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health insurance snafu - advice?
#11
I think the thing that was missing was some sort of 'coordination of care' guidelines. I spoke to several people about this several times and

a) my situation wasn't seen as unusual
b) nobody really knew how to handle it.

if someone would have told me "don't worry about the old stuff, just transfer your records and get new stuff made" then fine, done, easy. But it seems that everyone muddled through the process.

Imagine that....such a problem happening in our grand healthcare system.
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#12
mattkime wrote:
what happens if an in network doctor charges a patient instead of the insurance company? surely this must happen on occasion.

If the doctor wants to get paid he or she will have to correct the mistake.
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#13
Matt,

Unless I'm reading your post incorrectly, there definitely seems like there is something missing in the way you've described the whole scenario. Are you giving us the whole picture or just what happened after the snafu?

Did you ask both your old _and_ new doctor as well as your insurance provider how to handle the shots and allergens prior to the move? If the guidelines weren't clear, then you needed to keep after all of them until you got a clear course of action. It's definitely on the patient. I'd love to say it's on the doctors and insurance provider but experience has taught me otherwise.

Robert
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#14
Your Dr's office gave out your CC#? I'd be screaming if I were you.
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#15
>Did you ask both your old _and_ new doctor as well as your insurance provider how to handle the shots and allergens prior to the move?

I spoke to _both_ doctors, I did not contact insurance to verify the plan.
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#16
Even if both doctors are in the plan, Fedex is not....
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#17
Racer X wrote:
Your Dr's office gave out your CC#? I'd be screaming if I were you.

:agree: That's what bothers me in this story.
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#18
I might call the previous doctor to ask why it was done like this.
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#19
You should. Medical professionals, and the insurance industry have very firm laws against divulging personal info, and that includes banking info. HIPAA.
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#20
Robert,

As far as new medicine in a new location, I suspect matt's issue might involve having a specialty medicine prescribed twice. IOW, If the insurance company pays for it every thirty days, and you desire a new prescription after 14 days, be ready to pay for it yourself.
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