Konstantin Reels on Instagram: "⠀ 1.When you arrive at an ER, a registrar asks for insurance before asking about pain. A billing analyst in Philadelphia who audited 12,000 invoices explained that the first 90 seconds determine your final bill more than your diagnosis. The system classifies willingness to pay, not your condition. ⠀ 2.The phrase: request an Itemized Bill Estimate before treatment. Billing software flags your case as a dispute. Charges bundled at $47 per Tylenol and $400 per saline