On July 1, 2024, my daughter, Kristina Floyd called 911 because I was having chest pains. I am a heart patient, already had one heart attack. I had taken a Nitro, but the pain was no going aways. It was the same pain that I had when I had the heart attack in 2022. In 2022 I thought it was acid indigestion and fought with it for 3 days before going to the hospital. I was taken in to the Cath Lab and ended up with a stent. in 2022. I also have 4 Aneurysms', now repaired in 2023. My daughter told 911 I was having chest pains & that I was a heart patient. Shortly after the Paramedics arrived my pain began to recede. The Nitro started working. I was told to call 911 if I have to take Nitro and specifically if it works. Arrival at the hospital, I was taken to the front lobby, put in a wheelchair, where I sat for 5 hours, no doctor, no nurse. Finally telling my daughter to take me home. I got a bill from you, so I called Medicare. According to Medicare, the Paramedics documented I was having shoulder pain. I called the Administrator at Parkview Hospital, and complained to the Administrator. They also said the Paramedics documented it was shoulder pain. I wouldn't even go to the hospital for shoulder pain. I would take Tylenol. I broke my arm, had to have surgery, refused pain meds, took Tylenol. The Hospital is doing their own investigation and Medicare is as well. Medicare also says they never received a bill from you. The letter I received from you, states ""Your claim has been denied by your insurance". How is that so if you never billed my Medicare Primary? You must bill my Medicare Primary. Medicare sends it to my Secondary after they pay. I will call your billing department with those instructions on Monday, Aug 5th. I would like to know why Paramedics have the right to document, make a medical decision for care, even after the call to 911, was chest pains. That is what Medicare and Parkview Medical will be investigating. Once they review the 911 call it may have an effect on payment. I am Medicare Primary, with QMB Secondary. No Out Of Pocket, No Deductible, No Copay. If I receive a bill, I am to let Medicare know. Per Medicare it is Fraud to bill me with QMB.
Desired outcome: Educate your Paramedics. Do not allow this ever again.
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Wow, it sounds like you've had quite the rollercoaster experience with American Medical Response. It's frustrating when you're dealing with a serious health issue like chest pain, only to be met with confusion and a billing mix-up. You'd think a call about chest pains would set off all the alarms, not a shoulder shrug!
Having Medicare and Parkview investigating is a good step — hopefully, they can help clear up the misunderstanding about your medical situation. And you're right: the billing process should follow the correct order to avoid leaving you with any surprise expenses.
It could always be worse — you might have received a bill for a helicopter ride you never took! Hopefully, this gets sorted out soon so you can focus on staying healthy and not on chasing down paperwork.