Hospital not submitting claims to insurance company
Not sure if this is the right place but I don’t know a better one. State is Florida.
A little over a year ago my wife gave birth to our son. We received many bills ranging from $20,000 (pre insurance) to finally receiving our final bill, 11 months after his birth, totaling $4,500. My wife had United healthcare through her employer, and I had GEHA (secondary insurance for her) through mine. It took multiple calls to get the hospital to add and charge the secondary insurance. GEHA covers childbirth 100% so after receiving the final bill I was confused. The hospital continues to tell me all insurance has been charged and the 4.5k is what we owe. GEHA told me they haven’t received any claims from my wife’s OB provider. GEHA did a three-way phone call between me and the billing department a couple weeks ago, and while I know it can take 30-60 days, I’m just trying to figure out my next steps, assuming this doesn’t work, to escalate this and get the appropriate claims to my insurances company.
What could be my next steps? Does anyone know how to reach a billing/hospital customer service supervisor or a different department in general to try to get someone to actually do what they say they are doing and get this sorted? I’ve made about 10 phone calls to the hospital and it feels like they’re straight up lying to me, due to the fact they tell me they’re doing something, then a couple months later I’m realizing it was never actually completed. I know this is more hospital related than insurance, as GEHA customer service has actually been great, but I’m hoping you guys have some experience with something like this.
submitted by /u/big-daddy-baller
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