Had a voluntary procedure done last year. Confirmed coverage prior to procedure. Claim was submitted and paid. 8 months later, bill received from the provider for the full cost of the procedure. Without my knowing, provider says insurance later reviewed, resubmitted, and rejected, demanding the provider give the money back. The reason: procedure cannot be done twice.
Called insurance asking for them to find the date and provider of the prior procedure which caused this one to exceed the maximum. They can’t find it.. because it, well, didn’t happen.
Claim is now resubmitted.
Meanwhile, the provider is out $1000 while this thing sits in limbo.
Fkn insurance companies!
submitted by /u/MiaStirCrazies
[link] [comments]Had a voluntary procedure done last year. Confirmed coverage prior to procedure. Claim was submitted and paid. 8 months later, bill received from the provider for the full cost of the procedure. Without my knowing, provider says insurance later reviewed, resubmitted, and rejected, demanding the provider give the money back. The reason: procedure cannot be done twice. Called insurance asking for them to find the date and provider of the prior procedure which caused this one to exceed the maximum. They can’t find it.. because it, well, didn’t happen. Claim is now resubmitted. Meanwhile, the provider is out $1000 while this thing sits in limbo. Fkn insurance companies! submitted by /u/MiaStirCrazies [link] [comments]Read Morer/HealthInsurance