Emry

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

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.

Service Provided

The Emry team conducted a thorough bill review, 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.

Savings

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.

Topics

Bill Review

Get started with Emry

Contact us today to learn how Emry can drive value for both you and your employees.

Suggested Case Studies

Hospital Financial Assistance: Employee Cost Avoidance

After a hospital stay, an employee with a MEC plan and no hospital coverage received an unaffordable bill for $77,000. Using Emry’s financial assistance technology, the employee qualified for and obtained hospital financial aid, which covered 100% of the bill. This intervention saved the employee from substantial medical debt, totaling $77,000 in savings.

Learn More

Ready to See Emry in Action?

Send us a note and we’ll respond just as quickly as our helpful guides do for your members. Don’t want to wait? Give us a call.

Still Browsing?

View Our Solutions