The outs of insurance

I received a statement from Blue Cross/Blue Shield, saying my wife wasn’t covered for a hospital visit she had back in June, and I would be responsible for the $2000 in charges. She did indeed have an appointment there in June, but not on that day. The form said she didn’t have insurance on the day services were provided, which of course she would have, if she had been at the hospital that particular day.

So what was the problem? The hospital had sent BC/BS a bill for charges belonging to another woman who happens to have my wife’s name. BC/BS claimed innocence, that it was the hospital’s mistake, but they also screwed up. The statement had the wrong middle initial for my name, which was what made me suspicious in the first place.

It was possible, if unlikely, that the woman with my wife’s name is married to a man with my name, but I was told by BC/BS that their computer system had replaced my middle initial with my wife’s. Having spent more than 30 years in the healthcare computing business I felt confident in saying to the representative, “unless somebody entered that by mistake manually, that’s a bug in your software, and you need to kick this upstairs.”

Speaking of healthcare, this is worth watching…

Watch Making Sen$e: Competing Claims About Healthcare Reform on PBS. See more from PBS NewsHour.

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