collections

Medical Bills – Part 2

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I went to the emergency room on November 15, 2021. I resolved a bill from that day on June 30, 2023.

The provider submitted a claim to my insurance company immediately after my stay there. The submitted charges were $1526. My insurance adjusted the amount, paid about $1100, and said I was responsible for about $60. My explanation of benefits (EOB) even included a copy of the check they submitted to the provider, which is not typical. The check was date December 21, 2021.

The provider submitted a second claim, exactly the same as the first one, to my insurance company in December 2021. My insurance denied the claim because it was a duplicate. Simple enough.

The provider only received the denial, and not the check nor first EOB.

I received a bill from the provider in March 2022 for $1526. That didn’t make sense. I knew my insurance should cover most of a claim. I looked through my insurance coverage and confirmed I would only owe my co-insurance since our deductible had been long met. I reviewed my EOBs and noted the duplicate submission, so I called the provider. I told her the story, but she kept talking over me and not hearing that the denial was because it had first been paid. She said she was going to call my insurance company. I filed the paperwork and assumed it would get handled or that I’d receive another statement prompting me to take action.

In August 2022, I received a letter from a collections agency. I was pretty mad. Not only did I not receive information from this woman who had a job to do, they never sent another invoice/statement/bill to me.

On September 1, 2022, I called the collections agency as the letter told me to, plus I wanted a record that I had acknowledged the collections notice. The collections company told me to detach the part of my letter that had my information and mail it back to them asking for details. I did that immediately. I later received a letter that said “physician says you owe $1526 for services rendered on 11/15/21.” Thanks; that’s useless.

The same day that I called the collections agency, I called the provider. The man I spoke to told me he took my account out of collections status and would look into it. He told me to send an email to them with the EOBs and an explanation of what happened, which I did immediately that day.

On October 13, 2022, I hadn’t heard anything. I had sent two more emails since that time, trying to avoid a phone call, but at this point I had to call. I figured at any given moment, these people would just send my account to collections instead of put any effort in. The person I spoke to this time said they’d escalate this to the posting team for review, and they’d need 45-60 days to research it.

Nothing.

In December I called again. I asked for a supervisor immediately to avoid having to explain the story once again, but they made me explain it again. I got through to a supervisor who finally understood the story that there is a check out there for them. She said she sees that the issue is that the PO Box was wrong for where it was sent. She said she would contact my insurance about it. She emailed me the next day to say she tried 3 times to get to my insurance and couldn’t. That’s complete bull. I’ve never not been able to reach someone at my insurance agency via their 800 number.

I responded to her email 3 times asking for an update through December and January. At the beginning of February, I finally called again. This time, I called my insurance company and asked them what can be done. She called the provider via a 3-way call. The man said they’d resolve it and he escalated it. Same. Old. Story.

I gave them another 60 days and called them in April. Nothing different. This supervisor told me that she could see it being worked on and moving through the system. She said she really needed to allow it to work through the system and to give another 60 days.

I called on June 29, 2023. I was able to get through to the same supervisor as the April call. She kept me on hold a majority of the time. After a half hour, she came back and said “I’ve escalated this to the posting team. I appreciate your patience, but I really need to give them another 60 days.” No. Unacceptable. I’ve wasted hours of my life trying to get this resolved, and it’s not even my problem to resolve. It has only become my problem because they sent me to collections. I told her to send me to someone higher than her, and I was done being thanked for my patience.

A new person got on the phone. I said the only acceptable outcomes at this point are 1) you wipe the slate clean and call it a wash because you’ve had more than enough time to ‘find’ the payment from my insurance company, or 2) you call my insurance company and get them to stop payment on the previous check and reissue payment somehow. She said she’d look into it with the posting team. I said “clearly, the posting team doesn’t know how to do their job, and I’m tired of being told for an entire year now that we’re waiting on them to find the payment.” She agreed.

She looked at some screen and something clicked. She said that the payment was processed through a third party, so they take a cut of the check from the insurance. All this time, they’ve been looking for $1100, but they should be looking for something less than that. She called the company that processed the payment, found out the amount they sent to the provider, found the payment amount in suspense, and applied it to my account.

That left a balance of $60 owed from me, and she graciously zeroed that out for my troubles. I didn’t have a problem paying $60, but I did have a problem with their way of handling this issue.

I had heard from someone two other times that sounded like they were actually going to help me. I had no faith that this was the end of the road when I hung up the phone on 6/29. I started to look for alternative courses.

I submitted a claim to the Better Business Bureau. They accepted my complaint within a few hours, but I ended up calling to withdraw the complaint on the following morning since this woman fixed my issue finally.

I called the Federal No Surprises Help Desk. Truly, I didn’t think this counted because it wasn’t “surprise billing.” However, they have a system that asks you questions and gives you a course of action. In my case, they said to call and start a claim. Unfortunately, I did call, and she said that since the date of service is before the No Surprises Act was established, she couldn’t help me.

She suggested I call a number in Kentucky for my issue. I called and left a voicemail, but that felt weird. I looked up some options specific to my state, and there was a way to file a complaint with the Attorney General. I submitted that complaint, which I need to figure out how to withdraw now.

I’m skeptical that this is over. The lady I spoke with said she will send me a zeroed out statement in the mail, so I’ll be holding my breath until that actually shows up.

There are so many times where I, as a consumer, am just stuck. I don’t understand. The consumer has no help or protections that are easy to find or take advantage of. I just have to keep calling this company and hope that eventually they resolve it. Yet they could send me to collections and completely ding my credit worthiness, even though this was their issue and fault.

Nineteen and a half months after my date of service, I may actually have this resolved. This was a bill for $1526. A lot of people don’t have that kind of money to erroneously hand out. I hope that someone reads this and thinks before they pay their next medical bill to ensure that it’s accurate and truly the amount that’s owed.

Property 1 Turnover

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Building off of my last post about tenant abandonment, here’s what it took to turn over that unit. We rarely have units to turn over in our portfolio. Last year we had 1. This year we expected to have 1, but this abandonment made it 2. To have continued renewals over 13 properties is a blessing.

Usually, we need to clean and paint. Every once in a while, we have more work to do, but it’s rarely a massive undertaking. This one was a massive undertaking.

Our property manager walked through the house and saw that junk was left behind and it was filthy. There should be another word worse than filthy. I’m always surprised at how much damage someone can do to a place they have to eat and sleep in for two years.

This is a 3-story townhouse. The entry level is the garage and a den-type room; then there is a flight of stairs to the main living area of a kitchen, dining area, powder room, and living room; finally, there’s a flight of stairs to two nearly-identical bedrooms, each with their own bathroom. The two masters concept and a garage are benefits, but the two flights of stairs is a downside.

TURNOVER ACTIONS

The property manager had her maintenance staff remove everything left behind. I thought she was going to hire something like Junk Luggers, so I was pleased to see that this cost us less by her using in-house staff. They wiped down the baseboards, but didn’t clean. I was under the impression that it was going to be cleaned before I got there. I was also under the impression that the carpets were going to be cleaned on the 25th.

I was working weekends at the time, so I couldn’t get to the house until the 27th. I didn’t find the need to rush down there because I thought my property manager had action happening. Plus, I’m pregnant, so I didn’t want to be in someone else’s filth for extended periods of time, and I expected it cleaned up before I was scooting along the floors and in tight spaces. Well, I walked in and was so upset. The carpet was disgusting. It looked like someone made lines in the carpet with the steamer tool, but didn’t actually clean anything. Not a single thing was actually cleaned. The kitchen and bathrooms were horrendous. I’ll spare you pictures of what the bathrooms looked like. You can see “steamer” lines in the carpet, as someone had been there, but there was zero effort put into actually cleaning the stains.

I called the property manager, and she agreed to come meet me at the house. She agreed that the carpet cleaning was unacceptable, and I wouldn’t be charged for that. She explained that her guy didn’t have time to clean the place except for wiping baseboards, and they had decided to clean it once at the end. I said that would be fine if the house wasn’t this bad, but there should have been an initial cleaning. She showed me pictures, and even though the baseboards were gross, they had actually been wiped down because they had been even worse.

The property manager called her typically cleaner, and he agreed to get there the next morning. I showed up the next morning to find he was still there working. He said the house was in much worse condition than he was told, and they’d have to leave to go to another job and come back to this house. I wasn’t surprised, but I was very happy to see that everything was cleaned, and that I wasn’t completed grossed out by being there.

DECISION MAKING FOR TURNOVER WORK

There are costs that you just have to deal with in the turnover – junk removal, cleaning, carpet cleaning. Then there are costs that you don’t expect to be on your radar, but are necessary – replace broken floor vents, replace missing outlet covers. Then there are decisions that require more thought. For instance, we haven’t enjoyed this property in our portfolio, and we’re considering selling it. We’d like to recoup some of the costs we’re having to put into it now, but selling it is on our radar for the future. So do we want to clean the carpet, or start replacing the carpet with hard surface flooring to increase our property value for a future sale?

We recently received an updated assessment for our taxes on this property. I happened to look up their comps given. We bought this house for $86k. I noticed that the houses with no updates to it were selling around $110k, while houses with nicer flooring and fixtures were selling up to $130k. My goal was to start preparing for a sale in the future, and we’d have a few steps done instead of having to redo the entire house in a year or so.

The biggest actions I took while looking into the future were:
1) I painted the main floor baseboards white. The baseboards, walls, trim, and doors were originally all painted the same color – an off-white or beige. Over time, we kept the trend going because it made it easier and quicker to turn over the house. While I didn’t paint all the baseboards white, I did it in the main living area and in the stairwells. I painted the interior doors of the main living area (main entry door at the top of the stairs, the laundry room door, and the powder room door) and all their trim white.
2) Repaint all the main walls. At the last turnover, Mr. ODA went into the house and touched up the walls. The paint had gone bad, so the touch ups were very noticeable. I painted everything except one bathroom, half the laundry room, the powder room, and the two bedroom closets. Every other wall surface (including two stairwells…gosh) got painted a gray.
3) We did get a carpet cleaning company to come out and rotovac, which is an incredible process that brings a carpet in rough condition almost completely back to new. It’s truly impressive. They also charged us $159 for this more intense process, while the original company that just made lines in the carpet was going to charge $244 for nothing.
4) Instead of cleaning the main living area carpet, I wanted to replace it with hard surface flooring. We’ve had this house, with the same carpet, since 2016. That’s 6 years of carpeting that has been beat up (understatement) by 3 different tenants. The carpet could even be older than that because it’s what we inherited when we purchased the property. I explained in a recent post all the reasons why we laid LVP and how we accomplished it ourselves.

COSTS OF TURNOVER

I had to supply my property manager with specific costs associated with the work I did, so here’s that, along with the charges they had on our account. Not all of this gets billed to the tenant. For example, the dishwasher and refrigerator were at its useful life and needed replacement, due to no fault of the tenant’s.

While it was hard to get started, seeing the mountain in front of me when I first walked into this house, I do appreciate having done most of the work myself. We spent over 28 hours at the house. I did about half of that by myself. Mr. ODA and his dad helped get some progress on the painting one day, and then Mr. ODA and I worked together on the flooring.

We also have the months of lost rent that were unexpected. With notice, we could have listed and shown the house before the current tenant vacated. We were caught on our heels, and we lost 2 full months of rent. Unfortunately, we truly lost 18 days of progress in those 2 months because our property manager didn’t enter the house to confirm abandonment timely.

LIGHT AT THE END OF THE TUNNEL

We ended up listing the house on May 6th. They had several showings, but the layout is hard to get rented. One couple submitted an application on a Thursday. When our property manager reached out to them, they never responded. Our property manager had pushed to list the house at $1250. Once that couple ghosted us, I told her to lower it to $1200. Just as I was about to give up and have it lowered, she was able to get another application and a signed lease. Luckily, being that it was May 25th, these people wanted a June 1st rental. We increased our rent by $275/month and only lost 2 months of rent, which is mostly made up by the drastic increase in rental income.

Another silver lining is that we paid off this property’s mortgage multiple years ago. Therefore, we didn’t have the extra “bleeding” of money by having to make two mortgage payments without having the cashflow to offset it.

We don’t expect to see a dime from the old tenant of what we spent to turnover the unit. We didn’t have any issues with him while he lived there, and his abandonment and lack of communication was surprising. Someone who leaves like that, and leaves the house in such poor condition, isn’t going to put forth effort to pay a $3k bill he receives in the mail. It’s in the hands of our property manager at this point and will likely move to collections. We’re just happy to have new renters in the unit and have this one behind us.