| Everybody has their own point of view on every | | | | non-profit, the private insurance companies have to |
| subject. In this world, our point of view, at least in our | | | | show a profit to their stockholders. Otherwise, the |
| minds, is the right one. Well, that is no different in the | | | | company goes out of business. This makes it so that |
| world of medical billing. The patients think they should | | | | they are even more reluctant to pay out claims. This |
| be paid for the claims, the medical billing companies | | | | however, is a real catch 22. See, the people they are |
| want the patients to get paid for their claims so they | | | | paying the claims to are the people who are providing |
| can make their money and certainly the doctors want | | | | them with their income in the form of insurance |
| the patients to get paid for their claims or they'll go to | | | | premiums. So if they're not being paid, they're going to |
| another doctor. But what about the insurance carriers? | | | | take their business elsewhere. Talk about a no win |
| It seems that they are the last people who want to | | | | situation for a private insurance company. That's why |
| pay claims. Well, this is for a very good reason. While | | | | so many of them have gone out of business over the |
| everybody else is getting paid, the insurance carriers | | | | last 30 years. Even the big giant Prudential has had its |
| are paying out. | | | | problems. |
| Sure, these carriers also get a monthly premium from | | | | Because of these concerns, the insurance carriers |
| somewhere, whether it be from us poor workers if | | | | have to be very careful about paying out claims. They |
| they are a government agency or from the patients | | | | have to research each one carefully to make sure the |
| themselves if they are a private insurance company. | | | | claim itself is legit. This will ultimately slow up the |
| But the truth is, especially with government run | | | | process, which is what medical billing companies and |
| agencies, the money coming in is far less than the | | | | patients end up complaining about. But the truth is, |
| money going out. That is why the United States | | | | there are a lot of bogus claims out there and if these |
| Medicare and Medicaid programs are in such trouble | | | | insurance carriers paid out on all of them, they'd be |
| and in danger of going broke. Medical costs are | | | | broke sooner than you can say "I've fallen and I can't |
| skyrocketing because doctors are charging more and | | | | get up". So it is understandable that these insurance |
| more for services, but the common worker doesn't | | | | carriers run their businesses the way they do. |
| make enough to put into the fund to make up for | | | | The point of this article is to give these carriers a little |
| these increases. | | | | slack if you're a patient or a medical billing company. |
| As for private insurance companies, they have an | | | | Remember, without them, you wouldn't have a job and |
| even bigger problem. Whereas the government | | | | would have to pay for your medical bills out of your |
| agencies can work at a loss because they're | | | | own pocket. |