Hi, I visited a physical therapist for my ankle sprain and the front desk took my insurance card (Aetna EPO) to check if they were in network. She said in a call that they were and my charges for office consultation as well as physical therapy sessions would be $40 each.
I agreed and started treatment. In 2 days I recieved a claim decline of $390 for office consultation in the Aetna Health app and $550 for one physical therapy session!
When I emailed the office receptionist she said, “You will have to wait to see if you get any statements from our office. I think what you see is just what the claim is being sent for by the billing department. When we call for benefits they give us general benefits but sometimes the benefits will have some differences depending on the service billing codes so always good to cross check with insurance directly. But for now I would suggest that you wait for statements from our billing office. Let me know if you have further questions.”
Can someone please explain what does that mean?
submitted by /u/garfield_snoopy
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Hi, I visited a physical therapist for my ankle sprain and the front desk took my insurance card (Aetna EPO) to check if they were in network. She said in a call that they were and my charges for office consultation as well as physical therapy sessions would be $40 each. I agreed and started treatment. In 2 days I recieved a claim decline of $390 for office consultation in the Aetna Health app and $550 for one physical therapy session! When I emailed the office receptionist she said, “You will have to wait to see if you get any statements from our office. I think what you see is just what the claim is being sent for by the billing department. When we call for benefits they give us general benefits but sometimes the benefits will have some differences depending on the service billing codes so always good to cross check with insurance directly. But for now I would suggest that you wait for statements from our billing office. Let me know if you have further questions.” Can someone please explain what does that mean?
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