it gets better

2010-Mar-11, Thursday 06:25 pm
mellowtigger: (Daria)
[personal profile] mellowtigger
Delivered in the mailbox this afternoon:

"... First Date of Service: 02/26/2010 ...
THIS IS A NOTICE OF DENIAL OF PAYMENT
Dear TERRY W WALKER
We reviewed the claim your provider sent us for Professional Medical Services - Lab / Diagnostic
The claim is denied because: this service is not covered in your benefit set.
This decision is based on MN law: 9505.0270, subp 10(DD)."

Joy.

It doesn't say what service is denied. I thought from the name that it was the bloodwork.  The date, however, suggests that it was the EMG testing.  Does this mean that the torture session was done on my own dollar?  Criminy, how would I even know what that costs?  The notice doesn't include a bill.  What dollar amount was not covered?

A separate paper includes instructions on how to appeal.  That page is densely worded "member rights" and "state fair hearing" info.

I despise bureaucracy.  Why doesn't the decision of the doctor determine what happens?  Why does it have to be any more complicated than that?  I really, really, really dislike the American health care system.

:o/

Date: 2010-Mar-12, Friday 02:14 am (UTC)
From: [identity profile] otterlover01.livejournal.com
...and to add insult to the offense it is signed "Joy". I loath bureaucracy too, as a matter of fact I have a kind of a true PHOBIA about it. Hope everything will work out well for you in the end anyway Terry. Big hugs, Luis.

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