USA – if a health insurance member is responsible for making a payment to a provider, how is the member usually contacted?

What’s the general method of contact? Or does it vary depending on health insurance? Basically, a family member has a couple of ‘weird’ looking online EOB’s (EOB’s seen through health insurance member website), which have a claim status ‘denied’, and yet the bill seems to be fully paid with ‘member responsibility’ at $0, with other information noting the amount that was paid, and when (kind of as if the health insurance did pay, although, again, it states claim status denied). Usually one would assume if an EOB states a claim status is denied, the member is responsible for the full charge. I’m assuming if there is some error in the system, and she actually does in fact owe the health insurance company money herself, she will be directly contacted

submitted by /u/kimokimochiii
[link] [comments]What’s the general method of contact? Or does it vary depending on health insurance? Basically, a family member has a couple of ‘weird’ looking online EOB’s (EOB’s seen through health insurance member website), which have a claim status ‘denied’, and yet the bill seems to be fully paid with ‘member responsibility’ at $0, with other information noting the amount that was paid, and when (kind of as if the health insurance did pay, although, again, it states claim status denied). Usually one would assume if an EOB states a claim status is denied, the member is responsible for the full charge. I’m assuming if there is some error in the system, and she actually does in fact owe the health insurance company money herself, she will be directly contacted submitted by /u/kimokimochiii [link] [comments]Read Morer/HealthInsurance

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