Medical Bill

I made an appointment for my DH to see a general practitioner. The doctor was in our network. He went to the appointment and was seen by the PA.

I received a bill from the doctor's office for the visit as they submitted the claim to insurance under the PA's name, not the doctor. The PA is not listed in the network.

I would never have sent him there if I thought this would be an issue. I've been seen by PA's before, (not the same doctor's office) but they billed under the doctor's name to insurance. Do I have any recourse, or are we stuck with a $250 bill? So annoyed!

Re: Medical Bill

Call the office and have them re-bill it under the doctor. It shouldn't be a problem.

Medical Bill

I had a similar situation with a radiologist. I did keep fighting it with my insurance company because I did not "choose" this OON doctor. They sent me to a place and I wasn't given a choice nor was I told ahead of time. The ins. company paid for it after a month.
You have to keep contending that you a) wouldnt see the PA if you were informed he was OON, and b) you weren't informed he was OON

Good Luck!

Message edited 5/22/2014 8:53:24 PM.

Re: Medical Bill

I've had an issue like this before. I learned to ask if each individual doctor or PA accepted my insurance.