M.
Organ,#2REBUTTAL Individual responds
Mon, February 27, 2006
Thanks Stephanie for the answer, but statue of limitations already runs out. Matterfact, Date of service was in 2002, and there is 1 year time to file a claim until 2003. Another issue is, that the Insurance-Company also mentioned, that there were "wrong codes" used, and the hospital was not helpful in correcting that either. So, the situation as of now is, that the claim is not being paid, and I haven't paid it either. I did filed a couple of complaints with different comissions in different states, such as Arizona ( Headquarters of the Isurance Company), Ohio (State, where the hospital mis located), and in Missouri (State, where my employer in 2002 was located, and where I signed up for that Insurance in 2002). All those 3 states turned my complaint down, and frankly, I just give up, because I'am not a medical billing specialist, nor do I work with Medical billing. I still feel, that the insurance-company should pay that bill, and I also feel, that the hospital should be more helpful, but, I cannot "beat the system", so, in 2003, I have cancelled all of my medical and dental-Insurance, and I will not get any more Medical- or Dental Insurance. ...what "good" does it do, when somebody has Medical-Insurance, and the "sneak their way out" of paying, and afterworth somebody tell you, that you cannot even apply for any "State programs", because you have Medical Insurance (regardless if they have paid or not). So, you ending up in paying premiums every month, than something happend, they don't pay, and any help is refused, because you have insurance. Without Insurance, you can at least apply for some programs, which are only available for people without insurance. I know, all of that dont make any sense, but that's the way it is. New Mexico (a very social State) provides even better healthprograms for people without insuance, than for people with insurance. As for myself, I have learned my lesson, and I have found out, that the more smarter people always wins. And I have found out, to stay away from Insurance-Companies, ...they're the smartest of all. For myself, comming and growing up in a European country with free healthcare, Doctorcare and billing was never an Issue, because all of that is done there between the Provider and the Insurance Company, and the Patient never receive any paperwork, because he/she don't know to handle that anyway. It's a shame, that the best Country in the world, with the best freedom and democracy... the USA, cannot fix that healthcare-Issue, and can adopt the successful healthcare-system other countries such as Germany or Canada. well, ...time is up in that matter, and I cannot do anything anymore, have done anything possible, and nothing worked out. so,... just Life is going on, and I have learned my lesson. Greetings to Louisville in the "Bluegras-State", or "Horse Capitol of the world".
Stephanie
Louisville,#3Consumer Suggestion
Tue, February 21, 2006
I am a medical bill collector and loathe Star HRG. They find anyway they can to get out of paying a bill...and when they finally do you find out you have $2000 lifetime maximum benefits! Anyway, the provide can file an appeal, if they are willing to, showing in their account history what dates your claim was billed, and provide names of reps they have spoke with confirming the claim was previously received. I would also suggest calling the state insurance commissioner for your state to lodge a complaint. If they get enough they will look into these practices and possibly put a stop to it... by the way, if you talk to the insurance again ask for a supervisor, gives names and dates of previous calls and tell them you want this resolved within 48 hours, if it's not resolved then you will be calling the ins commish... that usually motivates them! Good luck!