I'm covered by United Heathcare (UHC). I recently took my son to St Mary's (Bon Secours) Emergency Room in Richmond, VA.
St Mary's is a United in-network hospital, but apparently the emergency room doctor isn't in-network. United only paid some of the bill claimed the remained isn't usual and customary. My in-network and out-of network plan reimbursement rates are identical.
After a few months of talking to folks on the phone, I've filed a formal claim appeal. Do I have any chance of getting the claim paid?
Also, after reviewing the doctor's online, it appears that hardly any doctor at Bon Secours St Marys accepts United. I'd shop for a different hospital if you have the bad luck to be covered by United Healthcare.
2007-03-03
04:30:52
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11 answers
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asked by
Rod in Richmond
1