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Insurance / Workman's comp. problem?


Back in August, i was living in Dallas, Texas, and working at a place called Sam's Club (Sub-corporation of Walmart).

On the job \, I was stung by a bee on the hand. I am allergic to Bees and knew it was a problem. My hand started to swell up and sting horribly. I told my manager, and that I was going to have to go to the Hospital. One of the managers drove me to a Hospital uptown. I waited for nearly 2 hours in the ER with my gigantic hand. When I got into a room, they asked for my insurance, and my manager had given them a Sam's Club card with all their insurance information. I was treated, and went home.

Now, some months later, I returned to my home in California.
Though, I am starting tor received Bills from the Hospital. I keep getting a repeated one for $203.00. I called the billing company and they said there was NO insurance from Sam's Club with the Bill. I called the HOSPITAL and they said that no records showed I even came in.

What should I do? I am lost (18yo, M)

Did you file a work comp claim for the bee sting?? If so, call your adjuster at the insurance carrier. You are being billed because the provider does not know where to send the bill so you are getting it because you are the patient. You can send the bill to your work comp carrier and they should contact the provider and them them bill the insurance carrier directly. don't let this go, you work comp carrier is not ignoring the bill, they probably have no idea it exists. This is a situation that happens all the time with insurance carriers and provider bills.

if they have no records of you even in there , then why are they sending you bills? Ask them that..You should call the place you work for and talk too them..you dont have to pay anything because it happened on the job.

OMG...this happens all the time. It's a pain in the neck. I guess you get what you pay for. Call the Hospital patient accounts dept and have them look it up again. Ask for a supervisor if you have a hard time with the "clerk". They may be looking under the wrong spelling of your name. Get the insurance info from your employer so that you can provide it to the billing dept for the bill you are getting.

The employers' workers' compensation insurance carrier is responsible for these charges. Your manager may have given the hospital the wrong information. Get hold of the H.R. dept with the employer and find out who handles WC issues.

Edit: This kind of thing happens frequently - the hospital billing depts are often incompetent. If they can't figure out who to bill, they'll bill the paitent.

You contact your manager, and ask them if Sam's Club is self insured in Texas. They might be - TX allows large employers to self insure for WC, in which case, the claim should be sent through the risk manager.

Now, what you AREN'T going to want to hear - it's highly possible that this claim isn't going to be considered "workers compensable", and the claim could have been processed and denied. Leaving you on the hook to pay the bill.

Start with your manager, and rebuild the claim.

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