Friday, July 09, 2004

I feel normal!

YAY!!!!!

I was about to post that I was so happy with my insurance company b/c I just got the letter saying I would be allowed 8 no-puke pills every 28 days.

Then I logged onto my insurance website.

They have already denied over $4k in claims.

Out of 12 claims in the queue, they have processed 3, and denied all 3.

$18.00 was denied with the following code:743 THE CLAIM IS DENIED BECAUSE HANDLING FEE AND/OR VENIPUNCTURE IS NOT PAYABLE. MEMBER MAY NOT BE BILLED.

$4,360.00 was denied with the following code: 256 SERVICES MUST BE PERFORMED BY A PARTICIPATING PROVIDER. CLAIM IS DENIED. MEMBER MAY BE BILLED.



I'm really pissed, b/c those are the charges from the bone marrow biopsy (I think, based on what I can tell). I had the referal to my oncologist, he is a participanting provider, they fucked up and sent it to the wrong lab.

2 Comments:

Blogger Naturegrrl said...

YIKES!!!
so sorry :(

11:28 PM  
Anonymous Anonymous said...

In most cases this is standard procedure. The denials usually result in resubmittal with the appropriate paperwork. The claims are then usually paid or the doc forgives the a portion and you are only billed actual consumable costs. In any case talk to the doctor's office and work with them on getting the bill's straighened out so you only pay the minimum co-pay ex ctra.
Donly

4:06 PM  

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