Biting Back!

Biting Back!

casestudies_markanddannyMark’s son, Danny was playing in the yard and was bit by a neighbor’s dog. Mark took him to an urgent care facility for treatment. During check‐in, Mark paid a $65 co‐pay.

Later, he received a bill for an additional $290.24 for wound closure. The insurance carrier had already processed the claim and applied this amount towards the plan deductible, making it Mark’s responsibility. Mark disagreed with the charge and called The Purple Card® for assistance. Mark told the Patient Advocate the urgent care facility cleaned the wound, but left it open and uncovered. He explained that his son, Danny didn’t receive any stitches, bandages, or gauze – not even a Band-Aid.

The Patient Advocate immediately called the urgent care billing office and requested a line-by-line review of the charges. The billing office reviewed the doctor’s medical records and determined the charges needed to be removed.

Mark responded:

“Thanks so much!“