Medical bill sent to collections

amother

↑ Banana

Fri, Nov 22 2024, 2:12 pm

wrkngmomof2 wrote:

Can I ask what insurance you have? Insurance and medical bills are very very complicated. Even if a hospital is in network there may be 10 drs that saw you in the hospital that are not covered, and there is NO WAY to know ahead of time.

They aren’t allowed to bill as out of network in those cases, the insurance will still cover them as if it was in network if it was all during the same hospital stay and the hospital itself is in network

Either way, if that charge was from a doctor then the hospital would not be the one to send the bill. It would come from that doctors practice

I’m assuming the $500 is OPs co-pay for her hospital stay

amother

↑ Blush

Fri, Nov 22 2024, 2:15 pm

amother Banana wrote:

I don't know where you got this information from, I was definitely billed for out of network doctors even though they asked for my insurance information a billion times.

Although I agree it's probably a copay thos time.

↑ wrkngmomof2

Fri, Nov 22 2024, 2:24 pm

amother Banana wrote:

You better believe they are allowed and do bill. I’m in the industry and have been dealing with this sort of thing daily for 20+ years.
In order to avoid this, in 2022 a law called the no surprise act came out dealing with this specific issue because it was so rampant. Now the drs and insurance carriers need to work it out IF it was an emergency and patient had no choice of provider.
Obviously the drs bill separately I was responding to the woman that said that op should have planned ahead. That’s not realistic.