feuervogel: (black haru)
feuervogel ([personal profile] feuervogel) wrote2013-01-30 05:12 pm

Duke Health, the saga.

On March 1, I was supposed to have my IUD removed and replaced. This is usually done in a single office visit for a single office-visit copay. With my plan, the specialist copay is $30.

For reasons involving my apparently extremely abnormal anatomy, only the IUD removal actually occurred on March 1. The nurse walked me out and was going to get my copay refunded, since I'd have to come back again in a week to try again, except the person who handled that was gone for the day.

I went back March 7, checked in, and didn't pay--they didn't ask me to pay, because it was to be a no-charge visit. So I went up to the room with all the fancy equipment in it and had my cervix prodded for over an hour until the damned IUD finally made it in. Yay.

In July, I received a bill for $30 for date of service March 1. At the time, I misread it as for March 7, the no-charge visit. I called the clinic, they assured me it would be taken care of.

Apparently it wasn't, because I received another bill in November for $30. And a robo-call, which put me on hold for the next available representative. Normally I'd hang up on that, but it pissed me off so much that I stayed on the line. I told them I'd already paid it back in March.

So I got another bill for $23.84, and another robo-call.

I spent half an hour on the phone with billing today, while a representative traced the path of my $30 copay. It was applied to March 7. According to her, I had to call the clinic to get them to adjust the charges. So I called the clinic guy.

He says, snippily, that he can't do anything because they billed insurance something something and I had to pay extra for the IUD itself? I don't know, I was a little too pissed off to follow the bullshit logic.

I have his supervisor's number and will be calling her in the morning.

I left a message with my doctor's nurse line, saying that I have been having a billing issue since July where they're charging me for the no-charge visit and saying I owe the copay I already paid, can you please do something to fix it, I'm about ready to quit this practice and go somewhere else. (Which is sad, because I like my actual doctor, and it's not her fault billing is full of incompetent assholes.)

So. Anyone who thinks the American free-market health care "system" is more efficient than a single payer with a single fee schedule is either living in Libertarian Utopiaville or has never had to deal with the health care system.
neotoma: Sam Winchester's bitch face (Sam WTF?)

[personal profile] neotoma 2013-01-30 11:30 pm (UTC)(link)
A few months ago, I got my annual eye exam and then came in the next Saturday with a friend to help me pick out frames.

When I picked them, they said "Oops, you owe $80 more because your eye-care company changed their reimbursement."

Then in December, 5 days before Christmas, I got a lettter (that was dated 7 days before!) saying "Oops, you owe $80 more because your eye-care company changed their reimbursement."

Fortunately, the woman I talked to when I called was able to look up my info easily, though she did try to say "Oops, you do owe..." until I pointed out that I had already *paid* that, I had my credit card bill right in my hand, and she should look again unless she wanted me to do a chargeback -- then she looked further into the notes on my account and said, "Oh. Ooops."

I've gotten in the habit of paying keeping all my medical receipts in an separate folder just because of medical record-keeping dickery, and I shouldn't have to.

beth_leonard: (Default)

[personal profile] beth_leonard 2013-01-31 05:13 am (UTC)(link)
We do not live in a free market system. What you experienced is a heavily regulated system, and I hate it too.

--Beth