Tuesday, April 17, 2012

Paper exchange, part 2


Got answer:

Dear Mr. *************

In response to your email date April 7, 2012, please see the attached statement for your review (a hard copy of this letter and statement was mailed to you today). We have previously provided you with the UB04, itemized statement, and Conditions of Admission.

During emergency visits, we are unable to anticipate the cost of providing care in advance. Please contact me at ****  or **************** if you believe that you will need assistance in paying your bill, as we have many ways to our patients through our Payment Assistance Program.

It is our pleasure to assist you and thank you for choosing ********** Medical Center for your healthcare needs. 

As a reminder, I asked her two simple questions:

1) Why didn't they tell me how much procedures cost?
2) Is she considering the "financial agreement" a blank check?

She gave a non-responsive answer on question #1, because "Emergency Visit" is a word game. What it looks like she is saying is: "it was an emergency situation, we had to move so fast, we simply didn't have time to tell you about cost". But she does not say this, because it is plain not true. We sat in different holding areas for hours, there was plenty of time to get me informed. So, what that really means is "we are not going to tell you when you come to ER". There is no excuse for latter, unless you wrap it into right wording.

She also completely skipped question #2, and here's why: if she says that they are only charging reasonable prices for their services, she will have to lower down their demands to a reasonable level. If she says, no, there is no limit, that would be insane, she essentially renders the contract void.

So, all I need at this time is to ask for clarification, and not accept non-responsive answer. Here's my reply:

Dear Ms ***:

This is in response to your electronic letter from 16 Apr 2012.

1. Your reply is not clear to me. You wrote "During emergency visits, we are unable to anticipate the cost of providing care in advance". Were you trying to say that the services had to be provided so fast, and the situation was so volatile, that you did not have a chance to communicate the pricing information? Or, are you saying that it is your policy to withhold pricing information from anyone visiting your emergency room?

2. Please, answer the following question, yes or no: do you interpret the finance agreement, as an authorization to bill me any amount, without limit, and amount is solely at your discretion?


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