My experience or suggestion is...

Fraudulent Billing Information

When I submitted my insurance information for my newborn's screening test, I received a bill from ADHS saying that the patient could not be identified by the insurance as insured. I checked with my third-party administrator and found out that the claim had been accepted and was being processed. When I called your billing department to find out why that note had been added, the only response I got was that my third-party administrator "takes a long time" and that a note would be added to my account, after which I was hung up on. No mention was made of my insurance having denied the claim. I can only assume that your billing department did not receive payment within some expected period and made assumptions about the coverage. This means that note on my bill was knowingly false, as my insurance did not deny the claim, much less say that the baby was not insured. An uncharitable interpretation might be that your billing department was fraudulently trying to illicit a payment from me by presenting its own assumptions about my coverage under the guise of information obtained from the insurance company. Please consider altering your policy of presenting false (or unconfirmed) information in your billing notes, as a more accurate note, such as "no payment/response yet received from insurance" would be much more helpful to clients trying to clear up payment responsibilities. Thank you.

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    Shari shared this idea  ·   ·  Flag idea as inappropriate…  ·  Admin →

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