An insurer refused to pay bills related to the premature birth of the Bull family's twins because it said their delivery wasn't an emergency and their stays in the NICU weren't medically necessary.
Sugar and Greg Bull play with their twins, Redford and Scarlett, who were born prematurely in 2020. Their insurance company initially said the births were not an emergency, and the family ended up with bills totaling more than $80,000.
It was April 2020, early in the coronavirus pandemic. Unable to take a plane, the Bulls drove from their home in Huntington Beach, Calif., to the hospital in Provo, Utah. They had to quarantine in Utah before they could see the children in the hospital. But what if the insurance company denies the care is for an emergency? Or the hospital doesn't supply the paperwork to prove it?
How could NICU care not qualify? The gestational surrogate was admitted to obstetrics by her doctor without going through the emergency department, which prompted Cigna to initially conclude there was no emergency, said Dylan Kirksey ofTo establish that there was, Cigna asked for daily progress notes and other medical records on the infants. The Bulls tried to get the hospital to comply. Cigna kept saying it hadn't received the necessary documentation.
Though they disputed what they were being charged, the Bulls agreed to pay the hospital $500 a month for five years to settle just one of the babies' bills, in an attempt to keep their good credit.With seemingly nowhere else to turn, the family hired Resolve, which beats a path through the claims jungle in return for a portion of the money it saves clients.
"The hospital repeatedly failed to provide a detailed list of services and important clinical information, despite our continuous efforts to secure the information," said Cigna spokesperson Meaghan MacDonald.
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