Eastern Carolina Emergency Physicians Administrator Dale Key said the answer is simple.
“Blue Cross Blue Shield and the group haven’t been able to come up with an appropriate fee schedule, and that’s really all there is to it,” Key said.
But that doesn’t mean the hospital won’t take your insurance and bill your provider – it just means there isn’t a written agreement about reimbursements, Key said.
If a balance remains after the insurance is billed, a patient will be sent a bill for the remainder that they must pay, he said.
United Healthcare also is not accepted at the emergency room.
Key said the group periodically negotiates with insurers about coverage.
“We’ve had discussions with them on and off periodically,” he said.
Date posted: June 30, 2011
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