Started By
Message

re: Doctor's Office Scheduled Exam Only If Health Insurance Would Cover It; Wasn't Covered

Posted on 3/12/18 at 10:36 am to
Posted by seawolf06
NH
Member since Oct 2007
8159 posts
Posted on 3/12/18 at 10:36 am to
It is your responsibility to verify coverage with your insurance provider.
Posted by Golfer
Member since Nov 2005
75052 posts
Posted on 3/12/18 at 1:41 pm to
quote:

It is your responsibility to verify coverage with your insurance provider.



If I call BCBS's 1-800 line and ask them about an ultrasound, they're going to read the same line from my EOB page that says "Covered w/ exceptions" (paraphrasing) and want the billing codes. However, those codes vary based on the provider, the MD that reviews the US, etc. This is after waiting on hold for 45 minutes, and calling the Doc office's billing department 7 times because you've left messages that they don't return because their automated system just sends you there.

So you naturally turn to the doctor's office, that knows exactly how it will be coded, and has direct access to a insurance rep, along with an online system that can provide an accurate cost for the procedure.

While correct, and technically speaking, the OP should have verified himself. The issue here lies with an individual/group the OP trusted to obtain the accurate information.
This post was edited on 3/12/18 at 2:05 pm
first pageprev pagePage 1 of 1Next pagelast page
refresh

Back to top
logoFollow TigerDroppings for LSU Football News
Follow us on Twitter, Facebook and Instagram to get the latest updates on LSU Football and Recruiting.

FacebookTwitterInstagram