SI
SI
discoversearch

We've detected that you're using an ad content blocking browser plug-in or feature. Ads provide a critical source of revenue to the continued operation of Silicon Investor.  We ask that you disable ad blocking while on Silicon Investor in the best interests of our community.  If you are not using an ad blocker but are still receiving this message, make sure your browser's tracking protection is set to the 'standard' level.
Politics : American Presidential Politics and foreign affairs
 Public ReplyPrvt ReplyMark as Last ReadFilePrevious 10Next 10PreviousNext  
To: DuckTapeSunroof who wrote (70682)7/13/2014 2:48:24 PM
From: pcstel  Read Replies (1) of 71588
 
<Evidence, facts, and logic

Evidence of my own eyes (actual fraudulent billings.) All particulars confirmed when they dropped their demand for the fraudulent charges I had particularized and disputed with them. 100% (every single line-item) caved on.<

Did the bills say "Fraudulent Bill" when you received it?

Let's go down the list of Evidence, facts, and logic.

First you claim you received a Hospital Bill that showed what you BELIEVE were Fraudulent Charges.
But, you were not actually responsible for paying the charges because you "claim you had health insurance" but were simply attempting to help out your Insurance Company by ferreting out "Fraud" on their behalf.

EVIDENCE: you claim to have seen a Hospital Bill that YOU CONSIDERED Fraudulent, but you claim that were not financially responsible for payment.

FACT: You do not know the "Pre-negotiated discount schedule" provided by the Provider to the Insurance Company. The "Pre-negotiated discount" is why you go to a hospital that is in "Your Network" so that the Insurance Company receives the "discounted rate" for services provided on your behalf. The only party in this transaction that can claim "fraud/breach of contract" is the Insurer, IF the hospital charges them a rate higher than the contractual amounts agreed to. This is an issue between those two parties.

LOGIC: If you don't know the discounted-rates negotiated between your Insurer and the Network Provider, then you can not "verify fraud". Only the insurance company can claim "breech of contract" if the provider bills inflated amounts over and above the pre-negotiated amounts between the two parties.

I suspect the hospital tired of your calls, and having already been paid by the insurance company for the "fraudulent charges", they simply wrote you off as some kind of "whack job" and told you whatever you wanted to hear to keep you from pestering them every other day. LOL!! I know how they feel.

PCSTEL
Report TOU ViolationShare This Post
 Public ReplyPrvt ReplyMark as Last ReadFilePrevious 10Next 10PreviousNext  

HomeMailHotSubjectMarksPeopleMarksKeepersSettings
Terms Of UseContact UsCopyright/IP PolicyPrivacy PolicyAbout UsFAQAdvertise on SI
© 2025 Knight Sac Media.  Data provided by Twelve Data, Alpha Vantage, and CityFALCON News