |
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So glad we could mandate this broken system to guarantee the |
obxhead |
Jun-03-11 09:34 PM |
#12 |
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Amen |
RyanPsych |
Jun-03-11 10:24 PM |
#29 |
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Amen, seconded! |
anneboleyn |
Jun-05-11 01:18 AM |
#55 |
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I had to appeal my claim...get the media involved, start with local media sources |
HipChick |
Jun-03-11 09:41 PM |
#13 |
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Your parents need to get the hospital and the surgeon to appeal..just ask them. |
likesmountains 52 |
Jun-03-11 09:44 PM |
#14 |
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My Aunt works for Met Life as a Claims approver |
DeadEyeDyck |
Jun-03-11 09:49 PM |
#17 |
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They also do it because they know most people won't fight a rejection |
dflprincess |
Jun-03-11 10:11 PM |
#25 |
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how sick is that? |
RyanPsych |
Jun-03-11 10:25 PM |
#30 |
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Tell the hospital to re-submit...they can get around anything... |
Historic NY |
Jun-03-11 09:54 PM |
#20 |
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Shit like this REALLY pisses me off |
The Unawriter |
Jun-03-11 10:26 PM |
#31 |
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When you get that rich |
RyanPsych |
Jun-03-11 10:29 PM |
#32 |
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My mom is thankful for all your suggestions DU! |
RyanPsych |
Jun-03-11 10:39 PM |
#34 |
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Initially denying a claim is one of the many practices BCBS tries to |
Glimmer of Hope |
Jun-03-11 10:56 PM |
#35 |
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Ditto |
gvstn |
Jun-03-11 11:38 PM |
#37 |
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This sh*t is really evil, isn't it? And it is going on everywhere, with every private insurer. |
anneboleyn |
Jun-05-11 01:23 AM |
#56 |
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I just noticed that I haven't received a claim check that they |
Glimmer of Hope |
Jun-05-11 06:26 AM |
#58 |
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Health insurance is nothing more than legal organized crime |
Hugabear |
Jun-03-11 11:08 PM |
#36 |
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Is berating the poster is an appropriate action here? |
Maru Kitteh |
Jun-03-11 11:44 PM |
#39 |
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I wasn't berating the poster |
Hugabear |
Jun-03-11 11:56 PM |
#40 |
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That's a nice thing to do. It do completely agree with your point, too. n/t |
Maru Kitteh |
Jun-04-11 12:43 AM |
#41 |
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What is wrong with this country? |
Newest Reality |
Jun-03-11 11:44 PM |
#38 |
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These guys are also trying to foist an annual rate hike of like 22% on Oregonians |
99th_Monkey |
Jun-04-11 12:55 AM |
#42 |
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Of course they do. They're not into the business of paying claims. n/t |
Scuba |
Jun-04-11 05:55 AM |
#44 |
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I don't know your details or the insurance wills/won'ts in the policy, but check them! |
1monster |
Jun-04-11 04:44 PM |
#45 |
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Start writing letters ... Cc your congressman |
otohara |
Jun-04-11 05:18 PM |
#46 |
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maybe it was the end of a quarter and they had to make their numbers... |
Gin |
Jun-04-11 05:24 PM |
#47 |
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Every BCBS in the Country should be investigated. BCBS is corrupt to the core. |
glinda |
Jun-04-11 08:15 PM |
#50 |
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How would BCBS ever make money if they paid all these frivolous |
vssmith |
Jun-04-11 08:49 PM |
#51 |
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well a lumpectomy cost $80,000, back in the 1970s I had my tonsils taken |
StarsInHerHair |
Jun-05-11 03:56 AM |
#57 |
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