Sludig
Silver Baronet of the Realm
- 8,993
- 9,298
Essentially I had some back issues ending in surgery. Along the way had images done and ahead of time Dr had me get a cortisone shot in my back.
Every time they had me go get imaging or anything I was asking if was in network with my insurance. In the case of the office for the cortisone shot I was scheduled by the scheduler at my back doctor. Then when I went to the office I asked the front desk lady there again about insurance and they took a $45 payment which was my specialist O/V rate.
Fast foward 4-5 months and I get my EOB from Aetna saying none of it's covered. (Thought I had a approval letter like I had for MRI's but maybe not) Finally got the bill today. Charges of around a grand and change. (The EOB showed 2,500 so looks like they cut the charge already but not reflected on the bill.)
I was wondering what's the best recourse, is there usually a state agency I can complain to? The dr works out of an office with a few locations and doctors, so not sure to complain to him or who there as well as the office which did the cortisone shot.
If I can drop it to a few hundred that would be fine, though still more than I should have paid since my coinsurance is only 10%.
It's horseshit when I have the forethought to ask that I can be lied to or on the hook for their fuckup.
---
Unrelated but for the surgery they had at dr request a neuromonitor guy to help make sure they didnt mess w/ spine. They had twice a letter stating their services aren't balance billed and I wont get charged any extra. From my EOB they billed like 18,000 to insurance. Insurance paid next to nothing and gives an EOB for close to the 18k. An amount which dwarfs everything else billed by multiple times over. I havn't gotten anything from them so I may be fine but dreading that one.
Every time they had me go get imaging or anything I was asking if was in network with my insurance. In the case of the office for the cortisone shot I was scheduled by the scheduler at my back doctor. Then when I went to the office I asked the front desk lady there again about insurance and they took a $45 payment which was my specialist O/V rate.
Fast foward 4-5 months and I get my EOB from Aetna saying none of it's covered. (Thought I had a approval letter like I had for MRI's but maybe not) Finally got the bill today. Charges of around a grand and change. (The EOB showed 2,500 so looks like they cut the charge already but not reflected on the bill.)
I was wondering what's the best recourse, is there usually a state agency I can complain to? The dr works out of an office with a few locations and doctors, so not sure to complain to him or who there as well as the office which did the cortisone shot.
If I can drop it to a few hundred that would be fine, though still more than I should have paid since my coinsurance is only 10%.
It's horseshit when I have the forethought to ask that I can be lied to or on the hook for their fuckup.
---
Unrelated but for the surgery they had at dr request a neuromonitor guy to help make sure they didnt mess w/ spine. They had twice a letter stating their services aren't balance billed and I wont get charged any extra. From my EOB they billed like 18,000 to insurance. Insurance paid next to nothing and gives an EOB for close to the 18k. An amount which dwarfs everything else billed by multiple times over. I havn't gotten anything from them so I may be fine but dreading that one.
- 1
