Ok. Then obviously I don't understand the subject very well :)
I'm glad to have your 35+ years experience.
Would you mind explaining one of those situations, just so I can understand?
Thanks.
Thank you. I appreciate your answer.
Can you educate me on one more thing I'm unsure about?
Is it possible for the insurance company to have a provider-negotiated-discount while at the same time being considered out-of-network?
Yes they do. I explained that due to the complexity of the billing process, clerical errors are common. However, in this case I believe the insurance company is also committing fraud (possibly unintentionally).
The issue is that the exact same clerical error on the exact same claim is treated...
I had a medical claim applied to out-of-network which should have been in-network. Obviously this means my reimbursement is much lower than it should be. I was able to get the insurance company to correct it after numerous phone calls. However, I wonder if this is a systemic issue for the...