Hi, the lunatic fringe here, again...

With all due fondness and respect, Leslie, I wish to quote from Ann Landers: "No one can take advantage of you without your permission." Is Anthem a managed care company, where you signed an agreement to provide care for what they feel like paying? Or, is it just an insurance company? If the latter, why do you care what they reimburse for a given code? Tell the patient "these are our charges", expect payment, and suggest they take it up with the state insurance commission if they feel the company is not living up to their end of the deal. If the former, then why not rethink that decision?

Individual charges from those of us in primary care are rarely so great as to make a huge impact in an average family budget. Of course there are exceptions, and truly impoverished areas, but I don't really feel too terrible about asking $150 - $300 from a family who just bought two new snow machines.

Last edited by dgrauman; 04/05/2011 1:51 AM.

David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands