Brigham Buhler

And then even if you get the procedure approved and everything's hunky-dory and you go have the surgery, they're going to tell you who to go to, where to go, and then they're They're going to take 90 days to pay the hospital back or the surgery center back. And that surgery center holds the bill. But here's where it gets even more fucked up. They set the co-pays and deductibles.

And then even if you get the procedure approved and everything's hunky-dory and you go have the surgery, they're going to tell you who to go to, where to go, and then they're They're going to take 90 days to pay the hospital back or the surgery center back. And that surgery center holds the bill. But here's where it gets even more fucked up. They set the co-pays and deductibles.

Sorry, am I allowed to cuss? I didn't even ask you that. They set the co-pays and deductibles. And so oftentimes your employer offers you 10 different plans. Like I employ 300 plus people. And so... I let my employees choose the plan. They have an option between like 10 different plans. My young people will usually choose a plan that has a bigger out-of-pocket expense.

Sorry, am I allowed to cuss? I didn't even ask you that. They set the co-pays and deductibles. And so oftentimes your employer offers you 10 different plans. Like I employ 300 plus people. And so... I let my employees choose the plan. They have an option between like 10 different plans. My young people will usually choose a plan that has a bigger out-of-pocket expense.

Sorry, am I allowed to cuss? I didn't even ask you that. They set the co-pays and deductibles. And so oftentimes your employer offers you 10 different plans. Like I employ 300 plus people. And so... I let my employees choose the plan. They have an option between like 10 different plans. My young people will usually choose a plan that has a bigger out-of-pocket expense.

Maybe a $10,000 deductible on a surgery. The way they word the insurance contracts is they make you the hospital or me the lab. Like when I had a genetics lab, there were times I had to go after the patient for a $5,000 deductible, right? I don't want to. It's not what I... I don't want to play, you know, collection agent on a patient. But the way they word the contract is...

Maybe a $10,000 deductible on a surgery. The way they word the insurance contracts is they make you the hospital or me the lab. Like when I had a genetics lab, there were times I had to go after the patient for a $5,000 deductible, right? I don't want to. It's not what I... I don't want to play, you know, collection agent on a patient. But the way they word the contract is...

Maybe a $10,000 deductible on a surgery. The way they word the insurance contracts is they make you the hospital or me the lab. Like when I had a genetics lab, there were times I had to go after the patient for a $5,000 deductible, right? I don't want to. It's not what I... I don't want to play, you know, collection agent on a patient. But the way they word the contract is...

If I didn't collect the co-payer deductible, they have recourse. They can deny the claim and never pay me for the procedure, the surgery, or the lab screening that I did. And so I have to show a reasonable effort to collect. And if I don't, they can do an array of things. They can deny the claim. They could come back and say, we're going to do an audit. This is where we get into depose, right?

If I didn't collect the co-payer deductible, they have recourse. They can deny the claim and never pay me for the procedure, the surgery, or the lab screening that I did. And so I have to show a reasonable effort to collect. And if I don't, they can do an array of things. They can deny the claim. They could come back and say, we're going to do an audit. This is where we get into depose, right?

If I didn't collect the co-payer deductible, they have recourse. They can deny the claim and never pay me for the procedure, the surgery, or the lab screening that I did. And so I have to show a reasonable effort to collect. And if I don't, they can do an array of things. They can deny the claim. They could come back and say, we're going to do an audit. This is where we get into depose, right?

Deny, delay, depose. The depose of the situation is, Let's say I did that spine procedure and let's say this kid's out-of-pocket expense on it was $10,000 and he doesn't have the money. Well, I'm required by law to go after him and make a reasonable effort to collect.

Deny, delay, depose. The depose of the situation is, Let's say I did that spine procedure and let's say this kid's out-of-pocket expense on it was $10,000 and he doesn't have the money. Well, I'm required by law to go after him and make a reasonable effort to collect.

Deny, delay, depose. The depose of the situation is, Let's say I did that spine procedure and let's say this kid's out-of-pocket expense on it was $10,000 and he doesn't have the money. Well, I'm required by law to go after him and make a reasonable effort to collect.

But in the fine print of my contract with United Healthcare, they're going to say if they uncover that I didn't collect the copay or deductible, they can deny the claim and never pay me for the surgery. And so I have to chase it. So then now you get into a dispute with United or like I did with Blue Cross Blue Shield where they just don't pay me.

But in the fine print of my contract with United Healthcare, they're going to say if they uncover that I didn't collect the copay or deductible, they can deny the claim and never pay me for the surgery. And so I have to chase it. So then now you get into a dispute with United or like I did with Blue Cross Blue Shield where they just don't pay me.

But in the fine print of my contract with United Healthcare, they're going to say if they uncover that I didn't collect the copay or deductible, they can deny the claim and never pay me for the surgery. And so I have to chase it. So then now you get into a dispute with United or like I did with Blue Cross Blue Shield where they just don't pay me.

if i sue them they're going to depose they're going to dig into every time i didn't collect a copay or deductible and they're going to argue that they have a contractual ground to stand on that they don't owe me the money it's it's it's almost like a lie agreed upon they're not they they wait until the deficit gets big and then they put you out of business and then what happens

if i sue them they're going to depose they're going to dig into every time i didn't collect a copay or deductible and they're going to argue that they have a contractual ground to stand on that they don't owe me the money it's it's it's almost like a lie agreed upon they're not they they wait until the deficit gets big and then they put you out of business and then what happens

if i sue them they're going to depose they're going to dig into every time i didn't collect a copay or deductible and they're going to argue that they have a contractual ground to stand on that they don't owe me the money it's it's it's almost like a lie agreed upon they're not they they wait until the deficit gets big and then they put you out of business and then what happens