Hi all, wondering if anyone has similar experience & advice.
I visited this private clinic in Manhattan for a simple regular checkup mentioned visit reason being infection/discharge during online reservation and asked for STI testing and general preventative care. Which is 100% covered my insurance last time with different clinic.
I checked the doctor being in my network on my insurance homepage (blue cross blue shield Michigan), zotdoc and initial in office registration where I provide my insurance etc.
A month later, I got a call saying I was billed +10K and left with 8K after-insurance cover cost. I had no idea how this happened as I knew it’s 100% covered. so I asked for billing and itemized document for details etc to the staff calling from the clinic. And the staff said she got no such document to share with me so I should go on my insurance homepage and check myself from the claims.
On my claim details, and after back and forth calling to the insurance and clinic, I learned
They filed it as ‘out – of – network’: The physician I saw is in-network and I checked with them, but the clinic says the facility address I was provided by the doctor’s digital invitation was out-of-network (or it’s a different branch that I didn’t visit)
There are items that I wasnt asked about, or didn’t consent to:I provided my blood for STI testings but the blood was tested against million different things such as oxygen level, blood protein, covid anti body and all the random things
There are items that didn’t perform on me:They mentioned urinal pregnancy test on the claim to insurance but I have never asked pregnancy test or provided urinal sample
Insurance says that the clinic filed all of them as non-preventative care billing code, hence the huge bill.
I didn’t get any result or proof of these test run: They called me once (after more than a month later) and told me I’m good so I just assumed that they ran STI testing as I asked and it came negative. There’s none of the testing items provided to me in paper or verbally before and after the visit until this billing
I’ve been digging into this and it looks like they’ve been repeatedly and fraudulently doing this to many people (many reviews about same issues who got charged $6K-14K for the simple visit). The clinic got no emails, refuse answering my calls, only sending message to clinic option but no communication method.
And maybe more things that I haven’t discovered yet.
The insurance company representative says there’s nothing they can do but not sure if that’s true either.
Not being familiar with American healthcare system or NY law, I am wondering what measures and steps I can take & what leverages I have & I should be doing to fight this. Any advice & experience shared on this medical bill dispute will be appreciated a lot.
Thank you!
submitted by /u/Hot_Cranberries
[link] [comments]Hi all, wondering if anyone has similar experience & advice. I visited this private clinic in Manhattan for a simple regular checkup mentioned visit reason being infection/discharge during online reservation and asked for STI testing and general preventative care. Which is 100% covered my insurance last time with different clinic. I checked the doctor being in my network on my insurance homepage (blue cross blue shield Michigan), zotdoc and initial in office registration where I provide my insurance etc. A month later, I got a call saying I was billed +10K and left with 8K after-insurance cover cost. I had no idea how this happened as I knew it’s 100% covered. so I asked for billing and itemized document for details etc to the staff calling from the clinic. And the staff said she got no such document to share with me so I should go on my insurance homepage and check myself from the claims. On my claim details, and after back and forth calling to the insurance and clinic, I learned They filed it as ‘out – of – network’: The physician I saw is in-network and I checked with them, but the clinic says the facility address I was provided by the doctor’s digital invitation was out-of-network (or it’s a different branch that I didn’t visit) There are items that I wasnt asked about, or didn’t consent to:I provided my blood for STI testings but the blood was tested against million different things such as oxygen level, blood protein, covid anti body and all the random things There are items that didn’t perform on me:They mentioned urinal pregnancy test on the claim to insurance but I have never asked pregnancy test or provided urinal sample Insurance says that the clinic filed all of them as non-preventative care billing code, hence the huge bill. I didn’t get any result or proof of these test run: They called me once (after more than a month later) and told me I’m good so I just assumed that they ran STI testing as I asked and it came negative. There’s none of the testing items provided to me in paper or verbally before and after the visit until this billing I’ve been digging into this and it looks like they’ve been repeatedly and fraudulently doing this to many people (many reviews about same issues who got charged $6K-14K for the simple visit). The clinic got no emails, refuse answering my calls, only sending message to clinic option but no communication method. And maybe more things that I haven’t discovered yet. The insurance company representative says there’s nothing they can do but not sure if that’s true either. Not being familiar with American healthcare system or NY law, I am wondering what measures and steps I can take & what leverages I have & I should be doing to fight this. Any advice & experience shared on this medical bill dispute will be appreciated a lot. Thank you! submitted by /u/Hot_Cranberries [link] [comments]Read Morer/HealthInsurance