Re: Negotiated fee rate
- From: "george conklin" <george@xxxxxxx>
- Date: Fri, 26 Aug 2005 00:39:11 GMT
"Steve P" <perilmung@xxxxxxxxxxxxxx> wrote in message
news:FRnPe.260$4P5.69@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
>I have a bill for foot surgery that my HMO(BlueCross) paid the major
>portion. Whats left over is the difference between what they paid and the
>negotiated fee rate.
>
> Blue Cross won't give me a list of NFRates, and the hospital says they
> don't have it. Are they hiding the relatively low rates from the
> uninsured? Do I have to pay a bill without the evidence of the
> calculations used?
>
> I assume it should be my right to see this list.
>
It is secret. What Blue Cross pays is a secret amount, but they bill you
20% of the billed amount. Thus you may end up paying 50%, but they tell you
it is 20%. It is a well-known lie with BCBS.
.
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