u/WoodyForestt

Took my kid to the out of network Childrens Hospital ER in Texas for an earache with redness on the bone behind ear.

They did a CT scan with contrast to rule out mastoiditis and sent him home with prescription for oral antibiotics.

This was coded as a level 5 ER visit so I got a large bill as a I have a high deductible policy.

Before I try to dispute with the hospital, I called my insurer to see if they might do a coding audit or act as my advocate. They say that a coding audit is not something they do, they just process the claims as submitted, and if a kid goes into an in network or out of network ER with a skinned knee and it's coded as Level 5, they will accept that bill and process it.

Is that true? Or do they just not care because this bill is out of network and thus it's not their money?

Also, would I have any chance in winning an argument with the hospital directly that this did not warrant a level 5 code? The attending ENT never entered the room and her PA billed Moderate MDM and I'm being billed for the expensive CT scan in a separate line item.

I'll be in Japan in July and have plans one day to do a day trip to the Nagoya (Valentin) Dome to see a baseball game at 6 p.m.

What should I stop and see along the way? I've been Kyoto several times and have also been to Nara.

I've never been to Uji but it's a little out of the way.

I see that there's an option to take the Kintetsu line from Osaka Namba (near where I'm staying) via Tsu to Nagoya. I could stop off in Tsu but I don't know if that's worthwhile. I've also read this a "scenic" train ride, albeit a bit longer than the Shinkansen but I'm not sure how scenic it really is.

I've been to Nagoya years ago but I only remember the Toyota museum, maybe I could visit Nagoya castle but I've generally been unimpressed with the "rebuilt" castles in Japan.