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Old 05-10-2018, 04:54 PM #1
winic1 winic1 is offline
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Join Date: Feb 2011
Posts: 295
10 yr Member
winic1 winic1 is offline
Member
 
Join Date: Feb 2011
Posts: 295
10 yr Member
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Why do they fight so hard, over less than $24? They spent way more than that in all the administrative costs of fighting it.

And, it gets worse. Same envelope, EOB for horse's backside at Yale who stood there while his resident ran the EMG, the plain ol' ordinary EMG, not an SFEMG, and absolutely REFUSED to answer any questions or even offer advice on whether this was the end of the road for me with him, or if there was further avenues to pursue. Somehow, they charged for four separate items, and got paid $4,000 for it. They ran one test. Maybe the analyzed one test. How they came up with four large charges (totalling $5,000, but the insurance knocked it down to $4k) from running ONE test, I don't know. Might call their billing and ask for an itemized bill, to see if they charged for things they didn't run (wouldn't put it past him). Might not. Never going back there, anyway (there is so much more to it, that I didn't write out in the other posts, you just have to trust me. And my husband was there as witness and participant, so I know it's not just me/my perception, we are two very different people, so if we both see something the same way, that is how it was.)

Insurance refuses the LRP4 test based on CPT code. Have not begun the fight to get that one approved, don't have the strength, yet. Plus, I don't have a doctor for it, not using the Yale moron again, and my regular neurologist has never even heard of it, nor did she have any interest in finding out about it.

When I settle my insurance fight over my glaucoma surgery (they'd rather I go blind. Much cheaper for them that way.), then maybe I'll get into the LRP4 battle, and finding a new doctor to try.

Anyone know of a good place in New York City, or that area? Stamford Connecticut would be closer. New Jersey, farther.

Mostly, I give up. My ophthalmologist says he can prescribe the pyridostigmine now that others have, if they decide to stop. But he's 60 years old, so that will have a limited lifetime to it....
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