YorkieTalk.com Forums - Yorkshire Terrier Community - View Single Post - Turned over to collections for medical bill

J_is_my_initial · 08-27-2011, 12:29 AM

gonna make an enemy or a lot here but here goes:
I work for a call center for a company that supplies er physicians all over the country. So I talk to people about their er dr bills 5 days a week. I am wondering about something and just some thoughts about medical billing.,

Did you talk to the company before it went to collections? That is the time to ask for any review of possible mistakes in the billing. If insurance denies it for a coding error, the insurance needs to tell the medical group what they think wrong code is or we do not know. If the eob sent to us by the ins just says service denied or not covered then we have to send it to the pt. It is up to the pt to follow up with the ins. We can only bill it, can not make them pay.

Services were provided to the pt, it is the group's job to bill the ins with info provided. it is up the pt to make sure we have the correct info. If ins says not covered, it is between the ins and the pt.

If you ever suspect there is a coding error, ask for the coding to be reviewed. Med grps will do this. errors are made. but you have to ask while they still have the acct. If you get a bill do not assume that ins will take care of it. Call the first time you get a bill. We get calls every day from people who are mad their acct went to collections. We tell them the dates the bill went out to them(usually 4 times ). they say i thought ins was taking care of it. Call at the first bill.

If you need to ask your insurance to call the grp that is what you pay them for. If the bill has went to an outside collection you have to talk to them as the original biller no longer has the acct. Sometimes the ins makes mistakes too.

what code are they disputing? again it may have been coded correctly but the ins processed it wrong. When did you first talk to the provider about a possible problem with the billing?

Sorry everyone. I get so frustrated with people arguing with me about taking responsibility for the bills. Not saying this is the case here though. I even get cussed at when asking for some to provide the ins info.

08-27-2011, 12:29 AM	#18
J_is_my_initial YT 3000 Club Member Join Date: Feb 2006 Location: Knoxville,Tennessee Posts: 3,073	gonna make an enemy or a lot here but here goes: I work for a call center for a company that supplies er physicians all over the country. So I talk to people about their er dr bills 5 days a week. I am wondering about something and just some thoughts about medical billing., Did you talk to the company before it went to collections? That is the time to ask for any review of possible mistakes in the billing. If insurance denies it for a coding error, the insurance needs to tell the medical group what they think wrong code is or we do not know. If the eob sent to us by the ins just says service denied or not covered then we have to send it to the pt. It is up to the pt to follow up with the ins. We can only bill it, can not make them pay. Services were provided to the pt, it is the group's job to bill the ins with info provided. it is up the pt to make sure we have the correct info. If ins says not covered, it is between the ins and the pt. If you ever suspect there is a coding error, ask for the coding to be reviewed. Med grps will do this. errors are made. but you have to ask while they still have the acct. If you get a bill do not assume that ins will take care of it. Call the first time you get a bill. We get calls every day from people who are mad their acct went to collections. We tell them the dates the bill went out to them(usually 4 times ). they say i thought ins was taking care of it. Call at the first bill. If you need to ask your insurance to call the grp that is what you pay them for. If the bill has went to an outside collection you have to talk to them as the original biller no longer has the acct. Sometimes the ins makes mistakes too. what code are they disputing? again it may have been coded correctly but the ins processed it wrong. When did you first talk to the provider about a possible problem with the billing? Sorry everyone. I get so frustrated with people arguing with me about taking responsibility for the bills. Not saying this is the case here though. I even get cussed at when asking for some to provide the ins info. __________________ PAWPRINTS AND DOG HAIR ENHANCE MY PERSONAL STYLE. Last edited by J_is_my_initial; 08-27-2011 at 12:31 AM.