I’ve been going to the same doctors office for awhile. They have always been in-network and I just need to pay a co-pay for an office visit.
Recently my blood pressure was abnormally high. I called to make an appointment, but my normal PA wasn’t available for weeks, but a different PA could see me the next day.
I paid my co-pay, but then I had a bill for $250 saying that the office was out of network. After many calls between the office and my insurance, my insurance said that the office submitted the claim from their sister office, which is out of network. I go to “ABCD Family Medicine” and the bill said “ABCD Internal Medicine”. Insurance said if they switched it to the right name that the issue would be resolved. I relayed this to the billing department and they said they would call me back.
I had a follow-up appointment the following day. I talked to the front desk, explaining that I only want to be seen if their office is in-network. They assured me it was, and that their sister office is, too. They said I only need to pay the co-pay.
Then I was hit with another $250 bill.
I am not sure what I’m doing wrong here. Is this a normal occurrence? Do I need to take a different approach to getting this resolved?
Any advice or tips would be appreciated!
submitted by /u/itisamoopoint
[link] [comments]I’ve been going to the same doctors office for awhile. They have always been in-network and I just need to pay a co-pay for an office visit. Recently my blood pressure was abnormally high. I called to make an appointment, but my normal PA wasn’t available for weeks, but a different PA could see me the next day. I paid my co-pay, but then I had a bill for $250 saying that the office was out of network. After many calls between the office and my insurance, my insurance said that the office submitted the claim from their sister office, which is out of network. I go to “ABCD Family Medicine” and the bill said “ABCD Internal Medicine”. Insurance said if they switched it to the right name that the issue would be resolved. I relayed this to the billing department and they said they would call me back. I had a follow-up appointment the following day. I talked to the front desk, explaining that I only want to be seen if their office is in-network. They assured me it was, and that their sister office is, too. They said I only need to pay the co-pay. Then I was hit with another $250 bill. I am not sure what I’m doing wrong here. Is this a normal occurrence? Do I need to take a different approach to getting this resolved? Any advice or tips would be appreciated! submitted by /u/itisamoopoint [link] [comments]Read Morer/HealthInsurance