nyyankees
True Blue
We have a pediatric surgeon who is out-of-network with a few ins co's. He did a 13-level fusion (22804) for an ins co. Our billed charges was a little over $50,000. The ins co offered $34,000 - which I thought was good.
My question is what is the best way, if any, to calculate an offer of a surgery from an OON (or even sometimes In-Network) ins co? Would a minimum % of billed charges be a good idea? Curious if anyone has a policy on this type of scenario. Thanks.
My question is what is the best way, if any, to calculate an offer of a surgery from an OON (or even sometimes In-Network) ins co? Would a minimum % of billed charges be a good idea? Curious if anyone has a policy on this type of scenario. Thanks.