I’ve had some chronic lower back pain for a while now so a few weeks ago I decided to start seeing a chiropractor. I told the chiropractor my insurance plan and gave them a copy of my insurance card (with my ID# and group#). They said they were in-network with that insurance company and proceeded to give me care.
After my 5th visit, my chiropractor looked at my billing summary and threw a fit because apparently, my insurance company doesn’t cover 3 of the 5 CPT codes that my chiropractor performs on me (stuff like electric stimulation and active release therapy). They’ve only been paying him under $20 per visit, which is peanuts compared to his normal visit amount (my copay is also $20). Now he’s demanding I backpay him out-of-pocket for my past visits.
My question is, should my chiropractor have done a CPT code lookup against my insurance plan prior to taking me in as a patient? Or does this sort of thing happen often and patients frequently get blindsided like this?
I have Cigna PPO insurance.
submitted by /u/ShanghaiYang
[link] [comments]I’ve had some chronic lower back pain for a while now so a few weeks ago I decided to start seeing a chiropractor. I told the chiropractor my insurance plan and gave them a copy of my insurance card (with my ID# and group#). They said they were in-network with that insurance company and proceeded to give me care. After my 5th visit, my chiropractor looked at my billing summary and threw a fit because apparently, my insurance company doesn’t cover 3 of the 5 CPT codes that my chiropractor performs on me (stuff like electric stimulation and active release therapy). They’ve only been paying him under $20 per visit, which is peanuts compared to his normal visit amount (my copay is also $20). Now he’s demanding I backpay him out-of-pocket for my past visits. My question is, should my chiropractor have done a CPT code lookup against my insurance plan prior to taking me in as a patient? Or does this sort of thing happen often and patients frequently get blindsided like this? I have Cigna PPO insurance. submitted by /u/ShanghaiYang [link] [comments]Read Morer/HealthInsurance