After nearly six damn months, I think I finally, finally beat an insurance/hospital bill into submission. I need to verify the hospital shows it as paid, but it's coming through on my side as reprocessed. What was going to be a four figure denied claim out of my pocket.........and not be applied to my deductible OR out of pocket max appears to now be reduced to $67 (was expecting $200) and covered as it should have been. TAKE THAT, INSURANCE!
I spent so much damn time trying to fight that. And it turns out it was some type of system error that it was denied to start with. It should have immediately gone to a review to see if it met the requirements for coverage (it did) but was instead auto-denied. Which meant every time I tried to get someone to review/escalate it, they would send it through the system which then continued to auto-deny because idiocy. Finally, someone in late May noticed that it was done incorrectly from the start and got it on the right path.
The hospital was about to send the bill to collections because even though I've spent my share of time on the phone with them as well, no one can properly document and follow through on ****. I was like do it, I dare you. My credit can take the hit. I knew if I paid the full amount, I'd never, ever see a refund. God, this is so satisfying.