I went to the Doctor a couple of weeks ago for a basic wellness exam, which falls under ‘preventative care’ under my insurance carrier and is fully covered.
I got my claim back and it was “partially covered” for the services and that I owe $228 (apparently the out of pocket cost for an office visit). I called up my insurance to explain to them and ask why am I billed for something that is fully covered?
Anyway, the agent tells me that my visit was also coded under a “psychiatric mental health.” My mental health is fine. I did not go to the Doctor’s regarding my mental health, so I know it was coded incorrectly. This has never happened to me before. Should I wait until I get the bill from the doctors office in the mail? What is the process? Do they submit another claim? Also, my doctor is “in-network,” but this particular “mental health” claim is saying it’s out of network? I’m so confused and frustrated. ahhhhhh
submitted by /u/holy_guacamole93
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I went to the Doctor a couple of weeks ago for a basic wellness exam, which falls under ‘preventative care’ under my insurance carrier and is fully covered. I got my claim back and it was “partially covered” for the services and that I owe $228 (apparently the out of pocket cost for an office visit). I called up my insurance to explain to them and ask why am I billed for something that is fully covered? Anyway, the agent tells me that my visit was also coded under a “psychiatric mental health.” My mental health is fine. I did not go to the Doctor’s regarding my mental health, so I know it was coded incorrectly. This has never happened to me before. Should I wait until I get the bill from the doctors office in the mail? What is the process? Do they submit another claim? Also, my doctor is “in-network,” but this particular “mental health” claim is saying it’s out of network? I’m so confused and frustrated. ahhhhhh
submitted by /u/holy_guacamole93 [link] [comments]Read Morer/HealthInsurance