Last week I e-mailed the folks at NAMC's customer service department. I asked who I would need to contact to file a formal complaint against the hospital's billing department. It took awhile, in fact I thought they were blowing me off, but I received a message from someone over the weekend. I gathered ALL of my info, the pages and pages of documentation and correspondence, and called this woman. I was so ready to just totally go off, not on her mind you, but I was fully prepared to file a formal complaint with this person. Well, she must have figured I would get in touch with her as she had all of my info at her disposal and before I could even get my main complaint out, she interrupted me, said she had reviewed my case and then (almost like out of a Harry Potter book) she waved her magic wand and told me that my account had a $0 balance! What the hell?!? Not that I wasn't thrilled, but where the hell was this person 9 months ago? She stated she would send me a receipt stating my account was "Paid in Full" and also send her card, in case there is any more issue, which she assured there wouldn't be, but just in case, I am to contact her first.
So, I am thrilled that this battle may actually be over (not holding my breath, but you know). However, it was pretty unsatisfying for me as I had ALOT to vent and I didn't get the opportunity. It was like she fixed the problem and quickly swept me away under the rug, as not to be seen by anyone else. That's fine, I suppose I'll store up all that aggression and use it when I make my report to the Better Business Bureau!
Showing posts with label insurance. Show all posts
Showing posts with label insurance. Show all posts
Wednesday, August 08, 2007
Monday, July 30, 2007
Figures...
I'll spare you the lengthy post on the incompetence of North Austin Medical. Let's just say that nothing is resolved, I am closer to getting an attorney on waiver and I am looking into filing a formal grievance with the hospital and with the Better Business Bureau. Will it help me plight? Probably not, but I figure SOMEONE should know how dissatisfied I am (well, besides all you nice people) and how incompetent NAMC's system is. I am halfway considering calling "7 On Your Side"! Slap 'em on the 5 o 'clock news, maybe that will start a little fire under them to get them motivated to actually follow through with the "review" they promised. What a total bunch of ASSHOLES!
Psyching myself up.
I'm sitting here, steeping my tea, trying to get myself psyched up enough to call the damn hospital and see what their "review" has done for me. I have to admit, I am so scared, I don't really know how to handle it. I have a friend, who is an attorney, backing me up. So far, she isn't charging me, but then again, I haven't used that trump card yet. I would really like this to resolve without taking them to court. But I am beginning to wonder if that will be the only way! The insurance company is backing me, which is odd, but good I suppose. They time and time again sat through lengthy 3-way conversations with these assholes at North Austin Medical. But I just don't see a resolution in sight. I am HOPING with all my heart that they have figured this out. I REFUSE to pay that extra $450. It's not fair! I figure they assume I would never waste my time or money taking them to small claims over $450, but I just might. Once again, it's the sheer principle. These big companies abuse the little person and nickel and dime them because they CAN!!! They figure most people won't fight, won't take the time or the effort to take them to court. But I think everyone needs to start holding the hospitals and the insurance companies to higher standards! Anyway, this rant may continue later, or who knows, you may not hear from me for days as I might be passed out do to sheer surprise! Keep your fingers crossed for me that I don't have to throw down the lawyer card!
Wednesday, July 11, 2007
Too good to be true!
Seems as though my mega-happy dance and celebration over the resolution of my woes with NAMC were a bit premature. The receipt they promised to send stating "PAID IN FULL" arrived, however, it showed I paid my $34 yet I still have a balance of $455! And people wonder why, in this day and age, people freak out and go totally postal! I have wasted countless hours over the last year arguing with these assholes and I finally think things are finished, kaput, finito, but NOOOOOO!
I tell you what though, this mild-mannered, suburban mother is about to become a full-blown, raging, ass-kicking bitch with these people! I called them this morning and they are giving me some bullshit about how BCBS paid $550 then turned around months later and recuped that payment, so therefore NAMC is recuping their contractual adjustment of $455. OK, whatever, I still don't see how that affects my bottom line in the least. If the initial bill (and mind you, I have a fully itemized bill FROM THEM) was $1596 (which is what they billed the insurance) and the insurance subsequently paid approximately $1437, leaving a balance of $159 that was my responsibility and I made $125 payment in Jan. and then a $34 payment last week, how the hell can they say I owe them any more money?!?!? I swear, if I didn't think most attorneys were as bloodsucking as the hospitals, I would be contacting and attorney to deal with this shit. But that's all I need is to have money conflicts with a goddamn lawyer! The lady at NAMC said she would send out a work order, so they can "review" my situation and I should call back in 7 days. I am halfway tempted to drive my ass to San Antonio and show up in person in 7 days and not leave until they hand me a freakin' receipt! Can you picture this? Me standing in their offices with a handful of paperwork and call logs (you damn right, I have made notes and written down the name of every person I've spoken to over the last year!), a manic 5 y.o. running around and a crying, crabby baby on my hip, tapping my foot and giving the evil eye waiting for them to provide me with a resolution to this issue. You think they'd deal with me or just call security?
What happened to the days of customer service and ethics? Long gone I suppose, it's every person for themselves. But this little girl ain't backin' down. I'm in it for the long haul!
I tell you what though, this mild-mannered, suburban mother is about to become a full-blown, raging, ass-kicking bitch with these people! I called them this morning and they are giving me some bullshit about how BCBS paid $550 then turned around months later and recuped that payment, so therefore NAMC is recuping their contractual adjustment of $455. OK, whatever, I still don't see how that affects my bottom line in the least. If the initial bill (and mind you, I have a fully itemized bill FROM THEM) was $1596 (which is what they billed the insurance) and the insurance subsequently paid approximately $1437, leaving a balance of $159 that was my responsibility and I made $125 payment in Jan. and then a $34 payment last week, how the hell can they say I owe them any more money?!?!? I swear, if I didn't think most attorneys were as bloodsucking as the hospitals, I would be contacting and attorney to deal with this shit. But that's all I need is to have money conflicts with a goddamn lawyer! The lady at NAMC said she would send out a work order, so they can "review" my situation and I should call back in 7 days. I am halfway tempted to drive my ass to San Antonio and show up in person in 7 days and not leave until they hand me a freakin' receipt! Can you picture this? Me standing in their offices with a handful of paperwork and call logs (you damn right, I have made notes and written down the name of every person I've spoken to over the last year!), a manic 5 y.o. running around and a crying, crabby baby on my hip, tapping my foot and giving the evil eye waiting for them to provide me with a resolution to this issue. You think they'd deal with me or just call security?
What happened to the days of customer service and ethics? Long gone I suppose, it's every person for themselves. But this little girl ain't backin' down. I'm in it for the long haul!
Thursday, July 05, 2007
Glory, glory hallelujah
This started out to be one of my more piss poor days. Cranky baby, dirty house, broken microwave handle (what the hell is up with that, flimsy piece of crap!), not to mention just a general case of the doldrums. Maybe it's all the rain, you would think after living 4 years in Oregon, rain would pose no problems, but it is the sheer amount that killin' me! In Oregon it's usually a gentle mist, not pouring cats and dogs! Anyway... I digress.
I went out to run a few errands, got new bathroom stuff for the kiddos, that made me a little happier as I got to pick out bright orange, blue and lime green towels. I mean really, can you get a color scheme much cheerier? I think not. But alas, the littlest munchkin got tired and wanted to come home for a nap, however I did stop to get my mail on the way. In amongst various pieces of shit mail, there was an ominous something from Blue Cross Blue Shield (the insurance company I had when I gave birth to my daughter in June 2006). I did NOT want to open it as I have been fighting with them and NAMC for, well a YEAR, over expenses accrued due to infant care. It has been a nightmare! NAMC filing and claiming that BCBS denied, calling BCBS and asking "what the hell?" and them saying they never received a claim for said amount, then getting nasty calls from NAMC's national office that handles collections. Those guys are a serious bunch of assholes and they are lucky they are located in freakin' Minnesota or somewhere up north, cause if they were within driving distance, one or two of them would have needed to have my foot removed from their asses! I just don't understand why they had to be so stinkin' mean! I was doing everything I could to resolve things... well short of paying for something that wasn't my responsibility! So for over a year, calls to and from BCBS and NAMC, being told by the hospital I owed, being told by the insurance I didn't. No wonder I ended up in the ER in February with chest pain!
Anyway, with fear and dread, I opened the letter, and much to my surprise and subsequent breakdown into a gushing, bawling mess, someone FINALLY got it right, billed it properly and my insurance paid what THEY owed. Leaving me with a balance of $159 of which I had already made a payment (to avoid going to collections 6 mos. ago) of $125, henceforth a remainder of $34 was due. I called NAMC rattled off my account number to verify that all this stuff was true and they said "yes", I posted my payment of $34, insisted on a receipt stating "PAID IN FULL" which they will mail tomorrow and my day has now become the 4 best day of my life!!! And if NAMC thinks I will EVER go to them for my medical needs, they are sadly mistaken. They can absolutely kiss my lilly-white ASS!
I went out to run a few errands, got new bathroom stuff for the kiddos, that made me a little happier as I got to pick out bright orange, blue and lime green towels. I mean really, can you get a color scheme much cheerier? I think not. But alas, the littlest munchkin got tired and wanted to come home for a nap, however I did stop to get my mail on the way. In amongst various pieces of shit mail, there was an ominous something from Blue Cross Blue Shield (the insurance company I had when I gave birth to my daughter in June 2006). I did NOT want to open it as I have been fighting with them and NAMC for, well a YEAR, over expenses accrued due to infant care. It has been a nightmare! NAMC filing and claiming that BCBS denied, calling BCBS and asking "what the hell?" and them saying they never received a claim for said amount, then getting nasty calls from NAMC's national office that handles collections. Those guys are a serious bunch of assholes and they are lucky they are located in freakin' Minnesota or somewhere up north, cause if they were within driving distance, one or two of them would have needed to have my foot removed from their asses! I just don't understand why they had to be so stinkin' mean! I was doing everything I could to resolve things... well short of paying for something that wasn't my responsibility! So for over a year, calls to and from BCBS and NAMC, being told by the hospital I owed, being told by the insurance I didn't. No wonder I ended up in the ER in February with chest pain!
Anyway, with fear and dread, I opened the letter, and much to my surprise and subsequent breakdown into a gushing, bawling mess, someone FINALLY got it right, billed it properly and my insurance paid what THEY owed. Leaving me with a balance of $159 of which I had already made a payment (to avoid going to collections 6 mos. ago) of $125, henceforth a remainder of $34 was due. I called NAMC rattled off my account number to verify that all this stuff was true and they said "yes", I posted my payment of $34, insisted on a receipt stating "PAID IN FULL" which they will mail tomorrow and my day has now become the 4 best day of my life!!! And if NAMC thinks I will EVER go to them for my medical needs, they are sadly mistaken. They can absolutely kiss my lilly-white ASS!
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