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The hospital used an out-of-network doctor instead of one covered by my insurance.

Submitted 2010-01-25

Defendant: Out Of Network Medical (insurance overchages)

I was admitted from the emergency room into the hospital and taken to surgery by an out-of-network doctor. The surgeon/trauma doctor on call and was not contracted with our insurance company because he only sees patients emergently, and this was an emergency situation. I did not have a choice of doctors, I was treated by the physician on call and I feel I should not be penalized for getting a non participating physician in an emergency situation. I also feel since I went to a participating facility that my policy should have covered the claim for the doctor.

-- Colorado


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