My insurance has seemed pretty correct about what it pays except one CT scan at the beginning (9/24/09). They redid it 6 times and it came back the same every time. Their rules are complex enough that the clerk you call for help would say that it was wrong and promise to redo it but it somehow came back unpaid every time. I finally filed a grievance when they sent a letter saying they were denying it and they came through and paid.
I've had a bunch of Explanation of Benefit forms come back for this year now so I need to fill in a spreadsheet to see how they look because a couple have some amount that they are not paying. It could be proper but I need to audit it.
Friday, April 9, 2010
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