Hipaa Insurance
hipaa insurance
Emergency physician can’t look at my insurance information because of HIPAA?
I live in Florida and went to an emergency room 2 years ago. One year later, I found out that I had a $473 bill from the physician that should have been billed to my insurance (since the four thousand dollar bill was all taken care of by the insurance). I had them forward it on to my insurance and thought it was all taken care of. Now, I see it’s on my credit report. I called the collection agency and they said that due to HIPAA, the doctor cannot look at my insurance information to bill me. If this is even true, then shouldn’t it be procedure to have me sign a separate form or send me something in the mail asking me for my info instead of just surprising me with a bill one year in the future? My insurance will not even pay for it since it is after their 180 day limit. The worst is, I work for the hospital, have hospital insurance, and I’m STILL having this problem. So tell me, is the emergency doctor able to get my insurance when he’s treating me at the hospital?
This is just sloppy billing procedures.
HIPAA rules are designed to make sure that patient information remains confidential, not to keep it from health care providers or service personnel.
Doctors, especially doctors working at institutions, don’t do the billing. Service personnel do this and if they don’t code everything just right (and it changes by insurance provider), the providers either don’t pay or don’t pay the full amount. Hospitals often just send the non-paid portions directly to collection agencies instead of trying to fix the errors.
Only the most serious emergencies make it past the emergency room lobby without someone collecting insurance information. The hospital wants to know that someone is going to pay.
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