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Reimbursement Received

April 19th, 2013 at 01:22 pm

About a month ago DS2 had an EEG and an office visit with his neurologist. You may remember that we didn't have a prior authorization from his doctor for the visit, and thus couldn't get approval from our insurance company for the procedure, so we paid with a credit card.

The reimbursement check arrived yesterday. The original estimate was that we would get the check within the week. And I called two or three additional times, and each time, the person on the other end assured me that the check would be on its way shortly. I called back again this Tuesday, and the person said that they couldn't pay me until after they had received payment from the insurance company. Also, our son is on Medicaid since he was adopted out of foster care. Medicaid acts as his secondary insurance.

I'm pretty sure that what happened is that our insurance company reimbursed relatively quickly, but they didn't cover a $90 deductible on the EEG and a $20 copay on the office visit, and Medicaid was billed for the balance.

I can understand that the neurologist office wouldn't want to reimburse until after they were paid. I can also understand that these things take a while. In fact, I'm kind of surprised that Medicaid reimbursed within a month. What bothers me is that the people at the neurologist clinic kept telling me that the check would be on its way shortly. But, we have the $705 reimbursement check now, and all is well.

On a related note, I had talked about how the EEG was inconclusive, so we were taking DS2 to get an MRI and some blood work. Turns out that the MRI and blood work didn't answer anything either. So, we still don't know what caused the stroke like symptoms, other than it wasn't a stroke, it wasn't a seizure, and his mitochondria work just fine.

2 Responses to “Reimbursement Received”

  1. creditcardfree Says:
    1366390277

    It sure would have been helpful for the office to simply say they were waiting for payment before refunding the money. How hard is that? Glad you have your money back!

  2. Jane Says:
    1366480891

    So much of medicine is just ruling out the worst things, not actually knowing for sure what DID happen. It can be very frustrating.

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