Category: ER Billing

UnitedHealthcare issues warning to hospitals about out-of-network coverage for ER physicians

WHAT HAPPENED UnitedHealthcare sent out an advanced notice to more than 700 hospitals that its emergency room contractor, Envision Healthcare, could be out of network starting January 1, 2019. WHY IT MATTERS Dissolving the contract is expected to result in

UnitedHealthcare warns hospitals it may drop major ER doctor network

UnitedHealthcare’s negotiations with the nation’s largest provider of emergency room doctors has reached an impasse. The insurer is warning hospitals it may drop Envision Healthcare from its network starting in January if the two can’t reach an agreement before then,

What we found dictates medical costs and why

Jerry Mitchell opens his bill from a Baptist Medical Center clinic and sees a shocking number: The price of six blood tests is $3,076. Under that total, he sees, “Insurance Payments/Adjustments: $2,682.07.” When he looks at it, “I think insurance

Blame Emergency Rooms for the Out-of-Control Cost of Health Care – The New York Times

There are many reasons Americans pay more for health care than citizens of any other country. But one of the most powerful forces driving cost increases is buried in a little-known set of regulations concerning emergency room care. These regulations

Patients question high emergency room bills from Centura Healthcare

When Jasmine Pyne was bitten by a bug last June, she didn’t think much of it, until it began itching so much that she scratched it raw. Then, it became infected. “I was getting red marks down my leg,” she

Anthem Denials of Emergency Room CT Scans and MRIs; Patients Sent to Clinics

Washington, DCIn July 2018, the American College of Emergency Physicians filed an insurance lawsuit against Anthem Blue Cross Blue Shield over the insurer’s new policy of denying emergency room coverage after the fact. As a subpart of the strategy, Anthem refuses claims

BCBS Controversial ER Claims Process Begins – Houston

The largest health insurer in Texas changed an ER claims review process Monday. Blue Cross Blue Shield of Texas said its 500,000 HMO members may have to pay the entire cost of an out-of-network emergency room bill, if they go for

Texas allows Blue Cross Blue Shield to deny payments for some out-of-network ER visits

Blue Cross and Blue Shield of Texas will begin a controversial new program Monday in which it will not pay any expenses for an out-of-network emergency room visit if it is later determined the patient should have gone elsewhere for

If it’s not an emergency, Blue Cross Blue Shield won’t pay 

It’s the middle of the night and that nagging chest pressure seems to be getting worse. Could be a heart attack. Could be indigestion from the bad burrito at dinner. Do you a) Go to the nearest emergency room; b)

Contract dispute means bigger PMC ER bills for many 

POCATELLO — The emergency room physicians at Portneuf Medical Center recently formed their own practice, prompting a contract negotiation process between them and two major Idaho insurance companies that has left many ER patients with larger than normal medical bills.