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Emergency Room Billing

Posted By: Phyllis Abbott meta_seperate Date Posted: June 18th, 2010 meta_seperate Category:

Suggestion about ER Billing: When a doctor tells you to go to the emergency room, that doctor’s name should be listed on the insurance billing, also, the reason they sent you to the ER should also be on the insurance billing. Instead, what the insurance is reading is your diagnosis. Then they refuse payment because they say it was not an emergency. EXAMPLE: My oncologist sent me to the ER late in the night to see if I had a blood clot in my right arm because it had swollen up and she said that my chemo drugs can sometimes cause blood clots. What it turned out to be was lymphedema and that is what was put on the billing. Of course that is not an emergency, but what if I did have a blood clot, it would have been an emergency. I am still fighting with my insurance company about this. Why can’t this extra information be given to the insurance company; WHAT DOCTOR SENT YOU AND WHY THEY SENT YOU TO THE ER.