Recap: Went to Doctor for kidney stones. Doc ordered a STAT CT. Had CT, afterwards insurance denied coverage because no prior authorization was acquired. Doc's office saw that it was needed, didn't mention it because they thought it would be approved as a STAT order. Lots of back and forth appeals all denied.
UPDATE:
Did my final appeal through insurance and by the power of Greyskull the insurance company ruled that since the Doctor's office didn't notify me of the prior authorization needed, the doctors office could not charge me for the service.
The doctor's office could appeal this decision, but based on my conversations with them that is unlikely.
So I still have to pay the office visit but that will count towards my deductible at least.
And I don't have to pay the $800 for the CT.
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