 [ Symptoms ] 51513 endometriosis surgery 7513 lupron inj severe cramping 8 days horrible pain never started period normal  hello let me give a quick overview 051313 i had endo surgery and my doctor removed endo off my uterus and left ovary states it was very mild but still should have all of my kids before 30 23 yo currently started lupron injections on july 5 2013 every 3 months for a total of 6 months i am also on aygestin to help combat the hot flashes 2 5mg every day 8 days ago should have been my first period horrible menstrual cramping 8+days constant back ache could throw up from the pain [ Disease ] here are four mistakes that can take a big financial toll when it comes to medical bills 1 you do not review your bills medical bills are notoriously riddled with errors if you pay your bills without reviewing them with a fine toothed comb you are very likely to pay more for your medical care than you should the solution be on the lookout for additional hospital days duplicate or excessive charges charges for doctor visits or tests you never got or any number of items that do not jibe with the care you believe you received address any errors right away with the billing department or office manager in your doctor is office or the hospital where you received care 2 you do not confirm that your insurer paid another form of medical billing error often occurs in the form of doctors or hospitals failing to bill your insurance company or doing so improperly if you have more than one type of insurance it is very common for confusion to occur about which company should pay first and which should pick up the remainder of the bill before you pay medical charges make sure that your health care provider has properly billed your insurer and that your insurer has in turn paid what it owes 3 you accept defeat without a fight it is a huge mistake to assume that being denied coverage by your insurance company means the decision about whether or not your care will be paid for is final as a result of the health reform law you have the right to appeal coverage denials by your insurance company if your insurance company does not rule in your favor your plan is required to explain why and provide you with information about how to obtain an independent review of your case this does not apply to grandfathered health plans bottom line if you do not fight back you are probably leaving money on the table 4 you do not negotiate here is a fact that makes many patients uncomfortable you need to haggle with your doctor over the cost of your care prices for medical care are not set in stone and you can save yourself a lot of money by asking for a break this is particularly important if you are without insurance or if you have a high deductible health plan that requires you to pay thousands of dollars before insurance kicks in to help pay the bills many health insurers offer members a pricing tool that can be found on the company is website and online tools such as healthcare blue book are available to those without insurance or with a health plan that does not offer the service