Thứ Ba, 21 tháng 9, 2021

[Question - Other] How to appeal doctors bill other than through insurance

Hi, I would like some advice, and I greatly thank you for your time in advance for any input. I checked my insurance plan, which provides for a routine hearing exam every 2 years. It was listed under the preventive care section. I called ENT office and booked an appointment - specifically mentioning that I need this routine hearing test. They took me in, and I mentioned routine hearing test again to the doctor and audiologist.

My insurance denied the claim as not-covered, and I am on the hook to pay the bill. They told me the doctor's office has to bill it as preventive hearing test. Doctor's office now tells me that they're a specialty office and do not provide routine hearing exam. That's only done at primary care. I am stuck between this madness. Fortunately the bill is only $56 so I can just pay it off. But I find this practice to be a scam, and want to hold this doctors office responsible.

In my opinion, they should've disclosed that they do not provide a routine hearing exam. It seems like they didn't know about this difference either. But what really concerns me is that doctors office could've billed me for anything and I would have no way of disputing it.

PS - I've been going to this office for many years and getting the same test done. But I only recently moved to HDHP so have started paying more attention to the medical service process. What a shitty process for the patient.



https://ift.tt/eA8V8J Submitted September 20, 2021 at 11:39PM by wasvsdal https://ift.tt/39m2QcJ

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