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Feb. 5 - It's a good thing I'm stubborn!!!

Tuesday, February 05, 2013

Some may remember the several workman's comp issues I had last year. To set up the stage so you'll know what is going on, this is, in a nutshell, what happened.

- One of my work injuries was denied after three visits, BUT I didn't get the denial letter till late in the afternoon after I'd had my fourth therapy session. I called the company that handled the workman's comp and asked them if I would be financially responsible for the session I'd had that day. They said I would since the letter had been dated the week before, even though they had proof that I had not received the letter till AFTER that.

- So I called the rehab's main company office and explained what had happened (after calling and cancelling my last two sessions, of course) and they told me they would look into it.

Well, I didn't hear anything for months, then I started getting bills from Baylor Medical Institute so again I would call and naturally, talk to someone different each time.

This went on for several months, then I started getting collection calls. So AGAIN, in October, I spoke with another rep at Baylor and thought we'd settled everything. I even contacted the man handling my case at the workman's comp company and we talked about his sending me a letter of chronological events to prove I was unaware that my case had been denied.

In the meantime, I still keep getting calls from the collection agency and GET THIS: Even though each session was only around $115, I was being charged $439.00!!!!

Back and forth, back and forth. With the holidays, I forgot all about it...until today, when I received ANOTHER call from the collection agency. AGAIN, I explained the situation. At first, the woman got snippy - "Well, if you're not going to pay...." But once I explained where I worked and how my hours were always cut this time of year, facing foreclosure and car repo on a monthly basis, etc., etc., etc., she did a 180 and began to be sympathetic with my plight. She said that I may qualify for a hardship repayment program.

BUT...as I told her, I didn't believe I owed anything. It wasn't my fault I had to let my cell phone go and the workman's comp company didn't have my home number. It wasn't my fault that Baylor main didn't communicate with their branch therapy office and failed to tell them I was no longer covered, thus allowing me to have that last session. It wasn't my fault the mail took a week to get to me and didn't arrive till the end of the day, hours after my last session on January 27th of last year.

Finally, FINALLY, FINALLY, FINALLY, I got to speak to an investigator with Baylor and laid out all the details - from receiving the final letter to all the phone calls back and forth. She spoke with my case worker, then spoke with the branch office of Baylor.

Late this afternoon, she called me again and told me she'd finally tracked down where the ball had been dropped. When the workman's comp company e-mailed the denial to the person handling those claims, she'd failed to read the e-mail in a timely manner and never notified the branch therapy office. The investigator also told me that the bill should have had a discount applied, reducing the amount from $439 to $115! (Imagine that!)

After speaking with the manager at the branch office, they came to the agreement that the bill should just be WRITTEN OFF! They admitted they had dropped the ball and I WASN'T RESPONSIBLE FOR THE LAST BILL!

YEA!!!!! However, I asked her to PLEASE send me a confirmation letter attesting to that fact so just in case the issue comes up again through a failure to mark the bill, I would have backup and wouldn't have to go through this again!!! She said she totally understood where I was coming from and would send out a letter to me immediately.
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Member Comments About This Blog Post
    I read all your blogs about the problems.
    I'm glad that the situation was finally resolved although after much stress and frustration which wasn't needed.
    I pray they send that confirmation letter immediately.
    1896 days ago
    You stuck to your guns and weren't stuck with a bill.
    Now that was using your head. Makes you wonder if
    people ever really listen. Hope today is a better day.
    1900 days ago
    that´s great love.hope you get that confimation letter so you can send to the therapist office a copy or to the collectors. emoticon
    1900 days ago
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