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June 29, 2008

this week at work i received my first floral delivery ever, and it was gorgeous! the flowers were from a patient who had surgery late last year, it was a special case and included a doctor from yale university. insurance companies being as they are, had told me that the yale doc would be paid as “in network” at 80%, but when payment was made for the surgery they paid as “out of network” at 60% after a $500 deductible (which is crap). the insurance company then tried to argue that the surgery was “elective” and “not medically necessary” acting like they had done the patient a favor by paying at all.

apperently i made such a huff and fuss that the insurance company not only reprocessed the claim as “in network” for the higher payment, but paid the claim at 100% with no payment due from the patient. i don’t know how they did this . . . it must have been a mistake, because no amount of huff and puff to an insurance company will ever result in a higher than contracted payment.ย  (yes, i am bitter)

anyway, the patient has given me credit for this fluke and gave me the most beautiful bouquet of flowers ever. i have a picture i took with my cell, i’ll have to post it later.

4 Comments leave one →
  1. June 29, 2008 2:44 pm

    Aaaahhhh…that’s sweet ๐Ÿ™‚ Fluke or no fluke, you deserve it.

  2. June 29, 2008 2:53 pm

    Awesome. I always appreciate a victory over the insurance company!

  3. June 29, 2008 3:02 pm

    you TOTALLY deserve flowers for this! That’s awesome!!! Wish I could get my insurance to do this… (or, you know, have some awesome person do it for me ๐Ÿ˜‰

  4. Abbey permalink
    June 30, 2008 6:14 pm

    Think of the flowers as appreciation for all the other crap that you do that no bothers to acknowledge.

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