4.8 • 1.1K Ratings
🗓️ 19 May 2021
⏱️ 7 minutes
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When Adam Woodrum's insurance denied a claim for an ER bill, he sent his story to NPR... because he happened to KNOW how to deal with it. And he figured it would be a friendly thing to share what he knew. (Kudos, Adam!)
This story was originally reported by Julie Appleby for our pals at Kaiser Health News, and KHN editor-in-chief Elisabeth Rosenthal weighs in at the end.
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0:00.0 | Hey there, we've been taking a break from full episodes, but here's a mini story and a little |
0:04.8 | lesson I've been meaning to bring you for a while because when you get a big medical bill, |
0:09.1 | you are often being yanked into a rough game with super complicated rules and the other players |
0:14.0 | are these big experienced professionals and they got tons of training and coaches helping them |
0:18.7 | from the sidelines and often very chummy relationships with the refs. I'm talking about hospitals and |
0:24.5 | insurance companies and anybody else who's involved with that medical bill and us we're like |
0:29.2 | wait, what is this game even called? What are the rules? Did I just get fouled? What is going on? |
0:35.1 | So this story is from the Bill of the Month series that our pals at Kaiser Health News do with NPR. |
0:40.5 | I help out with a bunch of those, but I do not always share them here because honestly, |
0:44.8 | a lot of them are more enraging and terrifying and depressing than entertaining and powering and |
0:50.3 | useful. This one is different because the person who sent this bill to NPR, Adam Woodrum, |
0:57.2 | he actually knew how this part of the game was played and he wanted our help to share what he |
1:02.0 | knew. Here's how the story went out on NPR. I'll circle back with you at the end to wrap up the |
1:07.0 | lesson. One Sunday last July, Adam Woodrum and his wife and their two kids took off on a bike ride |
1:14.6 | around Carson City, Nevada where they lived. I'd mapped out kind of a 10 mile route and we were |
1:18.7 | just going to kind of make a loop of the city. But a couple miles in, their nine-year-old son |
1:22.9 | hid a snack. We were navigating through some big tree planters and his hand of our caught and |
1:29.1 | it just almost instantaneously. He was on the ground crying bleeding and I'm no doctor, but you |
1:34.5 | know right away you can tell that this is a stitches situation. At the ER, they actually had to put |
1:39.3 | the poor kid under. He was cut in sort of a personal area. Just to say that. A few weeks later, |
1:45.5 | Adam's insurance company writes him, the total charges are 19,000 and they say you are on the hook |
1:52.0 | for all of it. It's just ridiculous. And in the fine print, it said, we're denying this claim, |
... |
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