The hospital in Jakarta, Indonesia wants coverage verification and advanced guarantee of payment prior to admittance. The executive relays that he does not trust the hospital. It does not recognize your coverage or your third party administrator.
Someone then attempts to figure out how to guarantee payments.
Due to language barriers, he may not understand the proposed treatment. The explanation is in Portuguese. All bills must be paid in local currency because of recently imposed currency restrictions. Your TPA tells you he hopes to find a translator. Also, the bills have no CPT or ICD9 codes and do not match usual and customary cost guidelines.