[29,M,NY] [EmblemHealth, GHI PPO] Confusion about "amount allowed" being $0 with in-network provider

[ilovejesus90]

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?

 

[munyaku]

@ilovejesus90 What does the EOB say you owe? Was the doctor in or out of network.

If they're INN, preventive care should be no cost to you.

 

[ilovejesus90]

@munyaku EOB hasn’t been uploaded yet. Provider was In network. It. Was my first time with this provider. I have never seen a zero dollar amount allowed before, and it has confuse me

 

[resjudicata]

@ilovejesus90 Could be that they've sent the claim back to the provider needing more details. Don't stress over it until you get an EOB.

 

[resjudicata]

@ilovejesus90 If you super recently had this visit, let the claim process. If you don't have an EOB, my guess is the claim hasn't been finalized.