It is a medical insurance nightmare that began with a physician simply trying to make things easier for a patient.

It is a medical insurance nightmare that began with a physician simply trying to make things easier for a patient.

A simple favor turned into money seizures, bill collections, and a lawsuit that were spinning out of control.

So, it was time to Get Gephardt.

The doctor patient relationship can be personal.

So personal that I know plenty of kind doctors will go out of their way to provide special help to a patient who is in particular need.

In this case, such a personal favor turned into a medical insurance nightmare for the patient...

But they does...

With the energy Tiffany Schoenfeld displays to supervise her babies around her home, you wouldn't suspect that they has a heart condition.

Back in February of 2007, Tiffany wound up here at the University of Utah Medical Center Adult Congenital Heart Clinic, where Tiffany's insurance covered treatment by only one of the doctors. Her insurance did not cover an electrocardiogram heart check.

But, in Tiffany's require, the doctors worked out a deal.

"They all came back in and said, oh, it's your lucky day," Tiffany says.

The doctors arranged that no matter what happened, all of her treatment would be billed through that one doctor who took her insurance.

The first bill from University Healthcare rejected by the insurance company came to $978...And Tiffany sent in her appeals.

But then someone filled out insurance forms that sent the bill through the wrong doctor. and that was the beginning of a 2-year medical insurance nightmare.

"None of it was supposed to be charged," they says.

But after Tiffany appealed to the University of Utah Medical Center, another bill came...with late charges.

So, this time, the nurse went to the billing department to tell them about the mistake.

But that didn't work, as Tiffany found out when the state of Utah seized her money.

The state seizure was $500 dollars. But, by now, the bill had now grown to $1400.

That's right. The state of Utah with no trial, or even a hearing, can seize a citizen's tax refund. The Utah Attorney General acts as the collection agent if a state institution, like the University of Utah Medical Center simply says a citizen owes money

& that brought tiffany to Second District Court in Layton for mediation with Express Recovery's lawyer.

So, this time, the University of Utah Medical Center sent the bill to their collection agency, Express Recovery.

Tiffany was armed with a letter. it is from the nurse who tried to stand up for Tiffany four times before. The nurse wrote that they "was personally present" when the doctor said they would be "waiving his fee." Tiffany gave the letter to the lawyer, but that didn't do any nice.

The lawyer sent Tiffany back to mediation, and when they tried to explain again Experess Recovery Lawyer Edwin Parry sued Tiffany. Now Tiffany needed a lawyer. It cost her $130 an hour on a bill they rarely owed.

I called Chris Nelson, the head of Public Affairs at University of Utah Healthcare. and over night, this medical insurance nightmare was over.

A court date was set, but Tiffany's lawyer got the trial postponed...and that's when they called me...nearly 2 years later.

"You know, this went to the highest level of our hospital's administration. and as everyone looked at this, it was kind of an obvious thing. Yeah, this was not handled well...so they need to do what's right for the patient," Nelson says.

& within days, a check came from university hospital for $503. The amount seized so long ago from Tiffany's state tax refund.

“For every one Tiffany,” Nelson says, “unfortunately, there are probably 40 or 50 other cases where folks are trying to maybe not pay their bills. But they need to not be brushing everybody with the same stroke."

& that lawsuit to collect the rest of the money is dropped...Tiffany got lumped into a collection method that sometimes doesn't look closely at individual cases.

& University of Utah Healthcare is paying all of Tiffany's attorney fees.

So, the problem here stemmed from a doctor trying to do a patient in need a favor, but when the doctor did not carefully follow his own paperwork to have it properly billed, the favor wound up as a billing method medical insurance nightmare.

If you have something you think i need to investigate, the number is 801-839-1250 or my email address, gephardt@kutv2.com.