As is the case every year when we return to Florida for the summer we have routine physicals and dental exams. This year was no different and we (Lesley) are again dealing with the Doctors Offices/Billing Departments/and our Insurance Company.
As has been the case in previous years, even though we go in for "ROUTINE" physicals the resulting codes that are billed are off the chart, resulting in all kinds of denied claims, partial payments, and the most unusual diagnoses.
This year, the physicals were again miscoded, and between the two of us we were overcharged $100 in co payments. Not alot but how many people keep track of copays?
We've resolved several of the overcharges and are working on several more indicating major medical issues (Billing Dept Diagnoses - not Physician based).
If you have insurance, read the fine print and press for what you should pay..... If not, heaven forbid - or move to Europe!
We are still working on the Dental claim, more to follow!
Subscribe to:
Post Comments (Atom)
I feel your pain!
ReplyDeleteSince we moved from NY we had to switch from an HMO to a PPO and now have to deal with copays, in-network, out of network, co insurance etc adnauseum.
About 70% of the time they get the billing wrong on the first pass which means more time on the phone.
I think the insurance companies count on the folks who don't understand, or don't check their bills.
Europe is sounding pretty good right now!