.. and I forgot to add, for the form that was rejected when they put
in the incorrect spelling of the name (either first or last or
middle BTW), it still contained the :
correct patient's address,
correct patient's contract number,
correct patient's birthdate,
correct patient's social security number,
correct patient's guarantor..
Lester
On May 4, 2006, at 12:43 PM, Lester Ewing wrote:
> Jay,
>
> I'm a general dentist.
>
> I didn't paint anything as negative, I reported the facts as I
> experience them every day to whit:
>
> Claim returned because ins co. said claimant wasn't covered because
> THEY entered in wrong spelling of name (Correct on our forms)
>
> Claim returned for additional info (Xrays wanted) and stapled to
> the form were the radiographs we sent with it.
>
> Claim returned because ins co. typed in wrong procedure code
> (Correct on our form)
>
> Ins co. is a business whose purpose is to make a profit for their
> shareholders just like Exxon or CBS or Victoria's Secret. Period.
> They increase this number by not paying claims. Please see above
> examples. And those are just the ones that I know about that came
> in TODAY!
>
> And I personally experienced the "get a lawyer" part as I had a
> claim on a business damaged by water which the ins co. agreed was
> covered yet they would not agree to no fewer than 3 different
> repair estimates because I wouldn't use their "guy" who came in at
> less than 20% of the other estimates. After the work was done they
> wouldn't pay the lost wages part .. until I got a lawyer..
>
> Lester
>
>
> On May 4, 2006, at 9:20 AM, Jay Fishbein wrote:
>
>> Lester,
>> Two questions:
>> 1) What is your profession? and,
>> 2) Is it okay to take a broad brush to paint every aspect of IT as
>> negative?
>>
>> We can all look around and find inequities and fault with most every
>> aspect of our society. If you are going to be negative, be
>> specific and
>> accurate. Much of what you said is inaccurate.
>>
>> jay fishbein
>> wallingford, ct
>>
>> http://home.ix.netcom.com/~type79/
>>
>> "Comedy may be big business but it isn't pretty." Steve Martin
>>
>>
>>
>> Lester Ewing wrote:
>>
>>> MOST IMPORTANTLY.. INSURANCE COMPANIES ARE NOT HERE TO HELP ANYONE.
>>> THEY ARE HERE TO EARN A REUTRN FOR THIER SHAREHOLDERS. They do this
>>> by making it difficult to process claims, and using any excuse to
>>> not
>>> pay what they should. If lots of money is involved, expect the need
>>> for an attorney to get the insurance company to pay the money that
>>> they agreed to pay by contract.
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