Pre-authorization balance bill

A few months ago I went for a CT scan. My doctor, the imaging facility, and myself all called United healthcare to find out if a pre-authorization was needed and we were all told no. The doctors office also had a reference number for their call. Now the imaging facility is sending me the bill for the scan because United healthcare denied the claim saying that authorization was required, but they’re also saying that I can’t be billed for the service because the doctor and facility were all in network.

I already tried to appeal and gave them the reference from the doctors call that stated no authorization was needed, but they still denied it again. I was told the next step would be for United healthcare to contact the doctor and tell them they’re not allowed to bill me since they’re in network. How do I know that the insurance will actually contact them? I feel like the doctor is still going to say I’m responsible for the bill even though they’re the ones that should have received pre-authorization and they’re in-network. I know that a lot of times insurance says one thing and the doctors office says another. Anybody have any suggestions/experience on how to proceed with getting this resolved?

submitted by /u/Danficca
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A few months ago I went for a CT scan. My doctor, the imaging facility, and myself all called United healthcare to find out if a pre-authorization was needed and we were all told no. The doctors office also had a reference number for their call. Now the imaging facility is sending me the bill for the scan because United healthcare denied the claim saying that authorization was required, but they’re also saying that I can’t be billed for the service because the doctor and facility were all in network. I already tried to appeal and gave them the reference from the doctors call that stated no authorization was needed, but they still denied it again. I was told the next step would be for United healthcare to contact the doctor and tell them they’re not allowed to bill me since they’re in network. How do I know that the insurance will actually contact them? I feel like the doctor is still going to say I’m responsible for the bill even though they’re the ones that should have received pre-authorization and they’re in-network. I know that a lot of times insurance says one thing and the doctors office says another. Anybody have any suggestions/experience on how to proceed with getting this resolved?
submitted by /u/Danficca [link] [comments]Read Morer/HealthInsurance

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