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Moda Health - Provider Enrollment
The patient is enrolled in the Moda Health Beacon EPO plan, and the provider is listed as participating in the Beacon network. However, the claim was denied by the payer, citing that the provider is not a participating provider. Could you please clarify whether participation in the Beacon network includes all plan types such as PPO, HMO, and EPO?"
Carmoola - Faulty on Finance
I got a BMW from Auto Trader in October. The garage I got it from was dodgy as fuck but the car seemed fine. After 3 weeks oil all over my drive way, since then been in and out with constant problems. (Engine coolant system failure, new control module, new turbo with new gaskets and turbo actuator).
I took the car to my regular garage since the one I got it from was dodgy (I understand now this was a mistake), I phoned the original garage and since I never took it in to them they’re saying there’s nothing they will do. Since Christmas I’ve had the car for 13 days, have it a couple days then in the garage it goes, constant problems. None of this is my fault, the garage has confirmed this, I know how to look after a car.
£4,000 roughly in garage costs. Plus the money i’ve been spending on finance etc on a car I do not have.
Can anyone please give advice on anything I can do to be reimbursed on some of the money I’ve spend since none of this is my fault and the car is so recently in my possession. I have been in touch with finance company (Carmoola) just waiting for the final receipts from garage to forward them.
insurance company - I need legal advice after having a wreck
Location: Oklahoma
I need some advice and around march I had a bad wreck and totaled my vehicle . I still owe money on my vehicle loan that I don’t have right now, and my insurance company is stating that I need to pay off the loan or give them my vehicle back. The body shop said I did roughly $9000 in damages. But I had 2 different mechanic friends say that they can fix it for $1000 to $2500 max. My plan was buy the vehicle back and get it fixed for around what my friends told me. My insurance company is telling me that I need to pay the loan off or give vehicle back to them before they do anything. I would really like to keep the vehicle and fix it. It seems shady that it would have to go to an impound. What do I do? I have the vehicle at my home right now and I don’t have the funds to pay to have it towed an hour away or an hour back.
Healthy Paws - Healthy Paws
Healthy Paws just raised our pet insurance to an extra $100 a month out of no where! Has anyone else gotten a huge rate hike like this from them? This is Absolutely ridiculous.
Lemonade - Is parvo going to be a preexisting condition for life?
We recently rescued a mastiff puppy. She came down with parvo but is on the road to recovery. I would like to get insurance for her but I am concerned that having parvo as a puppy is a recipe for getting denied for any claim going forward. It just seems like parvo is one of those illnesses that could count against anything that goes wrong in the future. I reached out to Lemonade and their response was very general and generic. Preexisting, reviewing history with any claim, etc, etc.
Kay Jewelers - Lost Wedding Rings
Hi, I recently sent my husband’s wedding band, my engagement ring, and my wedding band in to get polished and resized. Kay jewelers has lost all three rings.
The section on the bottom of the receipt reads as follows:
“In accepting said merchandise, it is understood that this store, or any of its employees, are not responsible for identification or condition of stones or jewelry at the time of receipt. This store accepts the merchandise listed above solely for the purpose of repair and does not undertake to act as an insurer of this merchandise.
I agree with the description and values of the merchandise listed above.
IF ANY MERCHANDISE LISTED ABOVE IS LOST OR DAMAGED, I UNDERSTAND THAT I WILL RECEIVE REPLACEMENT MERCHANDISE OF LIKE OR SIMILAR VALUE UP TO AND NOT EXCEEDING THE AMOUNT STATED ABOVE. MERCHANDISE MAY LEAVE PREMISES, CUSTOM DESIGN JEWELRY IS NOT RETURNABLE.” - basically waiving them of any legal obligation. My husband and I have requested a refund for the value of the rings, which they have denied. They have offered to replace the rings, but my husband and I want to be done with Kay. Do I have any power to take them to court to get a refund?
Location: Indianapolis
Trupanion - Trupanion claim denied - should I appeal?
So about a month ago, I took my dog in for her routine dental cleaning. While she was under anesthetic, the vet discovered that she had gotten a stick that was wedged right across the roof of your mouth and had punctured her gums on both sides, requiring 2 of her premolars to be extracted.
I filed a claim but it was denied because years ago (all the way back in 2019) there was a record of some peridontal disease at a completely different vet. Trupanion is saying they won't cover this latest incident because of that prior history, even though I've been with Trupanion since I got my pupper.
Is it even worth the effort to try appealing this? I just feel like the damage to her teeth was not really caused by periodontal disease, it was more of a freak accident because she chewed a stick.
Blue Cross Blue Shield of Illinois - Insurance "discounts applied" but hospital still billing me for the total amount?
I was charged $2500 for an ultrasound required for my high risk pregnancy.
My insurance provider (BCBS of IL) states that that my portion owed is $0, due to "**Discounts Applied -** Your BCBSIL plan has negotiated cost savings for you with your provider. You may still need to pay part of the bill. Check Details of Services for details of what you may owe."
Under details of services, everything states I am responsible for $0.
There is no copy of the EOB for this charge - every time I look it says it is "not available at this time."
In the meantime I have received a bill from the in-network hospital, stating I am responsible for the full $2500 because my insurance did not cover it.
I actually have 3 similar bills just like this, but only including one for simplicity of questions asked.
I plan to call my BCBSIL tomorrow, but what are some questions I should ask here? Should I be verifying my cost owed is $0 and then having them contact the hospital directly to refute the bill? Or do I need to contact the hospital directly? Or is there a chance I am actually responsible here? I haven't seen this "discounts applied" verbiage before, so I am a little confused.
Blue Cross Complete of Michigan - I just had my finger surgery
so I’m on Medicaid since I’m not working due to my finger injury. I got my surgery done a few months ago and they send me a bill today. I literally thought everything is going to be covered by the insurance. Maybe I should’ve asked questions ahead of time, but I wasn’t aware of this since I know few people who got surgeries and it was covered. I’m not working right now as well since my finger is still not healed. I don’t know what I’m supposed to do right now. do I contact Medicaid or the surgery place? Not sure. by the way, my insurance is Blue cross complete of Michigan. My insurance did pay for over half of the bill but just confused why it wasn’t covered completely.
ISO insurance - Need help
Hi
I’m an international student currently in the U.S. on a STEM OPT extension. Recently, I was admitted to the hospital due to severe pain, which turned out to be a kidney stone. I had to undergo surgery, and now I’ve been hit with a $50,000 medical bill.
I have ISO insurance, but they’re refusing to cover the charges, saying it’s a pre-existing condition—even though this was the first time I ever experienced it and didn’t know about it before. As a student, I don’t have a high income, and this amount is overwhelming for me.
I’m looking for any advice or guidance on what I can do to get help with this bill—whether it’s negotiating with the hospital, financial aid, or any legal options. Any direction would mean a lot right now.
Thank you so much.
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