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Politics : American Presidential Politics and foreign affairs

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To: DuckTapeSunroof who wrote (70599)	7/2/2014 4:33:39 PM
From: pcstel	1 Recommendation Read Replies (1) of 71588

>Yeah... but my insurance company was so nice to me that I thought I would do them a 'solid' when they asked for any evidence of fraud to be reported to them. So I helped them out....< LOL! That was awfully nice of you.. However, since it appears you don't understand (i.e. Low Information) how insurance and their providers work. Perhaps I can help you out. These insurers and their providers have "pre-negotiated" prices on most things, like Cotton Swabs. This is very important for the survival of insurance companies so they can control costs. So while you may see a bill with a $50 Cotton Swab. The Insurance Company has a "contractual agreement" for how much they will pay for a Cotton Swab with that Provider. The Insurance Companies have rooms full of "cost control" auditors to make sure that the prices that have been pre-negotiated between the insurer and the provider are held to the "contractual agreements". if the insurer has "contractually agreed to pay $50 for a Cotton Swab", then that is not fraud, even though you may think it is fraud. In your case, by you contacting the health provider directly and claiming "fraud" for a bill that you are not responsible for paying. I am sure that after several phone calls you became a sort of "freak" to the billing department at the hospital. You know.. "Hey everyone.. Mr. $50 Cotton Swab Wacko is calling again".. LOL!!.. YeeHa!! Put him on Speaker Phone so we can all listen to him rant on".. LOL!! At some point I am sure the supervisor simply advised the people in the Accounts Receivable Dept. to issue you a revised bill and had them mail it to you to keep you from calling back! LOL!!! "OK.. Here's a new bill with $1 Cotton Swabs Mr. Wacko! Hope you feel better now". In reality, the hospital continued to bill the insurance company at the "contractual agreed price. They probably still laugh about your "Fraud calls" on their lunch breaks.. LOL!!! Uhhh! The Cotton Swab Mothership is calling on Line 3 Mr. Wacko"... LOL!! Welcome to the Democratic Party... And so it goes, PCSTEL

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