An employee of an Emry client experienced a mental health episode and was taken by ambulance to a local hospital emergency room. The member was later admitted to the hospital for services over 3 days. Emergency room was covered but hospital was out-of-network and billed $35,400 for services.
Emry’s bill review process determined that the hospital processed an internal pre-authorization for inpatient services and transferred the member. With billing advocate intervention, it was demonstrated that the member was not of sound mind and gave no approval for the transfer.
Emry ensured that the bill was reprocessed as in-network, subject to the remaining in-network deductible and coinsurance. For a deeper understanding of how premiums, deductibles, and copayments affect your healthcare costs, visit our guide on understanding premiums, deductibles, and copayments.
An $8,900 hospital bill threatened Kathryn Suddendorf’s financial stability due to an insurance denial. Emry Health stepped in, uncovered billing errors, and worked with both the insurer and hospital to resolve the issue—ultimately reducing her bill to $0.
When a member received a $11,600 ER bill with no financial assistance options and limited insurance coverage, they turned to Emry for help.
Emry Health successfully intervened to reduce a member’s $43,868 hospital bill to $0 through their hospital financial assistance program
