Good news. The colonoscopy came back paid 100%!
I am still fighting to get my cholesterol panel paid. It's small beans. Really small beans, less than $15 after insurance adjustments, but it just annoys me.
Just curious, if you know what the correct codes are, couldn't you just confirm them with the billing office before ypur claims are submitted? Seems like that would be a whole lot easier and better use of your time, Tom Bri.
Say what you will about Kaiser, it's nice not to have to deal with that shit any more.
A good point, and yes, I did ask the colon doc about how he was going to submit the claims.
I also had asked the GP if he was using preventative codes off the ACA list, and he assured me he was. However, he is not a good coder, and failed to choose the right code. He is a good doctor, so I'll stick with him, but he admitted his coding training was just a few days in med school. That is fine with me. I prefer a doc I TRUST WITH MY BODY over one who is OC about codes. The current problem is small. But over the last few years it originally amounted to about $1500 before I called and called and called and got it reduced to about $30. Same with my wife. She had a breast ultrasound done, and before the procedure was assured by both the doc and insurance that it would be 100% covered. The bill came back for >$1000. We called to complain, and it was forgiven. I think the clinic just forgave it rather than correcting it with insurance, since we never got any updated EOBs showing it had been reprocessed.