I am posting for an older family member.
Person (call him TED) has Blue Cross. Ted's wife had a severe medical emergency and was brought to a small local hospital in network. The doctor there ordered transportation to a larger hospital and ordered a helicopter flight. Wife passed away at second facility. Blue Cross is denying the $80,000 transportation claim.
At no point was Ted asked if it was ok to transfer nor did he sign anything. He was told this needed to be done to save her life. Ted filed an appeal, and his advocate told him the whole thing was ridiculous and they would get it fixed, but the appeal was denied. What can he possible do at this point? Is there any regulator body that he can reach out to to help put pressure on this situation? This took place in Oklahoma.
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