dr ordered autoset, came home with escape auto

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Bwf
Posts: 3
Joined: Thu Aug 28, 2014 3:23 am

Re: dr ordered autoset, came home with escape auto

Post by Bwf » Tue Sep 02, 2014 7:01 pm

New autoset in hand. The only problem now is my insurance has already paid 2 months on the returned auto escape and I may have to pay the last 2 payments of my autoset out of pocket.

Janknitz
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Joined: Sat Mar 20, 2010 1:05 pm
Location: Northern California

Re: dr ordered autoset, came home with escape auto

Post by Janknitz » Tue Sep 02, 2014 7:15 pm

DO NOT let them bamboozle you into paying for 2 months of rent out of pocket. Your insurance company paid for 2 months rental of an EO601 machine. You STILL have an E0601 machine. THEY gave you the WRONG machine, not the one the doctor ordered. It's their problem, not yours.

Ask your doctor and your insurance company to intervene if they play billing games with you. It might help now, while the incident is still fresh, to get your doctor to write a note in your record about them giving you something other than what he prescribed--and get a copy of that.
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RicaLynn
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Joined: Fri Aug 15, 2014 4:23 pm
Location: Western MT

Re: dr ordered autoset, came home with escape auto

Post by RicaLynn » Tue Sep 02, 2014 7:18 pm

Janknitz wrote::twisted: DO NOT let them bamboozle you into paying for 2 months of rent out of pocket. Your insurance company paid for 2 months rental of an EO601 machine. You STILL have an E0601 machine. THEY gave you the WRONG machine, not the one the doctor ordered. It's their problem, not yours.

Ask your doctor and your insurance company to intervene if they play billing games with you. It might help now, while the incident is still fresh, to get your doctor to write a note in your record about them giving you something other than what he prescribed--and get a copy of that.
+5!!! This is the DME's screw up, don't let them pass the buck off to you!

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Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear
Additional Comments: Backup/travel unit is an identical S9 AutoSet for Her w/Eson nasal mask

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Nick Danger
Posts: 621
Joined: Mon Jun 09, 2014 3:13 pm

Re: dr ordered autoset, came home with escape auto

Post by Nick Danger » Tue Sep 02, 2014 7:26 pm

If you read the entire thread, you'll see that the new machine was provided by a different DME from the first machine. The new DME didn't do anything wrong, so it is hard to understand why they should be out of pocket. The first DME should refund the money to the insurer, but I'm sure we all realize that they won't.

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Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear
Additional Comments: APAP mode, minimum pressure = 9. No ramp, EPR = 3, medium. Soft cervical collar. Sleepyhead software.