claims/providers

My non-covered amount & amount billed for a claim titled "INITIAL PREVENTIVE VISIT" is $560.00. The amount allowed is $0.00. Should I be expecting a $560 bill coming down the pipe?

Hi, I live in NYC and just had my first baby at Weill Cornell. I switched from Mount Sinai OB to Weill Cornell ~ 20 week mark. I just saw that I was billed $4,390.00 (and charged 2,217.30 towards my HD plan) for a routine OB in-network April visit. I flagged this to the billing department, and...

My husband saw an in-network specialist for a glaucoma screening at the end of March. He paid the $40 copay for the visit that day. Since then, we haven't seen a claim from the provider come through our insurance, an EOB or a bill. Our insurance has a 90-day window for timely claims from...

Hello, Apologies if this is long. I wanted to share all the details. I appreciate any insight or help I can get. I just received a $533 bill for lab work I had done at the beginning of the month. I have Cigna Choice Plus PPO (Open Access.) I had made an appointment with a PA, as I had some...

I am sick of dealing with Optum. I had to pay out of pocket for mental health therapy related to a major health issue with a family member. So total is about $2000 out of pocket (just for this), plus other bills. I have a "gold-plated" health insurance plan, so I should get 70% back after my...

I went to the hospital on 2/25.. my heart was racing, lightheaded, fell a couple times like half passing out (I am now diagnosed with type 2 diabetes). I wish I didn't as I am now realizing I didn't need it and preventative care is much cheaper. ANYWAY, I have NJ BCBS Omnia 1 and this was at an...

A family member of mine has insurance, but for many reasons does not see an in-network doctor. The plan has limited coverage for out-of-network doctors. She’s been seeing her primary for many years now, and the doctor recently moved to a different group practice. My family member transferred all...

Went to see a out-of-network psychologist which charged me $400 for a session (I paid already. And yes I know it's pricey but lets keep that out of the discussion). My insurance has a $1000 for out-of-network, after reaching deductible it will be a 30% co-pay. Submitted a claim it came back...

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Hi all, I'm posting seeing if the world of reddit can help me. My wife is under my insurance, and is pregnant. She has a regular and high risk O.B. We have athem blue cross blue shield. We live in IL and always have. She just started going to the high risk in January. Somehow...

I live in Colorado. I have health insurance through my NC-based employer. I had a procedure done by an out-of-network doctor. Before procedure was done, provider asked for authorization to my insurance for 4,500. They got an authorization letter for 4,500 from my insurance. Since it is out...

Hey everyone, I'm hoping I can finally get some answers here. I turned 26 last spring, and got on a state health insurance plan that June (Apple Health, WA state.) I also work at at Kroger/Fred Meyer store, but declined being signed up for Kaiser through work as I had already signed up for state...

Hi everyone. Throwaway for privacy. I'm not from the US, and 2020 was the first year I had insurance in the country. I got insurance coverage through the Marketplace. In January 2020, I was diagnosed with fibromyalgia after enduring months of incapacitating pain. Fibromyalgia is considered an...

I'm 30 years old and have just been diagnosed with ADHD about 2 weeks ago. I'm a high school teacher in Arkansas. My insurance is ARBenefits - I'm on the "classic plan," which is a middle-of-the-road HDHP option. You can see all the info here. My plan's benefits PDF is here, and the...

So, here is the story: This is the second dental practice that maxes out my dental benefits and makes me pay for the full charge. I changed practice because the first one overcharged the insurance for reimbursable benefits by about $400. I was so upset that for 2 years I avoid going to see any...

Was billed for 4 hours of psych testing from when i went in and had the tests done (week one). Was then billed 5 hours week two for interp, 3.5 hours week three for interp, and another 7 week 3 for interp (15.5 total). Is this normal? It seems a bit high to me but I have no clue what goes on...

I have a United Healthcare Choice Plus plan with a deductible for $3,200 and out of pocket limit of $5,200. Earlier in March, I did my due diligence and researched podiatrists in the area for a fracture ankle. I went to Find Care & Costs > Estimate Cost > View all estimates > typed in...

I missed my desperately needed first chemotherapy session today because Anthem BCBS outsourced my authorization to Accolade, who outsourced it to American Health Holdings, who entered it incorrectly somehow and first denied under lack of medical necessity and then left it in “clinical review”...

Background: Went to get my annual STD check done 9/16. (All negative). My primary and secondary are both blue cross blue shield but different entities. Primary kicked back and said denied - coding issue. Secondary followed two weeks later and said denied - coding issue. They both wanted my...

My daughter was having severe stomach pains while at college so she went to the hospital in Statesboro, GA and they ran some tests, did a CT on the spot, didn’t find anything wrong, and sent her home to follow up with her PCP. We never learned a cause and it hasn’t happened again. Later we got...