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Anyone in medical billing? Question

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lightblue
LIF Adult

Member since 1/17

2249 total posts

Name:

Anyone in medical billing? Question

Just had question for anyone in medical billing. About a month ago I had MRI's done due to headaches, I got pre-authorization for all three tests that were done.

I got something from my insurance company recently saying they denied one of the claims because this procedure is rolled up into another procedure/claim that was processed.

Does this mean it is the radiology's place's problem, or will I be responsible for this?

Message edited 2/9/2018 3:08:59 PM.

Posted 2/9/18 3:08 PM
 
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NYCGirl80
I love my kiddies!

Member since 5/11

10413 total posts

Name:

Re: Anyone in medical billing? Question

It means that they already paid it through another claim. You should only have 1 bill.

Posted 2/12/18 10:02 AM
 

loveus
LIF Adolescent

Member since 9/13

684 total posts

Name:

Anyone in medical billing? Question

I had this recently with my daughter. They billed something during her monthly appointment and insurance allowed 0 as per the contract. They then billed me and after a lot of back and forth I called my insurance company. They said to have the doctors office call as they couldn’t bill me. This just happened but I will follow up on her next appointment.

Posted 2/12/18 10:35 AM
 

lightblue
LIF Adult

Member since 1/17

2249 total posts

Name:

Re: Anyone in medical billing? Question

Ok thanks. I did get a bill for my co-pay but I wasn't sure if they were going to pass on the cost of that test onto me (it was like, 1,200 so I hope not!)

Posted 2/12/18 4:18 PM
 

rebeccamol
LIF Adult

Member since 10/13

975 total posts

Name:

Anyone in medical billing? Question

No You shouldnt have to pay that.

Posted 2/13/18 3:14 PM
 
 

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