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Alyssa79
LIF Infant
Member since 10/13 352 total posts
Name:
Triple A
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Is anyone else ready to go crazy due to insurance company & dr office?
I am seriously at the end if my rope between the 2. Drs office bills insurance and insurance says office is billing with the wrong codes so they don't cover the tests. I in turn get bills up the wazoo and spend endless hours on the phone with both parties since neither will talk to each other.
I have bcbs and they want the drs offices to use their own codes but the drs offices are using generic codes supposedly all insurance companies accept. I keep explaining this and get no where.
Anyone else go through this or is it smooth sailing?
I am so ***** frustrated
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Posted 11/7/13 6:30 PM  |
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KaKa2323
Got my miracle
Member since 9/11 1465 total posts
Name:
K
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Is anyone else ready to go crazy due to insurance company & dr office?
Crashing...but I do billing/coding and bcbs has been giving everyone a really hard time since they outsourced in the beginning of the year. They used to be one of the easiest insurances to work with but now they are a nightmare!
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| Posted 11/7/13 7:09 PM |
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Alyssa79
LIF Infant
Member since 10/13 352 total posts
Name:
Triple A
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Re: Is anyone else ready to go crazy due to insurance company & dr office?
Posted by KaKa2323
Crashing...but I do billing/coding and bcbs has been giving everyone a really hard time since they outsourced in the beginning of the year. They used to be one of the easiest insurances to work with but now they are a nightmare!
is there anything I can do to help out or to not get billed?
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| Posted 11/7/13 7:17 PM |
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ElizaRags35
My 2 Girls
Member since 2/09 20494 total posts
Name:
Me
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Is anyone else ready to go crazy due to insurance company & dr office?
I don't have bcbs but either my dr's office or my insurance company screwed up with my initial visit. The Dr's office is saying they sent in a bill twice for my first viist in July which was my first sono and appt. and that the insurance company hasn't paid it. I checked with the insurance company and they claim they don't have a bill from my dr for that date but they have one for Quest. I never went to Quest that day so I'm inclined to believe that the insurance company just screwed up when inputting the bill and they sent payment to Quest instead of my dr's office. And I'm stuck in the middle of this clusterfcuk.
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| Posted 11/7/13 8:47 PM |
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ali120206
2 Boys
Member since 7/06 17795 total posts
Name:
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Re: Is anyone else ready to go crazy due to insurance company & dr office?
Posted by ElizaRags35
I don't have bcbs but either my dr's office or my insurance company screwed up with my initial visit. The Dr's office is saying they sent in a bill twice for my first viist in July which was my first sono and appt. and that the insurance company hasn't paid it. I checked with the insurance company and they claim they don't have a bill from my dr for that date but they have one for Quest. I never went to Quest that day so I'm inclined to believe that the insurance company just screwed up when inputting the bill and they sent payment to Quest instead of my dr's office. And I'm stuck in the middle of this clusterfcuk.
Did they do any bloodwork? I know all bloodwork done in the office was sent to a lab who processed billing separately - that may explain the Quest Bill.
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| Posted 11/8/13 8:31 AM |
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ali120206
2 Boys
Member since 7/06 17795 total posts
Name:
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Re: Is anyone else ready to go crazy due to insurance company & dr office?
Posted by KaKa2323
Crashing...but I do billing/coding and bcbs has been giving everyone a really hard time since they outsourced in the beginning of the year. They used to be one of the easiest insurances to work with but now they are a nightmare!
Crashing - thanks for posting this. I'm not pregnant but, I'm having issues with them for an ER visit for DS 2 - they are denying payment for bills they are supposed to cover - it's been a few months of back and forth. Luckily the people at the hospital billing department are nice and patient.
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| Posted 11/8/13 8:34 AM |
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ElizaRags35
My 2 Girls
Member since 2/09 20494 total posts
Name:
Me
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Re: Is anyone else ready to go crazy due to insurance company & dr office?
Posted by ali120206
Posted by ElizaRags35
I don't have bcbs but either my dr's office or my insurance company screwed up with my initial visit. The Dr's office is saying they sent in a bill twice for my first viist in July which was my first sono and appt. and that the insurance company hasn't paid it. I checked with the insurance company and they claim they don't have a bill from my dr for that date but they have one for Quest. I never went to Quest that day so I'm inclined to believe that the insurance company just screwed up when inputting the bill and they sent payment to Quest instead of my dr's office. And I'm stuck in the middle of this clusterfcuk.
Did they do any bloodwork? I know all bloodwork done in the office was sent to a lab who processed billing separately - that may explain the Quest Bill.
Nope! They don't do bw in my office except for the fingerpricks at the NT scan and early anatomy scan. The only thing related to bw at my first appt was getting a Rx to go to Quest to have bw done.
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| Posted 11/8/13 10:44 AM |
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Alyssa79
LIF Infant
Member since 10/13 352 total posts
Name:
Triple A
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Re: Is anyone else ready to go crazy due to insurance company & dr office?
don't even get me started on Quest…they billed me $6,000 for the initial blood work done in the beginning of the pregnancy due to …coding it wrong!! 
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| Posted 11/8/13 11:07 AM |
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harts2976
LIF Infant
Member since 5/11 263 total posts
Name:
Shannon
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Re: Is anyone else ready to go crazy due to insurance company & dr office?
If it makes you feel any better we received a $127,000 bill from the plastic surgery that did the stitches for my husbands back surgery. My husband saw it and almost died. He called me and asked what to do. I told him simply go to bank withdrawal the $127,000 and pay it. Duh!!
Usually ob's office bill out your sono's and then the pregnancy as one big global fee at the end. Usually inter uterine pregnancy is the diagnosis so I can't see why bcbs would deny that. Was this for a sono? Fit in appt? Or a basic appointment?
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| Posted 11/8/13 11:43 AM |
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