[diveinfo] [richard.horn@warnerbros.com: RE: [uwphoto] FW: Recompression Chamber Network To Stop Accepting DAN Insurance]

Tue, 10 Jan 2006 17:48:26 -0500

----- Forwarded message from "Horn, Richard" <richard.horn@warnerbros.com> -----

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From: "Horn, Richard" <richard.horn@warnerbros.com>
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Subject: RE: [uwphoto] FW: Recompression Chamber Network To Stop Accepting DAN Insurance
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It is making it's way around, and yes, I have seen it now from multiple
source.

I have also seen the following more detailed explanation, but I am not
able to guarantee its authenticity:

This was on Scuba Diving.com

It appears that the problem is limited to a few Sub-aquatic Safety
Services (SSS) facilities owned by a particular individual. The chambers
I associate this person with are in Central America, including one on
Cozumel, although he seems to own one in Dallas as well. 

Until this spat is settled either in or out of court, you can always
contact DAN about the particular dive location you're visiting. And
remember, there is a non-SSS recompression facility on Coz. 

"The DAN Diver Accident Insurance Program has provided coverage for
hundreds of thousands of divers and their families, and DAN America's
insurers have paid out more than $20 million dollars in claims to
members and treatment facilities around the globe. During this time, DAN
has collected and exhaustively studied a wealth of information on
treatment charges. From this, DAN has identified "reasonable and
customary" charges for treatment of decompression illness. This
information is an important component to any insurance program to assure
treatment of injuries at a fair price. This benefits both the insurer
and the insured. 

Unfortunately there is currently a dispute between DAN and Mr. Mauricio
Moreno, the owner of a few chambers in our region. Specifically the
dispute involves what constitutes reasonable and customary charges for
hyperbaric chamber treatment. It is DAN's view that reasonable and
customary means the usual charges of similar chambers. It is the view of
Mr. Moreno that reasonable and customary means what the chamber charges,
even if the charges are significantly higher than charges of other
similar chambers. One major international insurance company previously
withdrew coverage altogether due to these high charges. Having been sued
by Mr. Moreno, DAN is now forced to address this situation legally. 

There is no dispute, however, that DAN's insurers have agreed to pay Mr.
Moreno's chambers at what they consider reasonable and customary rates.
Therefore, if Mr. Moreno requires divers to pay in full for services
when rendered, even for the portion of charges in excess of what is
reasonable and customary, Mr. Moreno is needlessly overreaching and
inconveniencing divers. 

Despite these issues, DAN is committed to providing coverage to our
members regardless of where they live and dive. Therefore, we have
attempted to negotiate with Mr. Moreno over several years, including
DAN's attempt to identify costs unique to his chambers, but without
success. The good news is that the vast majority of chamber operators in
the USA and around the world provide excellent treatments and services
at fair rates. 

Despite this dispute, DAN will continue to take care of divers in need.
DAN encourages members to ALWAYS contact DAN directly if there is any
question about treatment issues or payment of services. DAN, as we
always have, will address such inquiries immediately, 24/7/365. No DAN
member who purchases dive accident insurance through DAN should be at
risk of not being covered."

___________________

Richard Horn

Director of Technology

Warner Bros. Idea Place

  _____  

From: uwphoto@yahoogroups.com [mailto:uwphoto@yahoogroups.com] On Behalf
Of Roger Roth
Sent: Tuesday, January 10, 2006 1:53 PM
To: uwphoto@yahoogroups.com
Subject: [uwphoto] FW: Recompression Chamber Network To Stop Accepting
DAN Insurance

Did anyone else receive this email?  Is this for real?

Roger Roth

From: MedicalHyperbarics.com [mailto:cdammert@medicalhyperbarics.com] 
Sent: Tuesday, January 10, 2006 5:12 AM
To: rroth2@cinci.rr.com
Subject: Recompression Chamber Network To Stop Accepting DAN Insurance

FOR IMMEDIATE RELEASE

Dallas, Texas, January 9, 2006: The Recompression chamber network
branded
SSS (Sub-aquatic Safety Services), in service in a dozen popular dive
destinations worldwide (and in most cases the only chamber in a several
hundred mile radius), has been forced to notify the public that certain
facilities in some destinations effective immediately, and others
progressively so, will NO longer accept the Divers Alert Network (DAN)
AMERICA insurance as a payment method for hyperbaric chamber and medical
services.

It is hard enough to maintain the facilities available 24/7 with optimal
technical, administrative and operational readiness, but with the
underpayment and non-payment of bills, some over a year old by DAN
America;
the chambers feel obligated to the diving public to remain open. To that
end
the chambers can no longer tolerate unpaid services, and since the only
insurer in the world who has refused to settle our bills is DAN America,
thus some SSS chambers have no other choice but to ask DAN America
patients
to pay for services when rendered and file the claims themselves with
DAN
America for any possible reimbursement.  Please note that this action
applies only to DAN AMERICA. It does not apply to DAN Europe, DAN
Southern
Africa, DAN Southeast Asia-Pacific or DAN Japan.

Divers are advised to check with their insurance carrier prior to travel
to
secure verification of coverage.

For inquiries, please contact cdammert@medicalhyperbarics.com

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