Background: Went to get my annual STD check done 9/16. (All negative). My primary and secondary are both blue cross blue shield but different entities. Primary kicked back and said denied – coding issue. Secondary followed two weeks later and said denied – coding issue. They both wanted my medical record provided.
The initial claims were for the urgent care visit + lab testing through Avalon.
Both show denied – $300 urgent care $950 Avalon lab testing.
Fast forward a few weeks after, I called the office manager and explained I needed that bill to be recoded as it was initially coded as preventative instead of diagnostic (had a rash thought was an STD). She didn’t understand and hung up on me (literally).
Balance still showed $0.00 on website so I called and spoke to a patient billing rep who got back to me a week later and stated it’ll be rebilled.
Both insurances processed the urgent care rebill properly.
I was never rebilled for the denied lab bill of $950. I haven’t received a bill either. And of course google isn’t helpful for finding a phone number to call Avalon.
It’s been over 3 months now. Should I just ignore it or will eventually I receive a bill? I just don’t want to be sent to collections for not receiving a lab bill.
For context, this urgent care is part of one of the biggest hospital systems in the state. And this lab does all their lab work.
submitted by /u/bcfp2016
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Background: Went to get my annual STD check done 9/16. (All negative). My primary and secondary are both blue cross blue shield but different entities. Primary kicked back and said denied – coding issue. Secondary followed two weeks later and said denied – coding issue. They both wanted my medical record provided. The initial claims were for the urgent care visit + lab testing through Avalon. Both show denied – $300 urgent care $950 Avalon lab testing. Fast forward a few weeks after, I called the office manager and explained I needed that bill to be recoded as it was initially coded as preventative instead of diagnostic (had a rash thought was an STD). She didn’t understand and hung up on me (literally). Balance still showed $0.00 on website so I called and spoke to a patient billing rep who got back to me a week later and stated it’ll be rebilled. Both insurances processed the urgent care rebill properly. I was never rebilled for the denied lab bill of $950. I haven’t received a bill either. And of course google isn’t helpful for finding a phone number to call Avalon. It’s been over 3 months now. Should I just ignore it or will eventually I receive a bill? I just don’t want to be sent to collections for not receiving a lab bill. For context, this urgent care is part of one of the biggest hospital systems in the state. And this lab does all their lab work.
submitted by /u/bcfp2016 [link] [comments]Read Morer/HealthInsurance