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Politics : American Presidential Politics and foreign affairs -- Ignore unavailable to you. Want to Upgrade?

To: DuckTapeSunroof who wrote (70599)	7/2/2014 4:33:39 PM
From: pcstel	1 Recommendation Recommended By i-node Read Replies (1) \| Respond to 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

To: DuckTapeSunroof who wrote (70599)	7/2/2014 7:29:40 PM
From: pcstel	Read Replies (1) \| Respond to of 71588

I got this debt collector that sends me an Invoice, with obscene penalties and interest charges from a Telephone Account I cancelled, (I have a recording of the Cancellation Order with the ATT Operator), yet ATT still billed me for six months of continued service AFTER I cancelled. Now I am sure you would call that fraudulent activity. Now, I was going to pass this on to my lawyer to iron out, but, I thought since it appears you have nothing else to do in life than spend weeks/months helping out your insurance company with the billing of Cotton Swabs, then you would have plenty of time to heckle down this collection agency for me... Thanks in advance. PCSGTEL

To: DuckTapeSunroof who wrote (70599)	7/3/2014 10:44:29 AM
From: pcstel	Read Replies (1) \| Respond to 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....< So in other words.. You made up this story about being charged $50 for Cotton Swabs on a hospital bill.. Then when someone questioned why I would be looking at a hospital bill, when your insurance company receives the bill, inferring that you, like so many Liberals, didn't actually have health insurance, until at least you got your health insurance premiums mostly paid by other people who actually work. Finding yourself cornered by your own statements, you then extend yourself even further, and claim that your insurance "was so nice to you" that you thought you would do them a favor, and fret out billing fraud on a hospital bill you should have never really seen?? Now, I don't know about anyone else.. But, my idea of my insurance company being "nice to me" would them processing the claim presented by the hospital or other medical provider, paying the claim and sending me a letter stating that my financial obligations had been settled. End of story. This guy is so enamored with his "insurance company" that he spent two year, dozens of certified letters, and the threat of "legal action" so that he could save his insurance company a couple thousand dollars!! LOL!! Yeap!! Another one of those "Critical Thinkers" here folks. PCSTEL