It was late at night in June and I rolled my ankle. I wasn't sure if I broke it. I have anthem insurance. I live in Indiana and I was visiting the state of michigan for one month. Now you have the backstory.
I went to an Orthopedics medical office that was listed as in network on my insurance website the next morning. They had an appointment open and it turned out that I had a fracture. Every bill was covered. I paid the rest of my deductible and what I owed the office whenever a bill came. The office visit and x rays were covered. For some reason they billed my crutches and brace separately a few months later out as of network.
Anthem insists that the office is sending the bill to the wrong address and it should be covered. The provider insists that that are sending it to the correct address. They claim that it was sent to the same place as the other bills that were covered. I feel like I shouldn't have to pay an additional $400.00 because they can't figure this out. The bill has been submitted 4 times. I've called both places 5 times. The billing person from the orthopedic office doesn't answer when I call with an anthem advocate. They will call me back days later. Anthem will put me on hold and leave a message and ask the provider to submit the bill again. There is no follow up. I just get another EOB that says the provider is out of network. They are both blaming each other.
Finally Anthem filed a grievance for me today. But, Anthem said I probably won't hear anything. What does that mean?
Any advice? Has this happened to anyone else with one bill from an in network provider?
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