The Difference Between Confidence & Doubt
Perhaps you all can check my understanding of the cxbladder loop with this example, not having a background in insurance myself;
Say Chuck is a machine operator in Ohio who has just had another routine random drug test, no drugs were discovered as usual, but the drug test lab noted blood present in the urine sample. Quite worried, Chuck appropriately takes the afternoon off work, goes to his trusted GP who for caution refers him onto a specialist. (Aside, this scenario happened to a former colleague of mine when he visited Tiwai Point).
The specialist urologist pops a cxbladder test kit out of his draw and while Chuck is in the next room peeing in a jar for the second time in a week the urologist fills out the accompanying form with all Chuck’s important insurance and policy number details. Chuck does not have medicare coverage but does have a plan with ACME insurance which is provided through his employer.
PEDusa receives Chucks sample, processes it, and returns the test results within six days. The urologist explains to Chuck that there is no cancer, must have been last week’s spicy meatloaf, but come back for a follow up test in six months to be sure.
PEDusa note from their database that ACME insurance are a registered client of one of the PPO’s with whom PEDusa have a contract to deliver tests at a special price of $550. PEDusa thus invoice ACME directly at this special rate and duly receive payment within the next accounting cycle.
Chuck gives up meatloaf, continues to produce widgets in the factory, and lives happily ever after satisfied knowing he was neither probed nor charged a cent.
So, between the signed up PPO’s that PEB now have on the books, FedMed, ACPN, and Stratose there are presently 60 million potential Chuck’s with standing insurance policies, ready and waiting if a cxbladder test is required. Have I got this right ?