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Old 03-13-2019, 05:17 AM   #1
xoxoxoBruce
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Join Date: Oct 2002
Posts: 65,070
Medical Billing

I get a monthly report from my insurer and this one has the year end totals.
It shows the bills, then what the "plan" approved which was a tick over 30%.
Next it shows what the "plan" paid which was a tick under 30% leaving almost a grand difference.
Subtracting what I paid from that difference leaves $763 agreed but unpaid.
Adding the $763 to the 70% billed but not agreed to(read unpaid) amounts to $110,731 billed but unpaid.
This amount just evaporates, vanishes into the ether, supper for birds and beasties.
I wonder if the bill sender can write it off as a loss? Otherwise why bill for more than had already been agreed with the insurance company.
Maybe it's to legally establish their price for people who don't have insurance, or more coverage.
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