Mansell, Engel & Cole

Rural Oklahoma hospitals worried about insurance cuts

Last week, the Blue Cross Blue Shield of Oklahoma looked at cutting insurance reimbursements by up to 30 percent. Rural hospitals in the area worry they may have a hard time absorbing these changes, which could result in not being able to accept resident's Blue Cross Blue Shield insurance going forward.

As the contract between the insurance company and hospitals is being reviewed, significant changes may be in store for the people using Blue Cross Blue Shield or who do not have other hospitals close to them that do accept the insurance.

Watch for insurance changes in the coming months

If coverage is affected by the possible insurance rate cuts, it may be beneficial to pay attention to your upcoming hospital bills, check for any errors that may have occurred in paperwork or billing, and observe your insurance coverage options. If you notice a claim is denied in the coming months, it can be an excellent first step to call the insurance customer service line to find out why.

Take steps to investigate denied claims--it can pay off

A past study from the U.S. Government Accountability Office found that you have a 50/50 chance of having a denied claim approved if you take the time to appeal it--which could save you high costs in medical bills. 

Pay attention to why the claim was denied and the policies within your insurance coverage, and if it is due to coverage or pricing changes from Blue Cross Blue Shield. If your questions about the denied claim are not answered after calling the company, talking to an attorney may be a useful next step to having your denied claim disputed.

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