r/HealthInsurance • u/JulesSherlock • 8d ago

Medicare/Medicaid Anesthesiologist is billing $3700 even though insurance is telling them to stop.

My husband went to the emergency room due to food blocking esophagus. He had to have a gastroenterologist, push it on down. The anesthesiologist billed his insurance who refused it based on it being filed too late. Procedure was 3/8 and they billed 7/1. Then they billed him $3700, which is when he noticed the issue. Said insurance paid $0 and if he didn’t pay by 9/15 it would go to collections. He called his insurance (United Healthcare - Medicare) and they said they would call them the next day and have them refile it. He watched for it online and saw that it had been re-filed on 8/1 so he thought it was ok. Well, insurance denied it again. It says denied due to filing too late and do not bill member. Same as last time. So he expects to get a bill in the mail any day now.

I feel like we’re going in circles. How do we get off this ride if we do get the bill again?

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u/stuckhuman 8d ago

Don't pay. They failed to file timely. It's on the anesthesiologist. If they take it further, it's lawyer time.

17

u/Few-Consequence-124 8d ago

This. The provider’s billing mistakes are not your husband’s responsibility. If they have the moxie to bill you again, call UHC and file a grievance. As part of the grievance, ask them to send a Cease and Desist letter.

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u/SeaweedWeird7705 8d ago

Agree.  Grievance.