re: What in the hell is wrong with medical billing?

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On top of that, what's being done for the visit isn't known until after the visit. Yeah, you get the office visit charge(e&m) but if youre kid had vaccinations, maybe had a strep test, or labs etc. These are all separate codes(cpts)/charges that will get submitted to insurance that has to be figured out on the backend depending on your deductible(if you have or haven't met it), your coinsurance, and what the contracted rate the doctor, hospital, etc. Afterwhich you get a bill.

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Why for yrs on end did I just pay a simple copay when I went and all was done? Honestly, I only really go to an ent with any regularity, the $30 I pay when I go in the door is the extent, no matter the diagnosis or what they do. The issues arise mostly when I take the kids to checkups/sniffles visits, etc.