Get Gephardt | Stories - Huge Bills For Newborn After Insurance Co. Error
Tuesday, June 18 2013, 09:14 AM MDT
Huge Bills For Newborn After Insurance Co. Error
By Matt Gephardt
Photography by Brian Morris
Edited by Aaron Colborn
(KUTV) When Hadlee Knowlton was born last July, she needed a little extra help.

"About 30 minutes after she was born she was taken into the [Neonatal Intensive Care Unit],” said her dad, Dallas Knowlton.

Hadlee got the attention she needed and today is doing great. But a surprise for Dallas and his wife Valerie when they got a $6,196.88 bill from the neonatal specialist group. The insurance company, Humana, is refusing to pay because the neonatal specialist is a doctor not in Humana’s Network.

At first, Dallas says he was confused.

"We went to an in-network hospital,” he said. “Davis Hospital is in network."

Not only is Davis Hospital is in Humana's network, but the Knowlton’s say they did everything they could in advance of Hadlee's birth to make sure the bills would be covered.

“My wife's doctor was in-network,” Dallas said. “The pediatrician was in-network. We preregistered. The only thing that wasn't in network was the neonatologist that the hospital assigned."

The Knowlton's appealed Humana's decision but that appeal was denied. In the denial letter Humana stated, “it was determined that the claim was processed correctly."

Now, the neonatal specialist group is demanding immediate payment threatening to turn the bill over to a "collection agency" and reporting the bill to the “credit bureau[s]."

Out of options, Dallas and Valerie decided to Get Gephardt to investigate.

When we contacted Humana about all of this, their spokesperson said that they do cover out-of-network doctors when they are working at in-network facilities. She said that Dallas should "appeal," and that would result in the claim being "re-processed at the in-network level."

We pointed out that Dallas already had appealed and it didn't do him any good. Now, after our calls, Humana has re-processed the claim at the in-network level.

Just like that, Hadlee's doctors have been paid and the Knowlton's are off the hook for the bill.

We wanted to ask Humana why when the Knowlton's appealed on their own Humana didn't fix the billing problem. Humana refused to comment on this specific case citing federal privacy laws.

(Copyright 2013 Sinclair Broadcasting Group)

Huge Bills For Newborn After Insurance Co. Error

News Photos & Videos - Submit Your Photos Here

More Gephardt Stories

Fighting Facebook Fraud
Cost of Business Goes Up and Kraft Recalls Mislabeled Wieners
Good Question: Why Do Winners Of The Masters Get Green Jackets?
Michael's Security Breach Update, Coffee Production Being Threatened and General Mills' Forced Arbitration
National Mortgage Settlement Payments Delayed to Thousands
GM Dodges Recall Responsibility, Returns On Rented Property and Employee Rest Tied To Dishonesty
Fine Print Reveals a Company is Behind Tax Lien Notices
Computer Scam Alert, Congress Weighs In On E-Cigs and Beef at an All-Time High
Good question: What's the figure eight printed on globes?
Amazon Offers Employees $5,000 to Quit, Most Common I.R.S. Mistakes and Flyers in February Arrive Late
Chimney Sweep Folds with Consumer's Deposit
Heartland Virus Threat, I.R.S. Fields Your Calls and the Big Mac Budget Demonstration
XP Support Gone. What Now?
"Or your money back" Offer not Honored
Get Gephardt: Man Lands in Collections Despite Fully Paid Utility Bills
Good Question: How Were the Aquarium Fish Safely Moved?
GM Wins Crash Test Honors, FTC Cracks Down On Weight-loss Claims and CVS In Hot Water
Two Utah Men Brought Up On Tax Fraud Charges
Home Automation Failures Frustrate Customer
Yahoo Increases Email Security, SLC Marathon Set For April and Microsoft Introduces Its Siri
Wendover Casino Blocks Handicapped Stalls for Promotional Giveaway
New Scam Alert, Chrysler Recall and Amazon Joins the TV Market
Good Question: How do Taxpayers avoid being audited by the IRS?
If the IRS is Unresponsive, Try the Taxpayer Advocate
Mudslide Scammer Alert, Nissan Recall and New Trader Joe's Location in Salt Lake County
Insurance Mix Up Keeps Woman From Lifesaving Meds
E-Book Refund, College Tuition Increases and Unclaimed Tax Returns
Billing Bundle Bungled
Flood Insurance Increases, IRS Cash Crunch and Possible Apple & Comcast Partnership
Good Question: How is the Moment Spring Starts Determined?
Defiance May Soon Pay Off for Couple Fined Over Negative Comments
PS4 Announces VR Headset, Google Makes Smartwatches and 2010 Tax Returns Still Available
GM Spokesperson: Loaners, Rentals Available to 1.6 Million Drivers Impacted by Recall
Google Wins Viacom Lawsuit, Walmart Wants Used Games and Microsoft's Stock Surges
Fake IRS Auditors Attempt to Rip Off Taxpayers
Retailers Asked to Stop Selling Tobacco, NYC Requires Sick Time and New Expiration Date Labels
Good Question: Are E-Cigarette Commercials Legal?
Low Utah Unemployment Rate, Graco Recall Expanded and High Tax Return Average
ACA Marketplace Confusion Leaves Adults Signed Up for Pediatric Dental Care
Target Continues Damage Control, Staples Closing Locations and Facebook Blocks Gun Advertisements
Popular Provo Road-Race Organizer Stiffs Winners
Gov. Gets Wiretap Bill from Sprint, Guns Are Selling Well and F.T.C. Cracks Down
Fur Coat Storage Company Vanishes with Several Expensive Coats
Utah Benefits From Reopening Parks, RadioShack Closing Locations, EPA Regulations and Potential ATM Hacking
Semi-Pro Football Players Question the Disappearance of League Fees
Drought Affects Grocery Prices, Free Checking Disappears and Bill Gates On Top Again
Good Question: "How Do Search Engines Determine Search Result Orders?"
Airlines Cut Bereavement Fares, Internet Usage Goes Mobile and Wells Fargo Cuts Jobs
Stolen Debit Card Used at Days after Victim Shops at Target
Delta Changes Frequent Fliers Program, Sprint in Trouble over Nude Pictures and Min Wage Battle Continues
California Scheme Leaves Utahn, National Hispanics out Hundreds
Target Breach TimeLine, Facebook Email Says Goodbye and House Prices on the Rise
Lifetime Warranty Abruptly Cancelled
Taco Bell Breakfast, Disney Resort Price Increase and New Alumni Tracking Software
Man Injured At Amusement Park Awaits Damages
Credit Restored for Consumer Fined for Negative Online Review
Postal Service Issues, Hot Pocket Recall and Netflix vs. Verizon
Ex-Federal Worker: Someone Forged My Official Gov. Documents
Alarm Customer Moves But Cannot Cancel Service
Improving Medication Information, Groupon Deal and I.R.S. Tax Update
Advertise with us!


Pay It Forward
Fresh Living
Family Matters
Road Trippin
Hooked On Utah

Advertise with us!