The one co-pay that wasn't paid was for my emergency room visit of January 3, 2012. I wasn't even asked for that because my emergency room co-pays have always been asked for during discharge from the ER. However, I was not discharged that night and was directly admitted from the ER as an inpatient.
I didn't pay the bills resulting from hospital visits after the MRI/MRCP pre-approval denials (of December 2011) because I knew the insurance company was very wrong for having denied them. I knew I had to question their decision and planned on getting legal advise on the matter. Still, I have never sued any doctors, hospitals, or insurance companies.
However, I felt if I didn't at least try to make the insurance company accountable, in a way, I would be condoning their actions. I would be doing nothing to take a stand against their causing me …show more content…
Then I stressed the fact that I am a juvenile-onset, insulin-dependent diabetic and that for eight months, I had been having daily, serious digestive problems, for the past eight months. I also stressed the fact that those symptoms had been causing me to get hypoglycemia, throughout every single day.
I gave more than enough facts to prove my case far exceeded the necessary criteria for the pre-approvals. Still, they were denied because someone at the insurance company had deemed them "not medically necessary."
I knew that was just the insurance company's selfish attempt at trying to avoid paying for their share of the tests costs, and I knew it was very unjustified. Then, after being advised to do so, I filed a complaint against the insurance company with the State of New Jersey Banking and Insurance Department. Subsequently, an investigation has been being done. If it is found the insurance company's decision not to approve those tests was unfounded, they may be held responsible for paying the bills that accumulated after the time the tests pre-approvals were
I didn't pay the bills resulting from hospital visits after the MRI/MRCP pre-approval denials (of December 2011) because I knew the insurance company was very wrong for having denied them. I knew I had to question their decision and planned on getting legal advise on the matter. Still, I have never sued any doctors, hospitals, or insurance companies.
However, I felt if I didn't at least try to make the insurance company accountable, in a way, I would be condoning their actions. I would be doing nothing to take a stand against their causing me …show more content…
Then I stressed the fact that I am a juvenile-onset, insulin-dependent diabetic and that for eight months, I had been having daily, serious digestive problems, for the past eight months. I also stressed the fact that those symptoms had been causing me to get hypoglycemia, throughout every single day.
I gave more than enough facts to prove my case far exceeded the necessary criteria for the pre-approvals. Still, they were denied because someone at the insurance company had deemed them "not medically necessary."
I knew that was just the insurance company's selfish attempt at trying to avoid paying for their share of the tests costs, and I knew it was very unjustified. Then, after being advised to do so, I filed a complaint against the insurance company with the State of New Jersey Banking and Insurance Department. Subsequently, an investigation has been being done. If it is found the insurance company's decision not to approve those tests was unfounded, they may be held responsible for paying the bills that accumulated after the time the tests pre-approvals were