So you or your loved just received a medical bill from a doctor or facility that you recently visited.  Your first inclination may be to assume that your insurance was billed, paid their portion, and now you are being billed for your part of the bill.

WAIT!!!!!

What to do before paying Medical Bills:

Don’t write that check or pay that bill until you have done the following:

  1. Compare it to your insurance explanation of benefits to be sure the claim was submitted correctly and
  2. That your insurance paid the amount they are contractually obligated to pay

You might be surprised to learn that I work with many clients who receive bills for medical services that either have not yet been submitted to their insurance company, or have been submitted and not resolved with the insurance carrier.  

In these situations, it is important that you DO NOT pay the bill and work with the provider’s office to assist in getting payment from your insurance carrier.  

How I Review My Medical Bills:

It has become standard operating procedure in my household to hold all medical bills until the corresponding explanation of benefits is received.  Once I have both documents, I am able to review for accuracy and confirm that the billed amount is accurate.

If it is correct, I then submit payment.  Once the bill has been paid, I notate on the bill how and when I made payment.  

Finally, I staple the bill (with payment notations) to the explanation of benefits and file for future reference.

In Conclusion:

There are other issues that might arise during this process that could require additional attention.  However, taking these basic precautions will hold the insurance carrier and doctor’s office accountable for their role in healthcare finances. In addition, these actions will ensure you are not paying unnecessary medical bills.

To Learn More About Medical Bills:

To learn more about health insurance, check out Health Spending Accounts: Alphabet Soup Simplified.

You can also pick up the CHECKLIST I use to review my personal medical bills!

If you find yourself needing more assistance, please reach out to me directly at [email protected]

About the author

Nicole Broadhurst

 I spent 27 years working inside the healthcare system watching patients just like you struggle to understand and manage their medical bills.  I got tired of being part of the problem and decided to be part of the solution, thus creating Tennessee Health Advocates LLC.

As a Board Certified Patient Advocate and founder of Tennessee Health Advocates, It is my personal mission to eliminate the confusion and minimize the stress so you can be confident in your financial status during your medical journey.

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