Insurance company scare tactics (BC/BS)

[Guest guest]

My insurance company really got me going yesterday. My surgery was

back in February, and was done before they replied to a pre-approval

request. Well, they paid the $14000 hospital bill and $1700

anesthesiologist bills immediately, but denied the surgeon's fees of

$12400.

I appealed the surgeon's bill, and yesterday got a denial plus a bill

from my anesthesiologist with a " correction " showing a balance due of

$1500! Today I called BC/BS and they said they reviewed the charge

since my appeal was denied and determined that the anesthesthia was

covered " in error " and payment was retracted.

I had the rep check on the $14000 hospital payment and it's still

intact. So I asked the rep " is there a chance that the hospital

payment would also be retracted if I appealed the surgeon's fee

again? " And her reply was " yes, that's a choice you have to make " .

SOB's!!! So I can risk being on the hook for an additional $14000 if

I try to further appeal the $12400 surgeon's fee! Sigh. Time to cut

my losses and give up the fight. This is Empire BC/BS for those

interested. Big business wins again....

--Neil