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Dutch88

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Posts posted by Dutch88

  1. 4 hours ago, Wuozopo said:

     

    The medical providers have not finished submitting paperwork. They made clerical errors in submitting their claims to insurance. They don't have a case to send to collections. Even if a bill auto-generates to you monthly, it is in error until they fix it. It's not yours to fix with insurance, or pay. You were correct in calling and saying "according to my insurance, I don't owe you this amount". Furthermore you should say "please take it off my account".

     

    You understand insurance more than you think because your initial posts shows that.  An example of a medical bill: 

    A doctor bills $20,000 for an appendectomy. The insurance company's agreement with the doctor is an appendectomy is worth $2000.  That means the surgeon has to take $18,000 off your bill. So all you ever have to deal with is who pays $2000. The $18k is gone and not negotiable.  So what happens to the $2000 bill?

    • If you had a high deductible that hadn't been met, then you could owe all $2,000.
    • If you had met deductible, you might still have a co-pay of 20% depending on the policy. Insurance pays the surgeon $1600 (80%) and you pay the surgeon $400 (20%).
    • If you had already paid during the calendar year your family deductible and for other procedures like your broken leg and a CT scan and Emergency Room fees, then you may have reached your "Out of Pocket Maximum" (OOP). Once you've paid that much OOP, the insurance covers everything else until a new calendar year rolls around. They would pay the surgeon $2000 and you would pay $0. (Edit to add: Don't think they can get more from you in the new year. The appendectomy happened in 2019 and doesn't reset Jan 1, even if insurance hasn't paid yet.)  

    It would seem that you either have no co-pay or have already met OOP because you insurance company says you owe $0. Believe them. If the doctor wants to come up with more codes and revise their appendectomy bill to "super complicated appendectomy" then perhaps insurance would say that procedure is worth $4000. That's how the doctor can collect more money from insurance, but not from you if you have no co-pay or have met your OOP. Let them sort it out. 

    Thank you so much! I understand it more now :)

  2. Thanks all for the replies i appreciate it. I called this morning and the doctors office is gonna resubmit the claim with the insurance. Insurance said they submitted the claim without chart notes. They also billed the wrong doctor at the hospital i found out this morning. The hospital put a different doctor than the one who delivered our baby in the bill. Doctors office said maybe thats where it went wrong they didnt know either. We will have to wait they said it can take a while. It kinda ruined my holidays the bills keep piling up it stresses me out and i lose sleep over it. Lets hope its a mistake they can fix :)

  3. 1 hour ago, little immigrant said:

    Hi since it's your deductible you are responsible for it. Anything after your deductible is met, you have a zero out of pocket. 

     

    I had two surgeries this year. I'm responsible for $5400 of that. I called them and asked to setup a payment plan. They allowed it. I'll be paying this bill for a year until paid off. It is what it is. But my second surgery was "free". 

     

    Our deductible is 1150 thats why im so surprised we got billed 6000 on top of that. It doesnt sound right. They did max out our sons deductible as well as soon as he was born.

  4. Thanks i will definitely call tomorrow just wanted to see if someone had a similar experience. Google tells me this,

     

    Quote

    A disallowed amount is simply the difference between what has been billed by the health care provider and what the insurance company has paid. These amounts are not billed to the patient; instead, they are written off by the health care provider.

  5. In october our son was born and now the bills are coming in. We have a pretty good health insurance plan via the employer of my wife. After deductible, copay etc we have 100% coverage for the delivery. We got our EOB explanation of benefits that says our member responsibility is zero and the disallowed amount is 6000. Ive been googling and i understood that in network doctors negotiate a price with the insurance and that is a set fee and cant charge a penny more than that.

     

    Friday we received a bill from the doctor asking to pay the remaining 6000 dollars within 30 days. But because he is in network that is not allowed right? Ive been worrying a lot this weekend, losing sleep over this. I cannot call until monday im looking for advice how to proceed. Im am very confused with the health care in this country its so much easier in Europe.

  6. 1 hour ago, Justarandomdude said:

    Congrats! How long did it take to get your card after the approval?

    Thanks! The approval letter i got in the mail tuesday said i was approved december 5th. But my case status online didnt update until 9th of december and said card was mailed. The informed delivery app showed tracking number on tuesday so in total it took two days to ship and a week from approval to card in hand.

  7. 5 hours ago, yna2015 said:

    Congrats! When in September did you file?

    Thank you! My case was received september 26 2018 by uscis. Didnt hear anything for months until they waived biometrics in beginning of 2019. I received biometrics appointment in june even though they initially waived it. Did the biometrics in july 2019. I am pleasantly surprised i didnt think we had a whole lot of evidence. We did send in almost 6lbs of paperwork but it was not super strong evidence. I was expecting a request for evidence or interview and preparing for it as we would have stronger evidence now to support our case. We have a baby now and an apartment etc. Glad its not needed :)

  8. I got approved today! California Service Center my case started with WAC. I am so happy and relieved. My wifes mother died and its been a really emotional and stressful week. This is such great news. Thanks everyone who helped me in this topic and forum i am so glad the journey is finally over.  No more USCIS and gathering evidence :D

     

    Goodluck to everyone still waiting! Youll get yours soon!

  9. No update yet. Case active 1 year and 1 month today according to case tracking app. WAC number California service center.

     

    I hope they will RFE before interview. I have collected a lot more evidence since filing the ROC. We have an apartment now with year lease, health insurance and we have a beautiful son now that was born two weeks ago. Im sure my evidence will support a strong case since my initial ROC evidence was pretty weak.

  10. 1 hour ago, AstroCanada said:

    There are instructions on the extension letter for making inquiries, essentially you just need to make sure your receipt number is included.  I've seen some reports of additional documentation making it to the adjudicator's file.  That being said, the RFE's are so random, that you might as well just wait. I've seen people get RFE's after sending in 5 pounds of good evidence, and people that provided almost nothing haven't even had an interview.  

    Thanks. We did send in 5lbs of evidence but it did include a lot of pictures which isnt really good evidence. I honestly rather get a RFE and load em up with another 2 or 3lbs of paperwork than have to do an interview. We will wait. Its good to be prepared in case they do 😋

  11. 1 hour ago, MD1 said:

    Any thoughts on submitting additional evidence on pending I-751 application without a RFE? We had a baby after filing and bought a home. Our attorney suggested this, but I read some forums advising against submitting additional document without an RFE

    Im in same situation. We are also expecting a kid and have apartment now. We have way more evidence now than when we filed the I751. But i think im just gonna wait until they RFE. I have no idea how i can submit evidence without an RFE letter from USCIS. Is that even possible?

  12. 11 minutes ago, Rahul_751 said:

    I live with my wife in Florida in her home(she bought it before marriage)I got conditional green card in 2017. I need to apply for removal of the condition in next few months. 
    In 2018, I got a contract job in Atlanta and I rented a room at two different places back then and came back to Florida after 7 months of the contract. In Jan this year, I  got another contract job with a different Company in Atlanta and I am renting a room again.
    I do come back home every three weeks for a few days. I do have air tickets and other docs like tax return that shows my Florida home address.
    When I fill the I-751 form in near future; do I put Florida home as my physical address on the form and then put the other addresses where I lived in Atlanta on the last page of the form with dates and put them on a cover letter too.
    Can someone please advice if this is the correct way ? I never filed AR11 change of address with uscis. As I thought those temporary addresses in Atlanta are not my primary address.
     

    Thats how i did it too. My wife was a traveler we lived somewhere else every 3 months and leased apartments. I put those on the last page of our I751 and explained in the cover letter why we moved so much. Our main address has always remained the same so we never officially changed it with USCIS. Your tax address is your main physical address.

  13. 2 hours ago, mimi84 said:

    Hi everyone!

    I filled the i-751 in Oct 2018, got the fingerprints done last week (07/03) but I still see no updates on the site. Is anybody on the same situation? 

    This entire process takes so long and I'm always afraid I did something wrong with the paperwork. 

     

    Thank you so much and good luck to all!

     

    Which website do you use the old or new one? Mine suddenly got recognised on the old website and says fingerprint review completed. Did biometrics yesterday. Before it wouldnt accept my case number kept saying invalid case number. New website was stuck at case received since end of september.

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