Dr. Dayne Sullivan, ND
Region: US
Thursday 24 July 2025 18:56:28 GMT
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Love Somebody Cajun ⚜️ :
Something has got to give
2025-07-26 23:15:29
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Alicia Nuxoll :
Cigna insurance showed us as in network (community pharmacy) throughout open enrollment last year for med d. We knew were weren’t contracted. We contacted them over and over and over again. We had 1 contact back saying they would fix that. They didn’t, so hundreds of our patients signed up with them and then found out at the beginning of the year they had to switch pharmacies. In the month of December, we actually
2025-07-27 01:33:27
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user tiffster :
Here’s one for you. We have an insurance company that is down coding E&M visits that we billed WITHOUT reviewing the medical records. I have 2 sets of credentials that require CEU’s to keep up with the laws and, “rules”, in order to be proficient in coding. I read all of his notes and scrub his claims before sending out. I don’t see how they can pay for a lower code without reading the note. He’s internal medicine who see majority of senior patients that has multiple chronic conditions. I’ve been doing this for 28 years and it’s getting worse.
2025-07-26 12:47:42
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love :
Unfortunately this is going to continue to get worse! And unfortunately people are going to stop going to see their doctors- and get sicker… then their going to show up at the ER and be seen and have no insurance - then can’t pay because they can’t afford the bill! This is a round and round loop! And the hospitals are going to have to absorb the cost- which is going to take them out of their budgets and then you have budget cuts! Which then results in to other problems! But …. Here’s the good news Medicaid recipients can now go to the fields and work for their health care…. Oh and….. employers can now basically make all their full time/part time employees - indep. Contractor which they don’t have to pay for the health insurance all together!
2025-07-26 12:48:46
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naynay :
Doctors are starting to get vocal about insurance companies and I am so happy. Get with Dr. Elsibeth Potter . She has gotten some attention about this.
2025-07-27 01:30:21
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Cindy :
Retired family nurse practitioner. Rural health 25 years. Insurance is so ridiculous with the prior authorizations
2025-07-27 02:11:40
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Michelle Moon :
Healthcare in US is a SCAM. I’m so thankful my doctors are understanding and let me CASH pay when it makes sense. Still doesn’t get my the surgery I need as ovarian cysts are not covered if it is only a “removal for pain purposes” smh. But if I had the cash, that would be the first one.
2025-07-25 20:18:03
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Jim Dawson :
You could treat the patient; you can chart whatever you want to chart. When your gripe about the insurance company you’re really concerned about HOW you’re going to be PAID… just like when a patient calls for an appt… first question is “Who’s your insurance company?” It’s about getting paid isn’t it?
2025-07-26 16:07:17
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Amy S :
Did your medical biller check your specific NPI for network status? When I used to check medical benefits, I would call the insurance company and provide both tax ID and each of my provider’s NPIs to verify if they were credentialed. I’m not saying the system doesn’t absolutely suck, it does, but just wondering how the ins info was verified
2025-07-25 22:51:26
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Remington6864 :
Availity. I’ll name drop it. 😁 I work for a major health insurance company and the front line people probably have one of the worst jobs with the absolute worst pay. They know the ins and outs of the industry and their hands are tied not being able to actually help people/providers. When I was in customer service it was a normal thing to see the customer service reps to just sit and cry because they are heartbroken about a members situation. Or bawling because members take their frustrations on them. The system is broken.
2025-07-24 21:31:19
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Dr. Sienna Miller, ND :
I switched to cash-based a year ago, and I have found it to be so much less stressful for patients. Never have to question how much they will be billed! And now exclusively order cash labs, as they are almost always significantly cheaper than going through insurance, which is insane.
2025-07-25 14:23:18
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balletbunion :
I’ve always said insurance will deny a claim if your I’s are dotted and your T’s are crossed in the wrong font. Sounds like we are neighbors, I own clinics around Portland metro. Thanks for spreading the word, this is a new reason for denials. It’s exhausting explaining to patients that we are not the bad guys.
2025-07-26 01:11:20
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Sherry :
💯 Many times in network physicians on insurance websites are incorrect or outdated. I have UHC and I’ve tried to pay my co pay for services but constantly get bills, emails, texts from UHC and company where services were received, that they are unable to process payments and now says I’m in default and wants me to pay again although I have proof payment was made and accepted. This has been ifir months. Called insurance company and company where service was provided speaking to their billing department and they were useless. Now they sent me to collections. It’s no wonder why physicians are going cash only and patients are going without insurance.😡
2025-07-25 14:17:00
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Debbiedo :
All providers need to stand up to insurance companies. I was a biller for over 30 years an uprising against insurance is long overdue
2025-07-26 16:10:12
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Andrea Townsend :
everyone needs to stop paying for insurance until they change
2025-07-26 15:17:15
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Wendy Wood 🐝🐞🪲 :
I worked for 2 different managed care for UR and CM - I did TPA and Managed care. As TPA we were told we could obtain clinical from ANY reputable source, this included the PT. Now days managed health care do not take clinical from PT. I could not get BCBS to process a claim manually they kept kicking it out. I had to go to HR for them to call the carrier to pay INN. Lots of headache and ppl involved.
2025-07-26 00:27:20
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Peterson.diane :
Thank you for speaking out!
2025-07-27 00:39:39
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PanButWithPreferences :
My 80-year-old patient had a fall, BRAIN BLEED, ambulance to hospital number one, “we can’t treat you here”, ambulance to hospital number two ( a trauma center). Seven months later insurance is saying it’s not covered because she wasn’t sick enough.
2025-07-25 20:56:00
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Maegan Brest - Texas REALTOR®️ :
I don’t have insurance and when I have to visit my doctor, I pay $175 and that’s it
2025-07-25 15:06:51
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Joan D’arc :
It really is terrible-I’m not a provider but I run Oncology clinics and getting people authorized and dealing with payers is the biggest and worst part of the job.
2025-07-26 12:33:55
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Hertimenow328 :
Thank you for speaking up!!!! Healthcare in the US is out of control!!!!!!
2025-07-24 21:12:07
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NatalieTattley :
i have a state employee health plan for my family; i pay $13k per year for that and have yet to even come close to meeting my $3k deductible…currently gathering info from all my providers on self pay rates, medication costs, etc. As of now if i took that $600/ mo. i pay to my plan abd put it in a savings account, based on our medical behavior last year, we would have had $4300 left over if we did self pay. I’m this 🤏🏼 close to unenrolling in November and just signing up for a high deductible/catastrophic private plan for just in case.
2025-07-25 13:20:27
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Marsha :
I was a medical office manager for 20 years and the process of credentialing is a NIGHTMARE. It’s so confusing and if you get set up wrong in any way it takes FOREVER to get it fixed.
2025-07-26 17:46:48
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Amy House :
Blame the government. It's now law, ordering & prescribing must also required by federal law to be in network for coverage
2025-07-26 00:20:02
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Deb Vivatson :
Recently retired provider....the US needs Universal Healthcare. I spent more time arguing with insurance companies and pharmacies than I wanted. They both suck!
2025-07-25 01:35:56
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