Ask A Frustrated Nurse Episode 29

More billing issues. Blue Cross of California fined $1.1 million and will also be reimbursing Members $9.2 million for out-of-pocket expenses they paid. Members were being forced to pay office costs as part of their deductible. Had someone like the US been reviewing those SMALL claims we would have known that there was an error. They were also fined another Million for other errors in billing and falsely charging members. $60,000 fine for not sending out an Explanation of benefits to members. These errors spanned the years 2015 thru 2020 to date.

United Healthcare continues to buy healthcare entities. Home Health. Clinics, Insurance should be just that, insurance. Not dictating our healthcare. I go on to reiterate our philosophy that all bills be reviewed prior to payment, Agreed to, or sent back for correction. Then paid and move on. There is too much time and money wasted on claims.

Let us help you do it right the first time. remember 85% of all medical bills have errors.