Re: Re: now i have a better understanding of how insurance companies work

[Guest guest]

Because of the risk of catastrophic illness, same reason we carry other

insurances (home owners, etc).

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> Date: 2007/02/25 Sun PM 06:04:37 EST

> To:

> Subject: Re: now i have a better understanding of how

insurance companies work

>

> Yeah, I wonder a lot about insurance companies too. I don't get why anyone

> would pay $600 a month to have a $20 copay four times a year.

>

> Shirley Pigott MD

> Texas

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> >

> > a fascinating thing happened today--

> > i still am somewhat stunned by what i've learned, and it's implications--

> > through some mistake, and i'm not sure exactly how it happened, quadruple

> > charges for two bills were sent to a couple of insurance payers.

> > that's not what's amazing.

> > what is amazing is that i received checks from the two different insurance

> > payers for the quadruple amounts!

> > two cases, two separate patients, two different insurance payers, four

> > bills each for the same date of service, same charges, AND THEY PAID!

> > of course i did not deposit the checks, my assistant will call them and

> > indicate the appropriate amounts, we'll send back the checks, and wait for

> > newly issued checks.

> > what's so fascinating is that it happened!

> > what it implies, at least to me, is that billing, coding and payment is

> > such a mishmash of nonsensical crap, and that there is so much money

> > involved, that such losses must merely be the cost of doing business for

> > such large companies!

> > either they must not care, or the percentage of loss, huge as it might be,

> > implies that their profits are astronomical, whether they're

> > " not-for-profit " or otherwise.

> > if this happened to any of us, we'd go out of business.

> > this really opened my eyes as to who's got their hands on the bucks and

> > how much there is, and where the true battle lies with respect to paying for

> > health care.

> > i'm just amazed.

> > i have taken over my billing as of december first because i want it to be

> > correct, and any mistakes rectified, no matter who makes them.

> > i also want to be paid appropriately for my service, and for everything i

> > do, without bundling.

> > what i wonder is if insurance payers really care.

> > LL

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