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OT: Question for the physicians out there

eric2015

All-Hannah
Gold Member
Feb 11, 2002
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When I read my United Healthcare statements, there is a breakdown for the cost of service; what is billed and and what UHC plays. Over the years, I consistenly see my doctors billing about 3x what they get paid by UHC. It's not 10% or 20% more, it's always 300% more (+ or - a few $$), regardless of the doctor or the procedure. In every case, I'm never billed over and beyond what UHC pays (outside of my deductables), so it's not a big deal to me, but I'm curious, what game is being played here? If by saying you should have been paid $2400 for my colonoscopy but only received $800, does the $1600 becomes a "loss". Do you guys just throw a big number at the insurance companies and see if it sticks? Is it something else?

There's got to be a reason for your billing methods. Just curious as to what it is?

I've tried researching question with no luck. Thus the reason for asking the question here.
 
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