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This is seriously obnoxious. The last few times someone in my family has been to see the doctor, something hasn't been covered for some inexplicable reason. I
by cameldrv 8y ago
This is seriously obnoxious. The last few times someone in my family has been to see the doctor, something hasn't been covered for some inexplicable reason. It always turns out that according to the insurance company there is some disallowed code and the insurance company won't say what the right one is. The doctors office always acts annoyed that you're bothering them with petty details like a $2000 charge. It's infuriating.
- jackskell 8y agoWhere I worked, the insurance companies that had payer agreements with the provider (clinic) had a contract that specifically called out which codes they would pay, and how much they would pay for it. Codes submitted to insurance for payment on claims that were NOT in the contract were denied, and then the ball rests in the providers court to deal with it.