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Old 05-15-2012, 11:32 AM   #1
 
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Default Med/dental insurance co's. are you kidding me?

The things they do to avoid reimbursement are so absurd I would be ROFL if I weren't so pissed. The med. insu. co. told me I had 2 operations to remove my thyroid and parathyroids. NO - it was all done at once. I think I would know if I had 2 separate operations you dingbats. 2 years and countless letters from me and drs. later, they never paid up for the parathyroid part. I gave up - couldn't stand the aggro. I got some $ for the thyroid part of the operation - none for the paras.

The dental insurance co. insists they need x-rays for my dental work. I have had 4 operations (brain, thyroid, throat) for tumors resulting from radiation I had as a child. Further x-rays are strictly contraindicated. I'm still fighting this one. If I were a psychoath (another thread) I'd bomb these places. Thieves. Criminals. I hope the people who are denying us reimbursement get leprosy and rot. slooowwwly.

Hope I didn't upset anyone with my diatribe but ha ha it felt good to vent!
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Old 05-15-2012, 11:40 AM   #2
 
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I work in a hospital in medical coding, and part of my job is dealing with the stuff insurance companies try to get out of paying. I know exactly how much of a headache it is. One of my favorite parts of ACA is the requirement that an increased portion of collected premiums be spent on actual patient care (I don't remember the exact number ATM, but I believe it was a minimum of 85%).

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Old 05-15-2012, 12:00 PM   #3
 
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The Bureau of Workers Comp are the ishiest, shiestiet people on earth! talk about a racquet and some very transparent, unethical avoidance tactics!
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Old 05-15-2012, 06:04 PM   #4
 
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Spiderlashes, I feel for you. I'll bet we have had similar experiences.

Corinna777, what is ACA? BTW, if I were younger, I would have taken up med. coding. I've always thought it sounded interesting (but maybe it's dull as dirt!) Do you like it?
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Best 1st day method: Super Soaker
Conditioners: Curl Junkie Beauticurls Strengthening Conditioner,
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Stylers: Experimenting with cones & sulfates while the dews are high. Sometimes try roller sets - classic glamor but I prefer my curls.
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Old 05-15-2012, 07:23 PM   #5
 
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ACA is the Affordable Care Act
also known as PPACA, the Patient Protection and Affordable Care Act.

Also known as Obamacare.
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Old 05-15-2012, 08:15 PM   #6
 
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Quote:
Originally Posted by curlypearl View Post
Spiderlashes, I feel for you. I'll bet we have had similar experiences.

Corinna777, what is ACA? BTW, if I were younger, I would have taken up med. coding. I've always thought it sounded interesting (but maybe it's dull as dirt!) Do you like it?

I fell into it just about 10 years ago. I'm a manager now, with a primary focus on audits and coder education. I'm not sure I could sit and actually code charts for 40 hours a week anymore, but that could just be because I've spent so much time looking at all of the other stuff.

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3a/f/iii Before the chop- Donated to Locks of Love, January 2013
Modified CG since 11/5/11
CO-WASH: VO5 Vanilla Mint Tea Clarifying, DevaCare No-Poo
CLARIFY: CHS Treatment Shampoo (used prior to PT/DT)
RO: DevaCare One Condition, Regis Olive Oil
LI: Cure Care, As I Am Leave-In
STYLE: Re:Coil, Curl Keeper, Biotera Gel, Deva Ultra Defining Gel, GVP Liquid Sculpting Gel, Curls Rock Amplifier and Strong Hold Mousse
PT/DT: IAGirl's PT, One n' Only Argan Hydrating Mask
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Old 05-15-2012, 08:25 PM   #7
 
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Thanks, CurlyArca.
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Highly porous. Color over grey.
Best 1st day method: Super Soaker
Conditioners: Curl Junkie Beauticurls Strengthening Conditioner,
Deep condish: Curl Junkie Curl Rehab
Stylers: Experimenting with cones & sulfates while the dews are high. Sometimes try roller sets - classic glamor but I prefer my curls.
Every day is a gift
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Old 05-16-2012, 12:56 AM   #8
 
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If you were a psychopath, you'd most likely be in prison. In CA, you'd get all the treatments you need and not worry about paying for anything. I HATE dealing with insurance. HATE it.
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