United Health Care

[Guest guest]

Alan:

My staff tells me have to write off about half of our initial

examination and x-ray fees and about $9.30 on a $52 treatment bill for

United Health Care.

Lyndon McGill, D.C.

Salem, Oregon

Creswellchiro@... wrote:

Anyone here enrolled in their network? There may have been some

discussion on the list at some point. We are south of Eugene, and right

now there is only one patient asking us to get on their network. Don't

want to do it if it's ASHN-like.

Is there extra paperwork? Preauthorized visits? Rate

evisceration? Any feedback is welcomed.

Alan

Creswell Chiropractic

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[Guest guest]

Not totally sure here, I know that there is a component of United Health Care thats under ASHN and it requires a 20%coinsurance. Call United and ASHN to make sure about other plans

etc.

Dr. ph Medlin D.C.Spine Tree Chiropractic1627 NE Alberta St. #6Portland, OR 97211Ph: 503-788-6800c: 503-889-6204

United Health Care

Anyone here enrolled in their network? There may have been some discussion on the list at some point. We are south of Eugene, and right now there is only one patient asking us to get on their network. Don't want to do it if it's ASHN-like.

Is there extra paperwork? Preauthorized visits? Rate evisceration? Any feedback is welcomed.

Alan

Creswell ChiropracticOregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed.

[Guest guest]

Alan:

I forgot to mention that the patient usually has a $15 or $20 co-pay,

which, of course, makes up for some of the discounted fees.

Lyndon McGill, D.C.

Salem, Oregon

[Guest guest]

United Helath Care pays for HBOT in Texas. We had a paitnet that filed for

services for HBOT and United agreed to pay. Upon the 25 treatment they had an

auditor overlook the claim and recalled the claim.

However we filed a claim or we should say and apeal and fought on the grounds of

Detrimental Reliance of Services. Basically we stated by aproving the treatment

and then recanting would put the family in detriment. They would not be able to

pay the claim leaving them broke.

They ended up paying for the full 40 and said they would review the case upon

the completion of the 40 before they would pay for any more. Allthough this case

was not one on medical basis it was still won.

We had a simular cituation in 2002 that gave us the idea with Blue Cross Blue

Sheild and they paid. The interesting thing about Blue Cross was after the first

40 upon reviewing the documentation they paid for another 40 and then stopped.

However they only paid for one Spec Scan they would not pay for the follow up

scan. The parents had to pay that claim but did so and was awarded the second

set of 40.

Darin 4312 Rains County Rd 1495Emory Texas 75440