My friend went for surgery in a hospital. The surgeon is a network doctor but the anesthesiologist is an out network doctor who was arranged by the hospital. It is impossible for my friend to select the anesthesiologist while he was lying on the operating table. The health insurance only paid the anesthesiologist allowed amounts but the anesthesiologist charged much more than the insurance allowed amounts. The out network doctor charge is not controlled by the health insurance contract price. Is there any base to argue with the health insurance or hospital? Thank you for your answer.
There are attorneys, such as myself, who work with matters like this. A medical bill is not actually a bill; it is an invitation to negotiate. But if you do nothing, it can turn into a bill.
Have your friend contact a medical bill attorney and see what they can do to help you. Sometimes I can get these bills reduced to zero.
I disclaim everything and make no represention of the applicability or accuracy of anything I said here. You are not my client; i am not your attorney. I thought about making this disclaimer as a poem and quickly decided not to do so. Robert Frost can sleep easy.
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