My daughter was born 2 years and month ago. We had a bill for like $10k, but after all the insurance stuff kicked in, it got down to $2k. So we paid it off and moved on with our lives.
Then last month, (about4 days after my daughters second birthday) we get a bill from the hospital demanding $1037 or they were going to take legal action.
Odd we thought. Went and grabbed the bill that it was referencing and saw that it was for $2k. Found our payment in our bank statements as well. So called them up and asked them what the hell was going on. They tell me the bill was for $3k. I tell them that's not correct and that I have the bill showing $2k. And went over everything on the bill that resulted in the $2k charge. They say one of the items was different. I say that's what the original bill they sent me said. Had me fax a copy of the original bill and they would look it over.
A week goes by, I get a bill for $1037 again. But at least time it's a normal bill and not one threatening legal action. So I call them back up. They say that the Insurance did not pay what it says on my bill. I grab the EOB (explanation of benefits) and which says they paid what they said on the bill. They tell me they can't help me and to take it up with the insurance (which I no longer have as our company swtiched insurances)
So call up the insurance company, explain the situation, they can't seem to find anything that matches up with what the hospital is saying. So I have them send me a copy of every EOB they have associated with that hospital stay.
A week goes and I get a copy of the EOB's in the mail (had to get them in the mail because apparently 18 months is the cut off for them to email EOBs) and sure enough, everything they send me matches up with what I already have.
Call the Hospital back up. After telling them that the EOB's are still saying I only owed the $2k which I paid. They tell me that the Insurance Company made an adjustment this past November which resulted in me now owing that extra $1k. I mutter under my breath that it would've been nice if they had mentioned this in my previous calls. Also ask them if that's the case, why they didn't send me a bill then instead of waiting 5 months and sending me the threatening bill. They didn't have an answer about that. I apparently would have to talk to another department for that answer
So, back to the insurance company. Ask them if they made an adjustment back in November. After a little searching, yes they did! Turns out they were doing an audit and discovered they overpaid by $1037.88 so they took the money back from the hospital (they can do that apparently.) Asked them why they didn't send me that when I asked for EOB's before. Apparently adjustments are totally separate from EOBs, so that's why they didn't send it to me. So they email me a copy of that.
The Hospital did off to "settle" for like $770 but the remaining amount would be written off as bad debt and go on my credit report.
So I just had to pay a $1k bill that I had no idea was coming. Good times.