I had a simple surgery on April, now is reviewing the doctors' bill, I had a bill from this Anesthesiologist want to charge me 500% of RBRVS rate $900 for the service directly and mentioned that I had to pay the full amount, my health insurance is PPO, it sent me EOB explaining that this anesthesiologist is an Out of network service provider, so the insurance company just paid $66, I pay $66 plus the bill balancing of $768. I checked this Anesthesiologist's name is in the insurance company data base, her billing office denied that she is an in network, I noticed that she is using another medical group out of state to bill the insurance company...
I called the insurance com. customer support, and get them reprocess the out of network bill into In work bill since I can point out the Physician ID and they reply with her name and address in the data base, what should I do to this Anesthesiologist's bill, pay the PPO rate and ignore her bill and send her the proof that she is in netwok..
2007-06-22
19:37:50
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5 answers
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