Brigham Buhler

Either your doctor is an employee of the hospital. and works for the hospital, which is directly controlled by the insurance company, okay? And so they're essentially an employee of the insurance company, or your clinician owns the hospital or surgery center, and then they dictate to the hospital and surgery center the protocols and procedures.

Either your doctor is an employee of the hospital. and works for the hospital, which is directly controlled by the insurance company, okay? And so they're essentially an employee of the insurance company, or your clinician owns the hospital or surgery center, and then they dictate to the hospital and surgery center the protocols and procedures.

And in those instances, they're oftentimes having to bill out of network which is a whole nother racket because when you bill out of network, you get paid a third of billed charges. So that's why when people go, what the hell? My MRI was $6,000. It's because they know that they're only going to get paid a third of what they bill United or Cigna. And so they have to inflate their bill by threefold.

And in those instances, they're oftentimes having to bill out of network which is a whole nother racket because when you bill out of network, you get paid a third of billed charges. So that's why when people go, what the hell? My MRI was $6,000. It's because they know that they're only going to get paid a third of what they bill United or Cigna. And so they have to inflate their bill by threefold.

And in those instances, they're oftentimes having to bill out of network which is a whole nother racket because when you bill out of network, you get paid a third of billed charges. So that's why when people go, what the hell? My MRI was $6,000. It's because they know that they're only going to get paid a third of what they bill United or Cigna. And so they have to inflate their bill by threefold.

But the insurance company sets you up for failure by saying you have to go after the patient for any short pay. So this is where people get into these medical bankruptcy issues because if I go to United Healthcare when I owned a blood lab and I said, United, I want to be in network. Their answer is fuck off. We don't want you in network. We don't need you.

But the insurance company sets you up for failure by saying you have to go after the patient for any short pay. So this is where people get into these medical bankruptcy issues because if I go to United Healthcare when I owned a blood lab and I said, United, I want to be in network. Their answer is fuck off. We don't want you in network. We don't need you.

But the insurance company sets you up for failure by saying you have to go after the patient for any short pay. So this is where people get into these medical bankruptcy issues because if I go to United Healthcare when I owned a blood lab and I said, United, I want to be in network. Their answer is fuck off. We don't want you in network. We don't need you.

We've got blood labs that we have browbeat for 20 years and we've got them negotiated down to a dirt cheap price. We don't want another in network lab. So I either lay everybody off and go out of business

We've got blood labs that we have browbeat for 20 years and we've got them negotiated down to a dirt cheap price. We don't want another in network lab. So I either lay everybody off and go out of business

We've got blood labs that we have browbeat for 20 years and we've got them negotiated down to a dirt cheap price. We don't want another in network lab. So I either lay everybody off and go out of business

go to a cash model which is what i do now or you do what's called billing out of network and if i were to i'm going to use blood as an example if i were to bill the the panel we run at ways to well if you were to walk in to a quest and i've and it's happened because i've had us the biggest right yeah i've had ufc fighters that are our clients and stuff walk into quest and they give them an insurance card and they quote them three thousand dollars for our blood panel

go to a cash model which is what i do now or you do what's called billing out of network and if i were to i'm going to use blood as an example if i were to bill the the panel we run at ways to well if you were to walk in to a quest and i've and it's happened because i've had us the biggest right yeah i've had ufc fighters that are our clients and stuff walk into quest and they give them an insurance card and they quote them three thousand dollars for our blood panel

go to a cash model which is what i do now or you do what's called billing out of network and if i were to i'm going to use blood as an example if i were to bill the the panel we run at ways to well if you were to walk in to a quest and i've and it's happened because i've had us the biggest right yeah i've had ufc fighters that are our clients and stuff walk into quest and they give them an insurance card and they quote them three thousand dollars for our blood panel

And they'll call me and go, oh my God, dude, they're quoting me. I'm like, no, no, no, no. Give them our code. It's a $300 deal and they bill me, they don't bill you. Like, I got it. And they're like, how can it be $300 when they're charging $3,000? And so it's because once you've billed a panel at a rate by law in the contract, you have to bill the patient for that rate.

And they'll call me and go, oh my God, dude, they're quoting me. I'm like, no, no, no, no. Give them our code. It's a $300 deal and they bill me, they don't bill you. Like, I got it. And they're like, how can it be $300 when they're charging $3,000? And so it's because once you've billed a panel at a rate by law in the contract, you have to bill the patient for that rate.

And they'll call me and go, oh my God, dude, they're quoting me. I'm like, no, no, no, no. Give them our code. It's a $300 deal and they bill me, they don't bill you. Like, I got it. And they're like, how can it be $300 when they're charging $3,000? And so it's because once you've billed a panel at a rate by law in the contract, you have to bill the patient for that rate.

And so if I take insurance at a blood lab and I'm out of network and I bill the insurance $300, they're gonna pay me a hundred. I can't run, I'll lose money. I lose $200. So I have to bill them $900 to get paid $300. Does that make sense? And then in the instance that the insurance denies,

And so if I take insurance at a blood lab and I'm out of network and I bill the insurance $300, they're gonna pay me a hundred. I can't run, I'll lose money. I lose $200. So I have to bill them $900 to get paid $300. Does that make sense? And then in the instance that the insurance denies,

And so if I take insurance at a blood lab and I'm out of network and I bill the insurance $300, they're gonna pay me a hundred. I can't run, I'll lose money. I lose $200. So I have to bill them $900 to get paid $300. Does that make sense? And then in the instance that the insurance denies,