okay, could you all look over a letter for me and tell me if there are any changes needed?
wrote:
What do you think?
wrote:United Healthcare:
Ambulance coverage:
On March 22, 2007 my husband (Adam ****) was involved in an automobile accident. Injuries from this accident required an ambulance transfer from the scene of the accident to ABC Municipal Hospital for x-rays. He was then transported by ambulance to XYZ Medical Center due to the severity of the injury. The ambulance transports were medically required due to the sustained injury. UHC has denied payment on the ambulance fees ($1150.50), stating it was for a non-emergency. This is not true and I would appreciate the correction and appropriate coverage to be applied.
Surgeon coverage:
When my husband (Adam Kozak) was transported to XYZ Medical Center (in-network provider), it was based on a medical emergency. Once he arrived at XYZ, he was immediately prepped for surgery. Due to this being an urgent situation, he saw the surgeon on-call, Dr. *****.
After receiving an EOB from UHC, we have come to find out that Dr. ***** is considered a non-network provider. I can understand being responsible for non-network charges for a procedure if it had been previously scheduled, but in this situation, Adam had no choice but to see the doctor that was available in the hospital upon his arrival.
Follow-up appointments with Dr. ***** were also required due to the severity of the injuries.
I would like to request that in this urgent situation, Dr. ***** be considered an in-network provider, as there was no time to request an officially listed in-network surgeon. Please apply all surgical and follow-up fees to the in-network deductible.
Ambulance coverage:
On March 22, 2007 my husband (Adam ****) was involved in an automobile accident. Injuries from this accident required an ambulance transfer from the scene of the accident to ABC Municipal Hospital for x-rays. He was then transported by ambulance to XYZ Medical Center due to the severity of the injury. The ambulance transports were medically required due to the sustained injury. UHC has denied payment on the ambulance fees ($1150.50), stating it was for a non-emergency. This is not true and I would appreciate the correction and appropriate coverage to be applied.
Surgeon coverage:
When my husband (Adam Kozak) was transported to XYZ Medical Center (in-network provider), it was based on a medical emergency. Once he arrived at XYZ, he was immediately prepped for surgery. Due to this being an urgent situation, he saw the surgeon on-call, Dr. *****.
After receiving an EOB from UHC, we have come to find out that Dr. ***** is considered a non-network provider. I can understand being responsible for non-network charges for a procedure if it had been previously scheduled, but in this situation, Adam had no choice but to see the doctor that was available in the hospital upon his arrival.
Follow-up appointments with Dr. ***** were also required due to the severity of the injuries.
I would like to request that in this urgent situation, Dr. ***** be considered an in-network provider, as there was no time to request an officially listed in-network surgeon. Please apply all surgical and follow-up fees to the in-network deductible.
What do you think?