Dear Dr. _______,
I am returning this bill to you unpaid, as it clearly is for
services not provided to my daughter based on the accompanying
diagnosis code: 364.81 “Floppy Iris Syndrome”.
IFIS was first described by Chang and Campbell in the Journal of
Cataract & Refractive Surgery in 2005 (see http://www-ncbi-nlm-nih-gov.liboff.ohsu.edu/pubmed/15899440
). Based on their description, this is
clearly not a syndrome my daughter suffers from. This disease is diagnosed
intraoperatively, typically during cataract surgery. Since you are not treating my daughter for
cataracts, nor did she receive any eye surgery, I am presuming that this bill and
related charges are incorrect.
As a result of sending this bill to my insurance company, my
daughter will now have an incorrect diagnosis in her insurance record, which
could result in denial of services later in life due to a pre-existing
condition.
Thus, I am requesting that you correct the diagnosis, and
send a new claim to my insurer. Upon receiving
a corrected bill with an accurate diagnosis, I believe appropriate adjustments
will be made to your bill, and I will, upon receipt of an accurate description
of services being billed for, pay them based on my insurers agreement.
Sincerely,
/s/
Keith W. Boone
This comment has been removed by a blog administrator.
ReplyDelete