How long does it usually take to process claims?

I have had 2 medical claims being processed for weeks now. They're from my FET and I guess embryology for the day or two before.... and I'm trying to figure out how much we've spent out of our lifetime max.
Any idea how long this could/should take? I called the ins. co but they couldn't answer me.
Also, I found out today (from my insurance co.) that I'm charged (on paper) $340 per ultrasound... and I guess my dr's office isn't considered to be a 'participating provider' for where they have to send the claims (which I've never seen before- it's a separate place to send ultrasound claims) so every one of their ultrasound claims is being denied!
I started to really worry, but my insurance provider told me it's not my responsibility... and that the dr's office will just have to write it off. Do you think that's true?
ETA: Also re: those ultrasound claims, if they are in fact just written off- they don't come out of my lifetime coverage then, right?

Message edited 1/7/2009 5:03:56 PM.

Re: How long does it usually take to process claims?

Although my ins is quite different, my claims take a bout 2-3 weeks to get paid to the doctor's office. As for the sono's, do you have "out of network" coverage, that might take care of those. But if the ins is not paying for them then I can't see how it would come from your lifetime coverage. The financial office should know all this a head of time so that they can go over all this with you. Hope it gets resolved quickly!!

Shawnna

Re: How long does it usually take to process claims?

The problem claims take longer, I noticed. As for the sonos...that's crazy!!!! But, if your insurance company says you are not responsible, you are not and since they aren't paying anything for them, it doesn't come off your maximum.

Re: How long does it usually take to process claims?

Thanks. I hope they're right about the sonograms. That is not a bill I want to be paying later on!

I don't know why these two claims have been being processed forever. I checked again and they're still processing.... oh well, I guess I just keep waiting...

Re: How long does it usually take to process claims?

my RE office told me 8 weeks but every office might be different

Re: How long does it usually take to process claims?

i had appt. on 12/3 & just got the EOB from my insurance today.