If you remember that Your Insurance Company Hates You*, it will make things all that much easier to deal with. It then becomes a game. See who can generate the most paperwork and headache for each other.
YMMV
Contact the billing department at the hospital and have them resubmit this stuff with different codes. Don’t worry, the women there deal with it 8 hours a day. They live for the insanity of health care bullshit.
I’m sorry about your bladder problems.
*As does Big Business, Medical Feild ( excluding all doper md’s and RNs) the fashihon industry ( clothing, shoes and makeup),car manufacturers and their assorted industries and Hospitals. The only one that doesn’t hate you is your pet, who just wants food and tummy rubs. Don’t take it personal. It is only business. They want your money and you, you cheap bastard, want to keep your money. what’s wrong with you?!!!1111
From which I’m guessing VB is a daddy… I love the pic!
My experience with US insurers was that they always started by saying that I had to pay for everything myself, I’d call and explain why I did not giving exact quotes (“in page 12 of your policy, paragraph 3, line 6, it says…”) and gee, oh woah, I didn’t have to pay no mo’!
Get the hospital to fix the paperwork first and then call the insurance again to let them know the fixed papers are on the way.
Wow. I think it’s beholden to me to first say that the whole idea of an insurance company which regards as ‘nonemergency’ an innie turning into an outie in any region related to partyland - :eek: time for a new insurance company.
Secondly, I think one of those things you have to accept from medical types is that they have a pretty good idea what will kill you, what will maim you, and what is just a Really Fucking Scary Thing. After they’ve done a number of tours of duty in Sleep Deprivation Land, they only pay attention to the first two. If having your bladder flapping around in your underwear :eek: really is non-dangerous, then they will only show interest if it is doing something interesting, like glowing purple or dancing the macarena. At which point they will invite all their buddies to come have a look and take photos.
As I sort of said in my previous post, I don’t think you should have to accept this at all. We’re not chunks of meat lying on butcher’s slabs - we’re feeling human beings, and if you (generic you) have reached a point in your medical career where you don’t care about the feelings of your [del]victims[/del] patients, it’s time to get the hell out.
To be fair, the insurance company can only process a claim as it was submitted by the provider. (that’s the government at work) It sounds like in this instance the hospital made a major boo-boo in not coding your claim as an emergency. It’s all in how the provider codes it.
The advise to have the hospital file a corrected claim is right on the money.
Well, if you’re OK with having every major ER in the world manned solely by junior interns and a handful of others who carry the Florence Nightingale gene, fair enough. They get their jobs done and if they have time and energy to be sympathetic it’s very nice, but usually in an ER, I would suspect they don’t.
Similarly, the cops and firemen who dealt with scraping the stolen Merc SUV off the side of our building one midnight were totally nonplussed by how shaken up we were. As far as they were concerned it was just a stolen car pranged by a joyrider. We were all OMG!! :eek: It SHOOK the WHOLE BUILDING! One metre either way and instead of hitting a solid pillar it would have crashed through the shop window and ended up somewhere underneath my bedroom! Possibly BURSTING INTO FLAMES!! :eek: :eek: They were just worried about getting the engine stopped, loading it onto a lorry and getting the paperwork done in time for shift change.
That other thread had me doing Kegels for days, but the horror eventually faded. It’s back full-force now. I think I’ll attach a sticky-note to my monitor to remind me.
People who file appeals, whether by phone and/or in writing, stand a pretty good chance of winning. Most folks never bother to appeal because they don’t believe they can win, don’t know how to word the letter, have already given up hope, etc.
I would like to know the outcome of all this, but I believe the OP will triumph.
Not painful at all. I’d say TMI, but in a thread like this, it’s already too late and y’all outta know better what you might find here…anywho, I had just gone to the bathroom and was cleaning myself when I noticed the aforementioned pink kiwi. I had felt a certain pressure–in the other thread, I compared it to the feeling of a tampon that has dropped from its usual holding place. No pain, just the definite feeling of something being there.
See the other thread re: some of the more squicky (yup, these are the squicky ones) details and stories. Someone there shared about a grandmother with a COMPLETELY prolapsed uterus who walked around with it for years. Ewwwwwwwwww…
Put it on your dashboard- a friend and I would do our Kegels at every stoplight.
I still do it, seven years later. Stoplight = Kegels.
I had one friend whose whole freaking vagina fell out. It was nuts. She had to have an emergency hysterectomy to be sure that all was okay.
