denied hospital bed from insurance co. they waited for me to get medicare.medicare told me this was an unethical practice and fraudulent act and that i should sue. sue 4 interferring with quality of life. pain and suffering and also endangering my health. they do this and get away with it cause no one ever acts on this type of case.medicare adviced me to do something about it and so i am going to try.can anyone out there help me in this situation?i have two cases of merit and cant get results so now i am appealing to all out there help me. i would appreciate any advise .anyone can give.thanks.take care chow 4 now.again thanks.

patient billing

I’ve worked in insurance & the medical field & the fraud that goes on is a huge cause of high ins costs. More should be done to crack down on the people & institutions committing the fraud.

In the hospital I worked at, during a surgery case you maybe used two strips of elastoplast to hold a dressing on. The patient is charged for the whole role. This was also the case with regular tape.

My friend had a C-section & had to pay it all for lack of ins. She went over the bill & got $700 taken off it. They had charged her for a certain medication 3 x a day & she only took 2 pills. They charged her for sitz baths for her episiotomy, which she never had because she had a c-section. She found a few other discrepancies also. If you don’t see your bill, your ins co may be being charged for things you didn’t even receive.

I switched employers last year and when doing so kept my health insurance with ex-employer threw the cobra rights. well a month after leaving the company they switched health insurance carriers to National Alliance somthing this compnay is a total crock. I had a baby during the time of coverage with them and they have paid NOTHING they hae given me the run around saying one thing and doing another even the benefits package and paper work i have gives the run around. one page says one thing and the next page condradicts everything on the prior page… and on top of that i got a letter from SDS, LLC. saying they needed me to call ASAP about my health coverage (my coverage ended wtih them in Dec) i called and was transfered to a full mail box so i looked them up online found a page about them being linked to National Alliance insurance and how they are a fraud… what do i do next, get a lawyer i spent alot of money to keep that insurance and now i am paying alot of hospital bills because
I am being considered un insured sicne they are not paying a dime for anything.

We were paying for health insurance (blue cross & blue shield CareFirst PPO) through my husband’s job every two weeks for over a year until he quit on August 26th. But every time he or my son went to the doctor, they were coming back as ineligible. Upon calling the insurance company, I found out that no one on our policy had been eligible since March of 2008! This is also the time that his company went through an HR problem where they had no HR dept. at all for quite a few months. The lady at the insurance company said that someone from his job had gone in and adjusted our policy on September 3rd so that it shows no lapse in coverage. There should BE no policy; my husband quit on August 26th. The lady also said the policy is still active and covering our family. If someone went in and adjusted the policy, why didn’t they put the termination in?? We would like to get back the money paid into this since March, which is about $1200.00. The lady from the insurance company said that since the adjustment was made, all the denied claims will be paid. We would rather have the money and pay the bills off a little at a time, since the reason he quit is that we got evicted because the company cut everyone’s hours so badly and we have NO money. Is there a scenario where we can still get the money and was this legal of them in the first place?

physician billing

The company I work for supplies health insurance they pay for mine. I pay $100.00/week for my wife. I just found out from my insurance co. it was canceled Aug. 31 [lack of payment] The company I work for never told me. Is this fraud?

hospital management system

Can someone become a State Licensed Nurse (Texas), after they have filed “fraudulent” insurance claims? No conviction for Insurance Fraud, but they have been identified by the insurance company as being “ineligible” on the policy for coverage of the procedures the insurance company paid for.

NOTE: This person also conspired with a local Doctor to have her child’s medical condition proclaimed a “medical emergency” so he could be admitted and treated for a condition he has had since birth (4 years)! The insurance company was subsequently billed more than $17,000.00 for the treatment!

medical insurance billing