Pink Partridge
DIS Veteran
- Joined
- Oct 3, 2016
I have a hard time believing billing would be handled by a phone call. I'm not in the medical field and I didn't stay at a Holiday Inn last night, but I'm assuming even if the doctor's office called to get approval, if the office files it as a "diagnostic" procedure, it will be treated as such (and then not covered at 100%). If they file as "preventative", then it is covered. Did the office tell you they coded it as preventative? If not, ask them to refile. If so, then call the insurance (or get a copy of the EOB) and complain.
They stood by their claim that they coded it correctly. Then gave a reference number for when they called for coverage. Hoping to get to the bottom of this!