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Medical billing systems be crazy. I have a Medicare Advantage account. Defined copays for most outpatient services. Today I received a

refund check for $23.00. Appeared to relate to a blood draw for which I pay $30 at time of service. Called the billing office to confirm before I cashed it.

Right, you paid $30 for the lab, but total charges were only $7 so we refunded $23.00.

$7.00 to draw and analyze blood ?!?

I have this test every 10-12 weeks and have done for about 9 years - be interesting to see if this continues.


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