[QUOTE=pixelpie]I said the same thing to my friend and she said the lab itself has to have the signed document. It’s a good thing the lab is independent… Otherwise you might be responsible… My hematologist’s office is in house and I always get billed from them.
My vitamin d was a year ago. Ob requested that test. The CPL lab sent me a bill for around $800 for the test. Insurance paid for metabolic workup but denied the vitamin d test. There was back and forth with the insurance… And when I called for status two months later I was told it was written off. I never got another bill…no negative impact on my credit.
I’m sure were paying for it somehow down the line…lol but I was happy not to have to pay for that ridiculously priced test. Goes to show you should always call about bills! I would say 95% of the time my insurance tries to not pay when they should… I have had claims denied many times because a code was wrong from a doctors office. They resubmit and viola it’s paid.[/QUOTE]
Oh I know exactly what you’re talking about! My insurance have denied so many claims in the past because the codes were wrong or the dr’s office used a secondary code. When I follow up with my dr’s office they always show me their statements and billings and they have put in multiple codes to cover all angles and make sure my insurance process it. I can’t decide whether it’s completely dependent on the ins rep who is processing it and too lazy to punch in other codes on the claims. I always have to stay on top and chase it, and resubmit before they pay it.
2 years ago, I had an annual with my internist and it was a routine checkup…pap, blood work, checking cholestrol and vitamin d. All came back denied 6 months later! You should’ve seen the statement from the lab! I would’ve had to pay $600 for an annual work-up! I called to get it resubmitted, the rep I spoke to reprocess the one item - pap smear assuming she was reprocessing the entire claim. Turns out 2 months later, I find that she only reprocess and paid the one item and everything else have not been resubmitted. I had to call them again and get the claim resubmitted again and finally paid.
This is why I get so nervous and weary about these things especially with billings with labs and insurance claims. It’s terrible that we have to be the ones to stay on top of everything and they can be nonchalant about everything.