It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Health Insurance - SSDI Issues Message Board

  • Allowed Amount Greater Than Billed Amount

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 03-16-2015, 03:59 AM   #1
    bashdrew
    Newbie
    (male)
     
    bashdrew's Avatar
     
    Join Date: Mar 2015
    Posts: 1
    bashdrew HB User
    Allowed Amount Greater Than Billed Amount

    I am, fairly, new to this forum and I just want to ask for any opinion from anyone. My son, recently, had gone through EKG in a hospital. I was surprised when I got the bill. I had to pay $1,109.12 for just the EKG. I know it costs more in a hospital but the thing is, the hospital's billed amount is just $180.75 based on the COB. I talked to the customer service representative and she told me that this is due to the allowed amount, $964.25, being greater than the billed amount. I don't know if that makes sense. The hospital just billed my insurance, which is United Healthcare, for $180.75, but because my plan's allowed amount is $964.25, I have to pay $1,109.12. It appears that I have to pay the sum of the billed and allowed amount. Is this a usual practice of health insurance companies? Any advice will be helpful. Thank you.

     
    Sponsors Lightbulb
       
    Old 03-16-2015, 08:21 PM   #2
    Fl0werP0wer
    Junior Member
    (female)
     
    Join Date: Mar 2015
    Posts: 47
    Fl0werP0wer HB UserFl0werP0wer HB UserFl0werP0wer HB UserFl0werP0wer HB User
    Re: Allowed Amount Greater Than Billed Amount

    Nope, not the usual practice, sounds like a bogus explanation. I would not pay it, read your benefit certificate to find out coverage and benefits, file an appeal with the ins co, file a complaint with the state dept of insurance and send a copy to the hospital. If push comes to shove and this unfair clause is actually the way your plan is written, you can negotiate with the hospital for a lower amount and payment plan.

     
    Closed Thread




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 07:50 PM.





    © 2020 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!