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patio11's profile
Patrick McKenzie
Patrick McKenzie
Patrick McKenzie
@patio11

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Patrick McKenzie

@patio11

I work for the Internet, at @stripe, mostly on accelerating startups. Opinions here are my own.

東京都 Tokyo
kalzumeus.com
Joined February 2009

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    Patrick McKenzie‏ @patio11 31 Mar 2019
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    My favorite part about being a cash payer in the US medical system is that ~6 months after a service you can get a bill in the mail with all numbers on it, inclusive of previous payments you've made, just made up. It keeps me on my toes.

    4:26 PM - 31 Mar 2019
    • 8 Retweets
    • 123 Likes
    • T.J. Firpo Peter Hatch [ピーチ🍑タィム]sachiko koshimizu森 Sam Havens Pat East Paul Roales Post Alone Eli Courtwright Jerry Afolabi
    9 replies 8 retweets 123 likes
      1. Patrick McKenzie‏ @patio11 31 Mar 2019
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        Tempted to FedEx their general counsel a letter: "Your accounts receivable department has demanded money I don't owe. See attached invoice, receipt, and credit card statement. They may be disorganized. I am not, and also I value fun stories over my free time. Fix this today."

        5 replies 9 retweets 187 likes
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      1. Ryan‏ @youfoundryan 31 Mar 2019
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        Replying to @patio11

        US medical bills often seem to be numbers thrown at a dart board where the billing admin is just hoping you won't ask questions. Writing back to say "I literally will not pay this bill, go away" has worked pretty well for me so far when the dart strays too far from the mark.

        0 replies 0 retweets 18 likes
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      1. Blake Walker‏ @Blake0Walker 31 Mar 2019
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        Replying to @patio11

        I’ve run a company in this space for four years, it never ceases to amaze me how thoughtless the existing system is when it comes to how patients receive and perceive their bills.

        0 replies 1 retweet 2 likes
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      1. e^x‏ @costa11235 31 Mar 2019
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        Replying to @patio11

        Wow. Here in Germany one is either insured with one of the statutory health insurances or with one of the private ones. With the former one pays a flat monthly amount, with the latter one usually pays upfront and is then partially/ fully reimbursed. Random bills are not a concern

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      1. Mayo Welch‏ @MayoWelch 31 Mar 2019
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        Replying to @patio11

        I was taken to an ER last year. I stayed about 6 hours. I was charged for: surgery in the neurological wing and an overnight stay... insurance asked the hospital for itemized billing. The hospital said it couldn't find it.

        0 replies 1 retweet 1 like
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      1. New conversation
      2. worldwidekatie‏ @worldwidekatie 31 Mar 2019
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        Replying to @patio11

        My understanding is that @eligibleapi connects insurance companies, providers, and patients to prevent surprise bills: I wonder if they could ever connect cash-paying consumer and providers or if uninsured people are too small a market? @katgleason would know

        1 reply 0 retweets 0 likes
      3. Blake Walker‏ @Blake0Walker 31 Mar 2019
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        Replying to @worldwidekatie @patio11 and

        not really something eligible would fix. The software providers use is designed for a certain use case which breaks down with his, unless they segment cash pay out properly, which they clearly didn’t. It’s just bad record keeping, which is very common in the space.

        1 reply 0 retweets 3 likes
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      2. 𝑪𝒉𝒂𝒓𝒍𝒆𝒔 𝑷𝒂𝒍𝒍𝒆𝒔𝒄𝒉𝒊‏ @CharlesPal 31 Mar 2019
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        Replying to @patio11

        The most mind boggling part is there’s no way to determine the cost before the service is rendered... you have to wait months to get the invoice then you find out what you owe

        1 reply 0 retweets 1 like
      3. Ryan Falor‏ @ryanfalor 31 Mar 2019
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        Replying to @CharlesPal @patio11

        Can be a year or more. My wife and I have had to argue bills from 12-18 months after service.

        0 replies 0 retweets 0 likes
      4. End of conversation

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