My doctor is defrauding insurance company?

Question

I went to see two different gynecologists in same county but different cities within 1 month for EXACT SAME check-up/test(1st trimester pregnancy). Instead of charging the insurance the same or similar amount, one doctor charged $680 while the other doctor charged $130. Is one doctor defrauding the insurance or is this normal variance between different doctors? I live in Los angeles county.

Answer 1

I would question it. Call both offices and ask exactly what was done and the charge for it and then compare. If they are exactly the same something is wrong and this is why insurance costs are through the roof. I wouldn't put it past any doctor. I've had an ENT charge me $560 for a 5 minute visit and all he did was feel my glands under my throat. I'm in the process of writing a letter and reporting him. I don't think they should get away with it.

Answer 2

In idea, a well being practitioner can charge even with they prefer. it really is what they receives a fee is the position the version lies. even as a well being practitioner is gotten smaller to an coverage business organization, they comply with settle for even with quantity the coverage will pay for even with service they carry out. the in hassle-free words way i visit account for the large distinction is to ask this: had you ever considered the well being practitioner that charged the $680 earlier? oftentimes, in case you're a clean affected individual, they charge seriously larger on your first visit because they are meant to be getting the completed well being historic previous. also, "professionals" charge so a lot more effective than "customary" medical doctors, so if that one became indexed everywhere as any type of specialist, which may also account for the fee distinction.

Answer 3

If the Insurance paid the Doctor then it normal.