I recently went to my general doctors office for a pap test, which my insurance covers under “preventative care.” I recently got a medical claim saying that my visit was partially denied and that I owe $228, the full out of pocket office visit. No copay or nothing. I call up my health insurance provider and they claim my my “fill-in doctor” (My doctor is currently on maternity leave and I had no choice with this person) coded the visit as “psychiatric or mental visit.” My mental state is fine and did NOT discuss it. I did get a refill for an anxiety medicine that I’ve been taking for over 10 years. I’ve been seeing my regular doctor and getting refills for YEARS and they have never coded it as a “psychiatric visit.” Only time this has happened is when this fill-in doctor saw me. I was told by the companies billing person to contact the doctor because they are the only people who can change the codes and that they need to be further down the list? and they resubmit the claim to my insurance carrier does that make sense?? anyway. I’m super frustrated because I should NOT have to pay for the visit out of pocket. I did NOT go to my doctor for mental health reasons and that is what they are charging me for and I’ve never had to deal with this with my normal doctor. I’m so over the US medical world.
submitted by /u/holy_guacamole93
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I recently went to my general doctors office for a pap test, which my insurance covers under “preventative care.” I recently got a medical claim saying that my visit was partially denied and that I owe $228, the full out of pocket office visit. No copay or nothing. I call up my health insurance provider and they claim my my “fill-in doctor” (My doctor is currently on maternity leave and I had no choice with this person) coded the visit as “psychiatric or mental visit.” My mental state is fine and did NOT discuss it. I did get a refill for an anxiety medicine that I’ve been taking for over 10 years. I’ve been seeing my regular doctor and getting refills for YEARS and they have never coded it as a “psychiatric visit.” Only time this has happened is when this fill-in doctor saw me. I was told by the companies billing person to contact the doctor because they are the only people who can change the codes and that they need to be further down the list? and they resubmit the claim to my insurance carrier does that make sense?? anyway. I’m super frustrated because I should NOT have to pay for the visit out of pocket. I did NOT go to my doctor for mental health reasons and that is what they are charging me for and I’ve never had to deal with this with my normal doctor. I’m so over the US medical world.
submitted by /u/holy_guacamole93 [link] [comments]Read Morer/HealthInsurance