UMR: Just received a bill for $5k from a hospital visit back in Sept 2023 because insurance requested refund
Hello,
I’m from Nevada. I have UMR under my dad’s employment. Our plan covers emergency room visits for $300 copay. At the time, we had already met our deductible for the year. I went to the hospital for a pretty bad car accident I was in (September 2023) and all they did was an MRI. I never got a bed and sat in the waiting room for 6 hours. I did my MRI and eventually got called back and sat on a chair near the entrance of the hospital ward and was told my results. That was about it.
My initial bill was around $12.9k. As I said previously, my insurance allegedly covers everything aside from the $300 copay, which I paid back in March when they initially billed me.
I ended up suing the guy who crashed into me because my car was totaled and received a settlement of $25k. Over $12k went towards my pt, hospital bill, etc. My lawyer and I both received ~$7.3k. My lawyer explained that $5k would be going directly to my insurance and the other ~$7k would go to other PCPs and something else I don’t remember.
Well, fast forward to Monday (8/26/24). I receive a bill in the mail from said hospital for $5k. I called the billing department and they said that my insurance has requested a $5k refund. I’m not sure what my options are. I’m trying to reach my insurance but they have been passing me around in circles. I tried reaching my previous lawyer to no avail.
I only gave until tomorrow (8/30) to pay in full or request a payment plan.
Also, this is what my hospital bill stated just in case it helps:
Date(s) of Service: 09/25/2023 Account Number: [XXXXX] Due Date: 08/31/2024 The following describes charge and payment activity for services rendered at [Hospital]. Summary of Charges and Payment Activity PREVIOUS BALANCE
03/05/24: VISA CARD PAYMENT: -$300
05/24/24: UNITED HEALTHCARE J08 UNITED HLTHCR: -$5000
05/24/24: UNITED HEALTHCARE J08 UNITED HLTHCR: $5,623
05/24/24: UNITED HEALTHCARE J08 UNITED HLTHCR: -$623
08/15/24: J08 UNITED HLTHCR: $5,000
Total Account Balance: $5,000
Any help is appreciated. Thank you!
