BoatBanter.com - View Single Post

Vic Smith

On Mon, 26 Oct 2009 17:24:19 -0400, wrote:

Who wrote the article you read and what was the source?

Not going there. One reason I bailed from any discussion of this is
depth is I'm just not going to repeat the same thing over and over.
Or argue when my links are disputed without being read.
It's in the thread. No hard feelings. Like I said, I can pay for my
insurance, and outside of mythbusting I'm not real interested right
now.

I am just
basing my opinion on the amount of denials you get from insurance
companies and the hoops you have to go through to get paid. That is
not the rubber stamp you have with Medicare.

I haven't ever been denied by my major carriers, except coding error
bull****. The provider bills, the insurer pays.
And I don't even normally see what is billed. Don't know if it's
double-billed, misbilled, or anything else. It just gets paid.
BTW, though the doc who did my recent colonoscopy said he removed 11
polyps, and will bill Aetna for that, he only took 4 pics and I can
only make out 3 polyps. But I'm not a doc, and was deep asleep when
it was done. Not suggesting anything here, of course.
The doc had just flown in from a European vacation and lack of clear
photographic evidence might be due to jet lag.

I did just go through this with Aetna and I know they wanted to see
the referrals for everything I claimed .

Aetna again, eh? You in Florida, me in Illinois. They do get around.
Bet they're bigger than Medicare. I know they are for me.
Getting almost 30% of every dollar of my wife's gross wages.

It sure wasn't anything like
that thing 60 minutes was talking about where a storefront with no
bona fides can simply send medicare a bill for something and get paid
in a few days.

Probably not. The crooks use different methods for Aetna, and are
probably different crooks. But a crook is a crook by any other name.

--Vic