i visited the united states in may 2008 It was a nice trip from venice beach to las vegas over 3000 miles with stops at the grand canyon etc. Now i needed to visit a doctor in culver city ( brotman medical centre ) i needed to pay cash money but i got travel insurance so i got the receipt and back home i send them to my insurance company also did i need to pay 100 dollars for a lab research that the result will be in after my vacation and i gave them my email adres and i got the doctors email address so i can get the result back home be email. now i don't get my money back because only official invoices are accepted by the insurance and when i try to email the doctor i don't get any response. i call but a lot of promises to fax or call back but no response.... anyone any help what i can down? total its about 315 dollars... the doctor is a diplomate of the american board of urology. what ever that means?
What you are experiencing is pretty much business as normal in the U.S. health care system. A simple visit to the hospital can result in two years worth of paper work: the hospital bills your insurance company, your insurance company denies the claim, the hospital bills you, you call the insurance company and they say it was a mistake, the hospital bills you again because your insurance company denies the claim again...this goes on over and over, with multiple bills from the doctors, the hospital, and various labs. If you are lucky and your insurance company finally pays, you may still get another bill from the hospital (or doctor or lab). The double billing may be because of the overwhelming complexity of the health care billing system, or it may simply be that they are trying to get double paid for one job. Write a letter to each of the billing agencies clearly stating that your travel insurance company requires an official invoice for each claim, and that no payment can be made until such invoice is received. Most likely you won't get the invoices, but the billing letters will stop after a while. This is another standard part of our screwed up health care system. Tom
Qbee, I think you misunderstood: F.W.D. paid cash for the medical services, but now needs a receipt (invoice) in order to be reimbursed by his insurance company. "diplomate of the american board of urology" probably means that the doctor is a member of the American board of urology, which might be a professional organization of urologists. Emails are easy to lose, or they get blocked by the doctor's spam filter. A phone call goes to a receptionist who may not know what to do about it. My suggestion is to write a letter, and if possible from where you are, send it certified mail, along with a copy of the receipt they gave you, and explain why that receipt is not acceptable, and what kind of a receipt you actually need. It's possible, though, that whatever receipt they gave you is the only kind they have.
If you need any of us "State-side" to be an intermediary for you (receive mail and forward it on to you, etc), I'm sure one us would be willing to assist a fellow PriusChatter.
i filed a complaint with my insurance company i am going to wait a few days/maybe weeks to see what that brings for mee lots of thx for all the help if there is anybody in the area of Culver city CA that maybe in the future can relay my email.... pm mee please
No, I didn't misunderstand. He can call or write for the invoice, but the odds are low that he will get it overseas, and even lower that the insurance company will pay up if he does get it. Most likely he will spend more time than the money is worth, but then that is the cornerstone of health insurance. Tom
Health Insurance Portability and Accountability Act. It's a US law that protects the privacy and security of patient information. It likely would keep the doctor from releasing any information to an intermediary, but it would not prohibit the intermediary from forwarding requests or other information to the doctor on your behalf. It would be worth a try.
call the doctor's office and ask for the phone number for the doctor's billing service. then ask for the phone number for the hospital billing office. you will need to speak to those people directly, to request a copy of an official invoice. if you tell them it is required by your insurance company, they should be understanding and help you out.