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theizzard
06-11-2009, 08:12 AM
Hi everyone,

I received a rather high bill from a company (Sentient Medical System). They monitored my doctor during both surgeries. This is something I had never heard of before. Has anyone ever heard of this and if so, did you have any problems with billing. I called because they are asking me for 1600 because my insurance company did not pay anything so they are appealing it. This is my second bill but they don't want anything from me while the appeals are taking place. Apparently in brain or back surgeries, this company provides a doctor or a tech or several people (i am not sure how that works) to monitor neurological functions as an added level of protection for the patient. I am just curious if anyone has heard of this or paid for this or anything?
thanks,
avis

sarah105
06-11-2009, 09:06 AM
I had my surgery on june 1st and just received a letter about this yesterday. I had assumed that all the services I received were provided through Yale, but I guess not. The letter is from Impulse Monitoring and they were responsible for my nervous system monitoring during the surgery and says they provided either a technologist or oversight physician in the OR during my entire surgery. My letter says the charges will be billed directly to my insurance carrier and that in most cases the amount that I am required to pay is limited to my co-pay and deductible if applicable. I assumed it would be covered no problem, but I guess I will have to wait and see. It seems like something that would be considered an essential part of surgery so I would expect that insurance would cover it. I am surprised your insurance did not cover it. Hopefully mine does. Sorry I can't offer more help but I did receive similar information after my surgery.:o

debbei
06-11-2009, 05:52 PM
Hi everyone,

I received a rather high bill from a company (Sentient Medical System). They monitored my doctor during both surgeries. This is something I had never heard of before. Has anyone ever heard of this and if so, did you have any problems with billing. I called because they are asking me for 1600 because my insurance company did not pay anything so they are appealing it. This is my second bill but they don't want anything from me while the appeals are taking place. Apparently in brain or back surgeries, this company provides a doctor or a tech or several people (i am not sure how that works) to monitor neurological functions as an added level of protection for the patient. I am just curious if anyone has heard of this or paid for this or anything?
thanks,
avis

Hi Avis,
I haven't heard of it and never received a bill for anything like that either. Even if your insurance company doesn't pay, I wouldn't just pay the bill. Why don't you ask the insurance company directly if it is your responsibility. If they said no, I wouldn't pay, but I would inform the monitoring company what you were told.

LindaRacine
06-11-2009, 07:51 PM
Hi...

I suspect that this is some type of neural monitoring. During spine surgeries, they monitor signals between your head and your feet, so they can tell if there's any problem with the implants interfering with the spinal cord.

It seems to me that if the hospital is using a service that isn't covered by your insurance company, it's up to them to let you know before your surgery. They can't expect you to pay for something that you did not specifically authorize.

Regards,
Linda

Sharshe
06-12-2009, 09:02 AM
I had surgical monitoring by Surgical Monitoring Associates. I received bills for both surgeries, and notified by the insurance company that they would not cover it. The bill just had to be submitted using different codes going through the hospital not straight from the surgical monitoring people. Both bills were then covered. Hope you get your bills worked out. I did find out the expensive way that my Ortho-fix (bone growth stimulator) was under co-insurance and they would only pay 1/2 of the cost! This was after I received a letter of approval from my insurance.