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Politics : Sioux Nation -- Ignore unavailable to you. Want to Upgrade?


To: 10K a day who wrote (48626)11/14/2005 1:03:30 PM
From: ThirdEye  Respond to of 361303
 
Much better. Now we got some meat.

1. First of all this is a rare occurrence. But your problem seems to be that HIPAA prevents the carriers from communicating. This is hogwash. All the provider needs to do is have the patient sign a waiver so that the carriers can communicate. This is so routine I imagine we are not talking about your personal medical practice here.

2. Carriers routinely communicate all payments on claims to the provider. HIPAA doesn't prevent that and there's no way for a carrier to hide behind HIPAA to avoid disclosing that information. I don't know where you're getting your information. To say it can't be pursued in small claims court is also ridiculous since all the provider has to do is attempt recovery of the full amount that was billed.

If these problems were widespread, several things would happen. The state professional associations would be lobbying for legislation and the state insurance commissions would be inundated with complaints re fraud. It might take some time for policies to clarify conflicts, but you are hyperventilating and appear ready to throwing the baby out with the bathwater. The benefits of HIPAA far outweigh any of the issues you are raising.