How Emry Secured a $33K Savings for a Member

The Emry Health team successfully negotiated an out-of-network bill due to procedural errors that were not initially addressed correctly.

Situation

A member experienced a mental health episode and was taken by ambulance to their local hospital. They were subsequently admitted to the hospital for over 3 days. Unfortunately, the hospital was out-of-network, and the member received an unexpected bill of $35,400. To mitigate such costs, exploring hospital financial assistance programs could be beneficial.

Service Provided

Emry conducted a thorough review of the hospital bill, utilizing their bill review and negotiation services to identify discrepancies and reduce charges. Determining that the hospital processed an internal pre-authorization for inpatient services and the member was not of sound mind to give approval. Emry ensured that the bill was reprocessed as in-network, subject to the remaining in-network deductible and coinsurance.

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Outcomes

Thanks to Emry’s intervention, the member saved $33,000. This assistance not only alleviated the financial burden but also ensured that the member received necessary healthcare without additional financial stress. This case exemplifies Emry’s commitment to assisting members in navigating complex medical billing issues through solutions like BillAssist.

Total Savings:
$33,000

Topics

Bill Review

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