$33k Unauthorized Care Costs Eliminated for Employee

Situation

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.

Service Provided

The Emry bill review 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.

Savings

Emry ensured that the bill was reprocessed as in-network subject to remaining in-network deductible and coinsurance, saving member $33,000.

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$33k Unauthorized Care Costs Eliminated for Employee

Situation

Service Provided

Savings

Topics

Get started with Emry

Suggested Case Studies

Healthcare Navigation: Maximizing the Value of Employee Benefits With Emry Health

High-Cost Bill Review: Out-of-Network Hospital Admission ​

Bill Review and Negotiation: Patient Saves $4,750

High-Cost Bill Review: Out-of-Network Hospital Admission