How do I dispute medical charges?

Question

My husband was in the hospital for 5 days, but was not visited by a doctor on days 3 and 4 (which is why he was there so long - nobody could release him). Can I then rightfully dispute all charges for days 3 and 4? If so, how?

Answer 1

If you're trying to dispute charges from a doctor who says he saw your husband on those two days, send a letter in writing to the medical records department of the hospital, asking for a copy of your entire chart from your stay. (List the dates.) Anything that was done, or any doctor who visited your husband will be in that chart. (You have to do this in writing - otherwise, it's not legal.)

If you're trying to dispute charges for the days your husband was in the hospital - you really don't have a leg to stand on. Services were rendered (i.e. the hospital stay) and you don't have a right to deny payment by your insurance. You can, however, ask that your portion (daily copay or deductible) for those days be waived, in light of the circumstances - but don't bank on it.

Answer 2

Right, the physicians office or billing company bills for their charges completely separate from the hospitals charges. The hospital has a right to charge the insurance for those days because he was there. They physician does not. If the physician bills for services that he or she did not perform you absolutely can dispute them. All you have to do is call your insurance carrier and tell them the doctor did not see him on those days. They can request records from the physician. Once the records are received and they see there is no documentation for those days they will request refunds from the doctor for those days. All insurance carriers give you a time limit of how long you have to dispute a claim. This should be listed on the explaination of benifits they send you after they pay your claims. Call your carrier if you are not sure.

Answer 3

Are you wanting to dispute the hospital charges?
or
Charges for a doctor who didn't see him?

Because if he was actually in the hospital, you probably can't actually dispute them....

For a hospitalization, the hospital bills separately from a physician who may see or treat you in the hospital... Their billing has nothing to do with a doctor's availability...

Try writing a letter of complaint that there were no doctor's available to see/treat your hubby.... See what that does.

Answer 4

If i'm awareness you wisely, they bumped off the HPV attempt charge yet left rates which at the instant are not official. Are those rates related to the HPV attempt? Or are the costs something further they slapped on? the reason I ask is via the fact in the event that they have further rates because of the fact the adjustment of the HPV then there ought to be no concern with the workplace resubmitting the costs. you are able to combat this in spite of the placement. Ask to chat the persn in charge of coverage and if that doesn't artwork then whinge on on your physician. surely everyone solutions to somebody. save making some noise. you will get observed. I had $seven-hundred in rates faraway from my $10,000 well being facility invoice. It took some strategical strikes on my section, yet i grew to become into relentless. you are able to constantly threaten the coverage corporation with the coverage Adjuster on your state. Be the comparable and you will see a effect. good success. One further concept. distinctive folk evaluate slightly charge ok and enable it slide. human beings are so compliant. it rather is via those very rates that makes me mistrust coverage firms. this is aso those type of rates that are making ins agencies richer & greater grasping. Why pay for something you do no longer owe for crying out loud?!

Answer 5

If your husband is a Medicare patient there is a specified period in which charges can be disputed. This is covered in your policy. If you can't locate, contact your carrier.