A 62-year-old female who suffered multiple traumas was diagnosed with a severe knee injury requiring a routine 2-day admission for a knee arthroscopy, in Mexico.
She was discharged with a medical bill of nearly $60,000 US.
Our LATAM CCU (Complex Claims Unit) engaged in exhaustive medical and bill reviews, and concluded that the total billed charges were excessive, and that the medical supplies, which made up nearly 30% of the total billed charges, were not all medically necessary.
We negotiated a significant discount on the basis of excess charges and the overutilization of highly specialized medical equipment.