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UnderGround Forums >> Help! $40K of my $250K insurance claim was denied


12/26/12 11:46 PM
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Rear Naked Chode
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Rear Naked Chode - 
Rear Naked Chode - 
Rear Naked Chode - Mod should sticky this.

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12/26/12 11:59 PM
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Brian J DSouza
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Edited: 12/26/12 11:59 PM
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Conor Heun -
I really have no idea. So far the bills I have received are for $2,648.00 for Physical therapy which I have discontinued, and one for $37,950.00 from the hosipital, anesthesia, arterial catheterization, spinal injection, and PRP.

 

$40,000. Wow.

 

God bless Mike Russell and the rest of the staff at fund-a-fighter.

 

12/27/12 12:00 AM
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thedirtyburger
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UG JUSTICE! Phone Post
12/27/12 12:04 AM
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caseharts
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abi - if dana can drop a G after every sub finish for j-lau against the tooth, Im sure he can help conor out..chump change.. Phone Post
I'd hope he would. Phone Post
12/27/12 12:15 AM
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Diaz50-43Failure
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ttt Phone Post
12/27/12 12:47 AM
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CavRyda
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TTT

12/27/12 1:19 AM
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Conor Heun
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I have filed an appeal with the insurance company.

My surgeon had a peer to peer call with the doctor for the insurance company but apparently his ruling and opinion remained the same.

The insurance company's job is to deny claims.

Your doctor's job is to fight the insurance company on your behalf. My doctor has been fighting for me but so far to no avail.

Here is the link to my fund-a-fighter page again incase you guys missed it.

http://fundafighter.com/fighters/conor-heun/
12/27/12 1:44 AM
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Sock of Slaw
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ttt
12/27/12 1:44 AM
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Drapht
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Time for Dana to hook a brother up?? Phone Post
12/27/12 1:45 AM
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AussieMayhem
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Brian J DSouza -
Conor Heun -
I really have no idea. So far the bills I have received are for $2,648.00 for Physical therapy which I have discontinued, and one for $37,950.00 from the hosipital, anesthesia, arterial catheterization, spinal injection, and PRP.

 

$40,000. Wow.

 

God bless Mike Russell and the rest of the staff at fund-a-fighter.

 

This. That's a lot more then I thought it would be. Phone Post
12/27/12 2:01 AM
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nogi26
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Edited: 12/27/12 2:02 AM
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Hopefully Uncle Dana steps up and helps him out. Its stories like this that make me thankful I live in Canada
12/27/12 2:10 AM
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caseharts
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Conor Heun - I have filed an appeal with the insurance company.

My surgeon had a peer to peer call with the doctor for the insurance company but apparently his ruling and opinion remained the same.

The insurance company's job is to deny claims.

Your doctor's job is to fight the insurance company on your behalf. My doctor has been fighting for me but so far to no avail.

Here is the link to my fund-a-fighter page again incase you guys missed it.

http://fundafighter.com/fighters/conor-heun/
Hey
I'm doing a raffle off of my art to benefit krs10kos cancer group. Maybe we can set something up where people donate into a raffle or something for your fundafighter account. Phone Post
12/27/12 2:22 AM
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itswhitty
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Still no sticky?!  I'm surprised.  I was all excited when I posted within the first 20 minutes, as I was sure it was going to be stickied within minutes...  The fact that having functional legs is considered such a luxury that it is priced outside the grasp of a vast majority of people in this country is a national shame. 

Anyway, TTT.  Wish I could do more to help...

12/27/12 2:32 AM
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Rear Naked Chode
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Rear Naked Chode - 
Rear Naked Chode - 
Rear Naked Chode - 
Rear Naked Chode - Mod should sticky this.

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12/27/12 2:41 AM
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UGCTT_SidRival
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That really sucks. Good luck CH! And come on mods. Sticky time already. Phone Post
12/27/12 2:47 AM
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MIKE CIESNOLEVICZ
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Conor, I am really sorry to read this. I wish you the best brother!
12/27/12 2:49 AM
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Mike Russell
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Edited: 12/27/12 11:52 AM
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Let it be known for the record that Conor holds no ill will towards Zuffa, Strikeforce, or the UFC. They have been nothing but great to him and he isn't trying to target or disparage any of them with his campaign.

It's unfortunate that their insurance carrier chose to reject his claim for injuries sustained during his fight with Ryan Couture, but it's not surprising. Insurance companies aren't always as level-headed as they should be.

The point of this campaign isn't to make Strikeforce, the UFC, or Zuffa look bad. It's to help Conor.

 

12/27/12 2:49 AM
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Pilot201
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Edited: 12/27/12 2:50 AM
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insurance companies are scum.

12/27/12 3:18 AM
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California
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^ absolutely correct.

insurance company commercials make me ill. they are the height of hypocrisy. all those companies care about is maximizing $$$profits$$$. they will deny any claims possible. they don't give a shit about people.

good luck Conor.


12/27/12 3:23 AM
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Rear Naked Chode
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Ttt
12/27/12 3:24 AM
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Team GDP
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ottavia bourdain is the top donor right now. she is awesome!

12/27/12 3:27 AM
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Conor Heun
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Thanks to everyone for the well wishes and concern. I will get back up.
12/27/12 3:30 AM
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Rear Naked Chode
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12/27/12 3:40 AM
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aritwo
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Authority Figure - 
ItBurnsWheniOG -  Shouldn't the doctor of ran it by your insurance to make sure they covered it so you wouldn't have to pay the bill? Phone Post

Doctors are interested in billable work. They don't give a fuck if you can afford it. What they usually do is act like it was an accident that it fell under disallowable work and offer you a payment plan. Which means they actually make MORE on the procedure. 


if the doctor was interested in getting paid, he would have made sure the insurance would pay it.

doctors/hospitals actually lose money offering payment plans and asking the patient to pay because they really have no power to force you to pay and you can just claim bankruptcy.

in reality, most doctors just write-off cases like this as pro bono and move on without getting a cent. in this case, the surgeon probably did the same because Conor isn't being charged for the actual surgery. this directly counters your inference that doctors are just trying to get make the most profit.

what happened is that the doctor did what was best for the health of his patient. usually they will cover it, but for some reason they flagged this case for denial. around 10% of our claims denied even when the paperwork was properly filed.
12/27/12 7:02 AM
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Diaz50-43Failure
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ttt Phone Post

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