Basically, I was seen by PCP for an annual pap smear. Checked with insurance that pap smear is fully covered and I only needed to pay for copay. Paid copay after visit with PCP.
A month later, I received a bill for “Office/Low MDM” visit. I called the customer service number on that bill, but she basically told me that the extra $100 was my deductible and I would just have to pay it. I didn’t understand, so I went to check with my insurance.
My insurance told me that on their end, the office billed me for “Office/Low MDM” visit instead of “Pap smear” visit, so that’s why the cost was higher. So, I called the PCP’s office and explained the situation. The manager told me she would correct it and resend the bill.
A month later, I got the same bill (the balance is just forwarded), and I called the office to get an update. She said she already sent the new charge for the bill (last month), but the insurance didn’t respond. She now resent it a second time.
Another month later, I got the same bill again (another forwarded balance). Checked with the manager and she said she will now contact the insurance supervisor to correct the bill. That was the last thing I heard from her, but this month, I got the same bill. I’m planning to call her again soon to get an update.
It’s been 3 months since I was first billed, but I was wondering if this was normal to get your new bill adjusted? How long does it usually take for you? Also, should I be concerned about the same invoice being sent, even though I notified the PCP’s office?
This is from John Muir Hospital in CA. Is there a certain amount of months when the bill gets sent to collections? Is there anything else I should be doing on my part? Like to make sure I don’t get penalized/sent to collections?
Thanks for reading! I’d appreciate any advice!
submitted by /u/Endlessly_Trying
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Basically, I was seen by PCP for an annual pap smear. Checked with insurance that pap smear is fully covered and I only needed to pay for copay. Paid copay after visit with PCP. A month later, I received a bill for “Office/Low MDM” visit. I called the customer service number on that bill, but she basically told me that the extra $100 was my deductible and I would just have to pay it. I didn’t understand, so I went to check with my insurance. My insurance told me that on their end, the office billed me for “Office/Low MDM” visit instead of “Pap smear” visit, so that’s why the cost was higher. So, I called the PCP’s office and explained the situation. The manager told me she would correct it and resend the bill. A month later, I got the same bill (the balance is just forwarded), and I called the office to get an update. She said she already sent the new charge for the bill (last month), but the insurance didn’t respond. She now resent it a second time. Another month later, I got the same bill again (another forwarded balance). Checked with the manager and she said she will now contact the insurance supervisor to correct the bill. That was the last thing I heard from her, but this month, I got the same bill. I’m planning to call her again soon to get an update. It’s been 3 months since I was first billed, but I was wondering if this was normal to get your new bill adjusted? How long does it usually take for you? Also, should I be concerned about the same invoice being sent, even though I notified the PCP’s office? This is from John Muir Hospital in CA. Is there a certain amount of months when the bill gets sent to collections? Is there anything else I should be doing on my part? Like to make sure I don’t get penalized/sent to collections? Thanks for reading! I’d appreciate any advice!
submitted by /u/Endlessly_Trying [link] [comments]Read Morer/HealthInsurance