From $88,000 to $794: Emry’s Successful Resolution of a Billing Discrepancy Post Surgery

Situation

An employee recovering from ankle surgery reached out to Emry, concerned after receiving a statement of benefits (EOB) and a subsequent hospital bill for $88,000. This unexpected financial obligation had left the patient facing substantial medical debt.

Service Provided

After confirming with the patient that the injury was personal and not work-related (thus eliminating the possibility of a workers’ compensation claim), Emry investigated, tracing the billing discrepancy back to a missing Accident Claim form, which was not provided to the patient during their hospital stay. Through persistent, thorough communication with both the hospital and the insurance company, Emry ensured the patient’s bill was accurate and appropriate.

Savings

Emry’s proactive intervention and identification of a procedural oversight, resulted in a major alleviation of financial burden for the member. Through meticulous examination and negotiation, Emry managed to reduce the initial $88,000 out-of-pocket expense to $794.

Topics

Savings

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From $88,000 to $794: Emry’s Successful Resolution of a Billing Discrepancy Post Surgery

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