clinical notes? Dr Steve......

February 3, 2004

Thought I'd ask you guys. Just received a letter from my insurance

company regarding my surgery in Belgium. Bit of a surprise to say the

least. They state that they are unable to provide reimbursement

without additional information. They are requesting inpatient

clinical documentation from the facility where I was hospitalized.

So any ideas, words of wisdom, or bear traps to avoid before I charge

ahead on this??

Thanks in advance,

Rock climbin'Jude

LBHR De Smet 09/11/02

February 4, 2004

Hi Jude!

See if someone at your IC will tell you whether they want your

complete hospital record or if a summary in English to include

inclusive dates will do. Tell them the original is unlikely to be in

English then ask if they need it sent directly to them from the

hospital. If they still don't get it, ask if they have anyone on staff

who has ever driven a cab or otherwise worked in Belgium or Gent. Send

a note off to Koen asking him to send your IC, copy to you, whatever

they say they need while perhaps describing your BHR as a THR in the

process. Keep in mind that the base credo of today's insurance

business is, " If at first you just deny, delay then deny again! Try to

give them what they're asking for in as simple and irrefutable a

format as possible. Then get back to climbin' and forget about them

and maybe consider a vote for somebody who advocates politician-class

healthcare for all come next Novemeber!

Good luck and best wishes!!

Steve Vince

Bilat BHR (and proud of it!) De Smet Jan 6, 2004

-- In surfacehippy , " rockjude2002 "

wrote:

> Thought I'd ask you guys. Just received a letter from my insurance

> company regarding my surgery in Belgium. Bit of a surprise to say the

> least. They state that they are unable to provide reimbursement

> without additional information. They are requesting inpatient

> clinical documentation from the facility where I was hospitalized.

>

> So any ideas, words of wisdom, or bear traps to avoid before I charge

> ahead on this??

>

> Thanks in advance,

>

> Rock climbin'Jude

> LBHR De Smet 09/11/02

February 4, 2004

Steve-

I had received a 37 page document from Belgium which included what I thought to

be massive amounts of info. All in Dutch of course. My insurance company had it

translated. I guess it was primarily a bill. I am just wondering whether my IC

is trying to determine medical necessity. Which is, as you and I know, crazy.

However I will call (gulp!) and try to pinpoint what they need. I know that Koen

will help. I will keep the group informed in case this ever happens to any one

else. Thank you for your input and support!

Jude

Re: clinical notes? Dr Steve......