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drpoundsign Asked August 2016

Why was my late father's ambulance transfer denied?

He was transferred from Assisted Living to a nearby Hospital for kidney failure (when a catheter was put in, he improved and was discharged several days later.) He was Hardly Healthy, However. He passed away one month after discharge at Assisted Living, under Hospice Care. He was Ninety years Old. Medicare felt he didn't need an ambulance, or wouldn't pay the deductible. The Bill is over four hundred dollars. Wisconsin Physician Insurers (who seem to be in charge of approvals/denials) are stonewalling me because I didn't prove I was the Executor of the Estate. But I sent the Death Certificate, and transfer of Deed for my inherited house. They also say in their Denial letter that I have NO more appeals Left.

pamstegma Aug 2016
We had a similar bill, since Medicare and the private insurance do not cover the transport from the hospital back home as a Hospice patient.
When mom lived in assisted living, her insurance covered her trips to the ER, but did not cover transport back to assisted living, so we had to pick her up and take her back.

drpoundsign Aug 2016
Thanx. Yeah-I've read that passage before. But These guys are stonewalling me, acting like I can't prove I'm the heir to the Estate. I would have happily driven my Dad to the hospital myself, but Assisted Living didn't call me until he was already there. He had a previous transport there, BTW, for EKG changes, which turned out to be Nothing. But, for some reason, I only needed to pay about $36 for That.

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freqflyer Aug 2016
This is what Medicare has to say about 911 ambulance use https://www.medicare.gov/coverage/ambulance-services.html

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