Hi all!
I had a new patient appointment with a urogynecologist back in September. My EOB said I owed $110 (I had a HDHP).
MyChart with the doctors office said I owed $300+ for the visit. So my next visit, I paid the $110. I thought that they were still waiting on information and that it would be updated. It never was, and the doctors office called me to pay the rest. I explained that I was only supposed to owe $110. They resubmitted the claim.
Anthem now says that I owe $150 for the appointment. The doctors office submitted for CPT code 99203. Anthem wanted my medical records to confirm, and said the claim needed to be submitted with code 99204. I now owe $40 MORE than the original cost.
Anthem said they have only received the claim once and updated the EOB. I have no copy of the original EOB saying I owe $110.
The doctors office said they can’t resubmit the claim because Anthem will reject it as a duplicate. What are the next steps for me when I contact Anthem?
(This is the 3rd billing issue I’ve had with Anthem for 2021. 🥴)
submitted by /u/Actual-Historian7013
[link] [comments]Hi all! I had a new patient appointment with a urogynecologist back in September. My EOB said I owed $110 (I had a HDHP). MyChart with the doctors office said I owed $300+ for the visit. So my next visit, I paid the $110. I thought that they were still waiting on information and that it would be updated. It never was, and the doctors office called me to pay the rest. I explained that I was only supposed to owe $110. They resubmitted the claim. Anthem now says that I owe $150 for the appointment. The doctors office submitted for CPT code 99203. Anthem wanted my medical records to confirm, and said the claim needed to be submitted with code 99204. I now owe $40 MORE than the original cost. Anthem said they have only received the claim once and updated the EOB. I have no copy of the original EOB saying I owe $110. The doctors office said they can’t resubmit the claim because Anthem will reject it as a duplicate. What are the next steps for me when I contact Anthem? (This is the 3rd billing issue I’ve had with Anthem for 2021. 🥴) submitted by /u/Actual-Historian7013 [link] [comments]Read Morer/HealthInsurance