In February of this year, my husband went for his yearly routine lab work. Weeks later we received a bill more than triple what our cost normally is for the lab work. A Day after receiving the bill, our insurance statement came in the mail. This showed his lab work, which was the same as years prior, had been coded as “laboratory” as opposed to “preventative”. Due to this coding, insurance would not cover. He & I both spoke with reps from lab billing, his insurance and the billing/insurance rep from his doctor’s office. It seemed to be an error that would be somewhat easily rectified. Fast forward a few weeks to early May and I receive another bill from the lab for the same high amount. I call the lab billing dept and am told it’s still under review process and it will be handled. Well, today I received yet another billing statement showing that same higher charge. Is there any recourse we can take? I have our bill stubs (from the same lab) and insurance statements from at least 3 years back showing how these tests were previously coded and bill. I cannot understand the 180 in billing & coding. Our insurance has not changed. I know some pricing could have gone up, but the process behind everything seems entirely wrong. I’d appreciate any advice or feedback.
submitted by /u/LadyoftheLunch
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In February of this year, my husband went for his yearly routine lab work. Weeks later we received a bill more than triple what our cost normally is for the lab work. A Day after receiving the bill, our insurance statement came in the mail. This showed his lab work, which was the same as years prior, had been coded as “laboratory” as opposed to “preventative”. Due to this coding, insurance would not cover. He & I both spoke with reps from lab billing, his insurance and the billing/insurance rep from his doctor’s office. It seemed to be an error that would be somewhat easily rectified. Fast forward a few weeks to early May and I receive another bill from the lab for the same high amount. I call the lab billing dept and am told it’s still under review process and it will be handled. Well, today I received yet another billing statement showing that same higher charge. Is there any recourse we can take? I have our bill stubs (from the same lab) and insurance statements from at least 3 years back showing how these tests were previously coded and bill. I cannot understand the 180 in billing & coding. Our insurance has not changed. I know some pricing could have gone up, but the process behind everything seems entirely wrong. I’d appreciate any advice or feedback.
submitted by /u/LadyoftheLunch [link] [comments]Read Morer/HealthInsurance