Steve Randy Waldman
@interfluidity.com

So, this is for an emergency room visit. I'm far from having met my deductible. The phrase "insurer covered" suggests my insurance company is paying something, but I think in fact they've just negotiated a less ridiculous price, and the only actual cash flow is coming from me. 1/

Partial screenshot of billing statement:

Billed $6,693.82
Insurance Covered - $5,577.14
Your Balance $1,116.68 Partial screenshot of billing statement: Billed $6,693.82 Insurance Covered - $5,577.14 Your Balance $1,116.68
Steve Randy Waldman
@interfluidity.com

Am I wrong? If I am not, isn't this presentation misleading? Is it legal? Should it be? /fin

in reply to self
Steve Randy Waldman
@interfluidity.com

Here's the EOB presentation of the same visit. Not that the top line numbers don't match, although my cost does. The same ambiguity obtains. Does "plan benefits" represent a negotiated price, or an actual cash flow? cc @bananapantz.bsky.social @paulriz504.bsky.social

in reply to self
Steve Randy Waldman
@interfluidity.com

(the prior presentation was from the providers' statement to me.)

in reply to self