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01-18-2005, 02:40 PM
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#1 (permalink)
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Member
Join Date: Apr 2004 |
Location: Julian, CA |
Age: 50 |
Posts: 45 |
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Lab Bill from Hospital
I just received a bill for the lab tests done in the hospital. The lab did not bill my insurance. I have Aetna HMO through SCMG. Has anyone else on here (someone with an HMO) received a lab bill? Did you pay it? Or did you call them with your insurance information? I realize that the hospital lab might not be contracted with SCMG, which would be weird since the hospital is.
Thanks much,
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Sue
Lap RNY 11/2/04
282/199/150
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01-18-2005, 02:45 PM
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#2 (permalink)
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TT Master
Join Date: Apr 2004 |
Location: Lancaster, PA (Born & raised in San Diego til 1/4/08) |
Surgeon: The Great Charles Callery MD |
Age: 36 |
Posts: 7,919 |
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bill or not to bill
Call the billing department, Im sure its an oversight. As a member of a HMO you cannot be billed for services... at all. Let us know what happens!
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J.Bridget Fisher aka koi-pea
2/9/04 lap 5'11"
298/172
Find me on face book using this email; bridgetgirl@msn.com
"People will argue with you that getting what you want in life isn’t something you can learn, if you’re destined to be one of the worlds winners as opposed to one of its perpetual whiners, its because you have been born with the right talents and temperament and have a big dose of self-esteem, ambition, and good judgment." Kate White
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01-18-2005, 03:50 PM
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#3 (permalink)
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Senior Member
Join Date: Apr 2004 |
Location: Killeen, TX |
Surgeon: Dr. Potts |
Age: 27 |
Posts: 927 |
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I'm sure that's a mistake I have an HMO as well and didn't get a bill. I'm with bridget just call them.
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Tonya
Dr. Potts 
7/16/2004 Lap
320/164
48.66/25.68 BMI
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01-18-2005, 03:51 PM
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#4 (permalink)
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TT Master
Join Date: Apr 2004 |
Location: Vista |
Age: 37 |
Posts: 2,060 |
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Hospital Billing.. argh
I used to do billing for the hospital and it may be an oversight.. however, if your insurance does not contract with pomerado for lab services, you may be charged.. As an inpatient, though you should be covered 100%. Let us know what the billing department says. I didn't get charged, however I did get an itemized statement. Does it say it is a bill or does it say it is a statement or explaination of benefits? Good luck!!!
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Christina
Open RNY 03/31/2004
274/128/137 (131 Per Dr. C)
BMI: 47 / 22
"There's nothing noble in being superior to your fellow men. True nobility is being superior to your former self." - Ernest Miller Hemingway
"Obstacles are those frightful things you see when you take your eyes off your goal." - Henry Ford
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01-18-2005, 06:31 PM
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#5 (permalink)
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Guest
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Billing Scare!!
I just recieved 2 bills, not statements. One from Pomerado Hospital for $33,500.00 and one from pathology for $350. So I called asap and found out Pomerado recently installed a new billing sytem and it generated bills in error.
Hope this helps
Rain
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01-19-2005, 08:52 AM
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#6 (permalink)
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TT Master
Join Date: Jun 2004 |
Location: San Diego |
Surgeon: Dr. Charles Callery <3 |
Age: 52 |
Posts: 2,783 |
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Aetna Hmo..
I had Aetna HMO for my surgery and did not receive any bills or statements. I'd call.
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Kim
On the road of life, it's not where you go, but who's by your side that makes the difference.
Wherever you go....there you are.
Wrinkles only go where the smiles have been. - Jimmy Buffett
Lap RNY 8.9.04
266/130
Start BMI 41.6
Current BMI 19.9 I'm finally NORMAL! No longer Morbidly Obese, Obese or Overweight!
Myspace: My URL
http://www.myspace.com/h2o_woman
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01-19-2005, 07:30 PM
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#7 (permalink)
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Senior Member
Join Date: Jun 2004 |
Location: Spring Valley, California (San Diego) |
Age: 63 |
Posts: 392 |
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Pomerado and their new computer system...
They've probably made a big goof.
When I went back in a few days after my surgery to have pain in my leg checked out (at Dr. Callery's direction), the triage nurse in the E.R. was learning a new computer system, and had to be coached through it at every step of the way. She obviously missed putting in my Aetna HMO number, 'cuz I've been getting bills from the hospital, the lab, and one or two other places ever since. All have been referred to my HMO and my medical group, and so far no luck getting any satisfactory response from Aetna. The bills are starting to carry threats of collection agencies and damage to my credit rating. My E.R. visit was in early October... and no end in sight so far.
All this thanks to incompetence on the part of the triage nurse and her supervisors who let her start using the new computer system before she was adequately trained on it.
Their new system didn't carry over ANY information from the older system... and I'd just had my surgery less than two weeks earlier.
Argh.
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Phil Darby / LAP RNY Dr. Callery 09/27/04........|Max:280+|Min:±155|Now:±175|
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01-19-2005, 07:50 PM
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#8 (permalink)
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Member
Join Date: Apr 2004 |
Location: Julian, CA |
Age: 50 |
Posts: 45 |
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Thanks guys and girls.....the lab claimed they didn't have my ID number!! I copied my insurance card and sent the copy back to them with their bill. Thanks for all of your advice! 
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Sue
Lap RNY 11/2/04
282/199/150
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01-19-2005, 09:09 PM
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#9 (permalink)
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TT Master
Join Date: Jun 2004 |
Surgeon: Dr. Charles Callery- my hero |
Age: 38 |
Posts: 5,513 |
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Hi Sue,
Glad it is all gonna work out for you and I am so happy to see you here on the forum. I have been thinking of you lately.
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Blueyz
Open 7/14/04 w/Dr. Callery 4 years out
239/ 103/125 below Goal fluctuating between 108-115
BMI 18.8~Dr. C is ok with my weight...yeah
Official Scale Whore # 27 (Recovered..I threw mine out!!)
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