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Insurance companies are growing by leaps and bounds controlling more of the healthcare dollars by engaging in a practice known as “vertical buying.”
What is vertical buying?
Vertical buying is the act of purchasing downstream healthcare services and companies that are outside of the role of being an insurance company to influence…
3 years ago, I had surgery in a local hospital. 3 months ago I was contacted by a collections company, and was told I owed a balance to the hospitalist group that took care of me. It turned out that they billed the wrong insurance for me and was denied. My insurance company said they would work with them to resolve it. However, it turned out to be untimely filing and they sent the bill back to me. It took them over 2 years to reach out to me after my surgery. Now who do I contact to resolve this. This was the only charge not paid for the entire procedure.
OfflineGreat question! I am not sure if can be resolved at this point without seeking legal action, but part of the problem is that if you have commercial insurance not Medicare or Medicare Advantage there are no limits set on the amount that can be billed or erroneously billed to you. If you are a Medicare or Medicare Advantage member you have many more rights and would suggest reaching out to Medicare.gov to report as may be considered fraud and abuse. So sorry this happened. Again, thank you for reaching out to AskDoctorH. We are here to help.
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