Hello, I have good Anthem comprehensive PPO health insurance coverage through my employer, a Fortune 500 company, I am in GA, sadly rural. I love my obgyn, but his office billing seems crappy at best to me. I recently found out I was pregnant, then miscarried a few weeks later. My employer covers prenatal visits up to (not including) the birth. I’ve had 3 visits, 3 ultrasounds. I understand paying the copay for the first visit, and the labwork ordered. I then went for my 2nd appointment, and they coded it as missed period- not as prenatal or maternity. So I got a bill today for the copay, and called Anthem. They ended up bringing my dr’s office on the line and going over the charges. The dr office agreed to rebill the 2nd appt as prenatal finally, but the point is that they had submitted the same charge on the first visit “to confirm pregnancy.” Well, we already had labs proving my pregnancy… and then they even coded migraine on the first visit. I do have migraines, but didn’t bring them up at the visit, and have a neurologist for that. I haven’t gotten the bill for the 3rd appointment yet, and I’m dreading it already. The rep from Anthem was not the problem here, and she was very helpful, but this billing department/troll was awful.
Here is the TL;DR version: if you really like the dr, and have very limited other options in town, how do you combat the billing issues? It is a practice of several doctors, and is at the hospital of my choice assuming I’m going to be pregnant again. I hate to be the insurance billing Karen client, but this is really frustrating. I have several medical issues, but I have specialists where it matters, so I’m not going to my dr for anything unrelated to the specialty listed on the dr’s door. I’ve had 8 surgeries now, and am pretty reliable at managing my health insurance. I am in a small podunk town, and can’t reliably get to a larger city quickly if something came up.
submitted by /u/Severe-Explanation
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Hello, I have good Anthem comprehensive PPO health insurance coverage through my employer, a Fortune 500 company, I am in GA, sadly rural. I love my obgyn, but his office billing seems crappy at best to me. I recently found out I was pregnant, then miscarried a few weeks later. My employer covers prenatal visits up to (not including) the birth. I’ve had 3 visits, 3 ultrasounds. I understand paying the copay for the first visit, and the labwork ordered. I then went for my 2nd appointment, and they coded it as missed period- not as prenatal or maternity. So I got a bill today for the copay, and called Anthem. They ended up bringing my dr’s office on the line and going over the charges. The dr office agreed to rebill the 2nd appt as prenatal finally, but the point is that they had submitted the same charge on the first visit “to confirm pregnancy.” Well, we already had labs proving my pregnancy… and then they even coded migraine on the first visit. I do have migraines, but didn’t bring them up at the visit, and have a neurologist for that. I haven’t gotten the bill for the 3rd appointment yet, and I’m dreading it already. The rep from Anthem was not the problem here, and she was very helpful, but this billing department/troll was awful. Here is the TL;DR version: if you really like the dr, and have very limited other options in town, how do you combat the billing issues? It is a practice of several doctors, and is at the hospital of my choice assuming I’m going to be pregnant again. I hate to be the insurance billing Karen client, but this is really frustrating. I have several medical issues, but I have specialists where it matters, so I’m not going to my dr for anything unrelated to the specialty listed on the dr’s door. I’ve had 8 surgeries now, and am pretty reliable at managing my health insurance. I am in a small podunk town, and can’t reliably get to a larger city quickly if something came up.
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