The Medical Bill

My latest medical bill arrived. This was a follow-up to the doctor’s office. On that day, I was weighed and then peed in a cup connected to a computer to measure my flow and output. Then a nurse asked me some questions about how I was doing, before the doctor came in, read the reports, and made some follow-up actions. Including waiting — they were overbooked and I waited twenty minutes to see him — peeing, and talking, I was out of there in about forty minutes.

Before going further, I want to say that I’m amazed and grateful that my military retirement gives me health benefits. I can’t say that enough. That’s not what this is about. This is about a neophyte in the healthcare’s billing process.

The bill began as a total of $277.10. That’s not bad, I thought. Insurance covered $59.36. Cool. Then, total adjustments and discounts were $180.84. Of that, $4.10 was a discount given to me for the prompt payment of previous bills. The other $176.74 was an insurance adjustment. The total due for me to pay is $36.90.

I’m not complaining so much as stating my surprise and confusion. What in the world is that insurance adjustment that reduces the bill by sixty-three percent? Is it a volume thing between Tricare and Asante? Makes me wonder about the original bill and its legitimacy.

I don’t know. The discount wasn’t explained. I suppose I could do an Internet search, but, well, I’d rather just note it and press on, at least for today.

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