Tax Implications of Medical Billing Procedures

Sep 23, 2007 2 Replies

I had some diagnostic testing done recently. The bill charged by the lab was about $3,000. My insurance company settled for about $900. The bill I received from the lab itemized the charges and payments. A notation near the bottom of the page indicated that my insurance company had determined my co-pay to be about $93. That makes sense from the standpoint of my 10% copayment arrangement with the insurance company. However the lab added below this a $213 item called "Cost Cont, Commercial Insurance" to the last line, raising my bill to $306. I think they are pulling a fast one expecting I will pay this. Is this just an ENRON bookkeeping method for them to raise their write off for tax purposes? These folks need to be reigned in



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It is probable that your insc co has a contract with the lab calling for a discount. If so the you only owe $93. You might advise the Fraud prevention dept of the insurance co wof the attempt to collect the additional $213. They might find another lab

This extra charge may well violate the lab's contract with the insurance company. Further, if the lab does not have a contract with the insurance company, they probably cannot charge you the extra amount unless you agreed to that possibility in writing in advance of the service being performed. I would complain in writing to the insurance company.

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