I had a minor procedure done that cost a few thousand dollars, half of which my insurer should have paid out. I just found out that they denied coverage, and won’t pay out the claim. I called the provider and they said they would talk it over with the insurance company and explain the medical necessity of the procedure.
Does anyone know if I would be on the hook for the rest of the bill? Technically, the provider operated without any prior authorization. Who has been in this situation before? I plan on working with my provider to appeal the payor, but what do I do if they deny?
submitted by /u/walia664
[link] [comments]
I had a minor procedure done that cost a few thousand dollars, half of which my insurer should have paid out. I just found out that they denied coverage, and won’t pay out the claim. I called the provider and they said they would talk it over with the insurance company and explain the medical necessity of the procedure. Does anyone know if I would be on the hook for the rest of the bill? Technically, the provider operated without any prior authorization. Who has been in this situation before? I plan on working with my provider to appeal the payor, but what do I do if they deny?
submitted by /u/walia664 [link] [comments]Read Morer/HealthInsurance