Do you have to do any of the "leg work" in filing your claims, or does your facility/doctor's office

CancerNews
CancerNews Member Posts: 11
edited January 2020 in General Cancer
We have heard from some people that they are being given some what of a run-around in getting their claims filed and are being asked for itemized bills and other documents.

How is your claims experience?

Comments

  • po18guy
    po18guy Member Posts: 329
    edited January 2020
    Fortunately, doctor and his team do the heavy lifting, having the attitude that the patients are carrying enough already. A good, aggressive cancer center will have tons of experience in negotiating the governmental/insurance minefield.

    I got a couple of calls from a cost-containment RN at my insurance provider who was insinuating that I should consider "Joe's Cancer Center" or some such.

    No, thank you very much!
  • Bengal
    Bengal Member Posts: 518
    edited January 2020
    I have been extremely lucky that my hospital took everything completely out of my hands even when insurance balked at paying for some very expensive "pre-approved" tests and my entire radiation regimen calling them "unnecessary procedures" - after they had already been done. I was freaking out at a time when it was the last thing I needed to add to already over the top stress levels. Hospital representative said, Don't give it another thought, we will take care of this. And they did!
  • GregP_WN
    GregP_WN Member Posts: 742
    edited January 2020
    My main major medical policy is filed by the provider, my cancer policy I file with the bill that I get. Fairly easy online.
  • BuckeyeShelby
    BuckeyeShelby Member Posts: 196
    edited January 2020
    I work in the insurance biz. If the provider is getting paid, they should be submitting the claim themselves. There are times when a patient has to prod the doctor or hospital, but they should NOT have to. In general, the only time we support a doctor billing the patient is if the insurance company is waiting for info from the patient, such as if we need to know if the patient has another insurance or accident details (ie - should an auto insurance pay for an injury or is it workers comp). Once we receive the info, claims get reprocessed.