This is similar to my last post, but without the story. My therapist was a social worker who was training to become a therapist. I went to a place that has a lot of student therapists, but they consult with an overseer person, who plans the therapy, so the insurance is supposed to be billed under the overseer who is the technical “provider” (or this is what I was told.) Since my person left in August, he is now a therapist is his own right at a completely different practice, and now has his own NPI and everything (I don’t think he did before, but either way I was told all that mattered was if the overseer was under my plan as they would be billing through him.)
I don’t know why, but for a random 1/3 appointments, the office either didn’t bill until now (6 months to 2 years later depending on the date of service) or they billed wrong and just never told me about it. Now they rebill for a random 2 every couple months, but so under the student’s name and new NPI, thus my insurance has no choice but to deny. They’ve started billing all the appointments (well slowly) but under the wrong name again. I call and call asking them to do it under the correct name, but somehow the info is not getting through.
What can I do? What is my responsibility? Are they allowed to just keep billing it wrong and then telling me I must pay?
submitted by /u/melonchollyrain
[link] [comments]This is similar to my last post, but without the story. My therapist was a social worker who was training to become a therapist. I went to a place that has a lot of student therapists, but they consult with an overseer person, who plans the therapy, so the insurance is supposed to be billed under the overseer who is the technical “provider” (or this is what I was told.) Since my person left in August, he is now a therapist is his own right at a completely different practice, and now has his own NPI and everything (I don’t think he did before, but either way I was told all that mattered was if the overseer was under my plan as they would be billing through him.) I don’t know why, but for a random 1/3 appointments, the office either didn’t bill until now (6 months to 2 years later depending on the date of service) or they billed wrong and just never told me about it. Now they rebill for a random 2 every couple months, but so under the student’s name and new NPI, thus my insurance has no choice but to deny. They’ve started billing all the appointments (well slowly) but under the wrong name again. I call and call asking them to do it under the correct name, but somehow the info is not getting through. What can I do? What is my responsibility? Are they allowed to just keep billing it wrong and then telling me I must pay? submitted by /u/melonchollyrain [link] [comments]Read Morer/HealthInsurance