Lawyers.com > Discuss Your Legal Issue > Ask a Lawyer > Insurance > Billing dispute ? I had a routine, clean Colonoscopy. I recvd a bill, stated Dr was out of network. Not once was I told this the day of. Can I fight?

Billing dispute ? I had a routine, clean Colonoscopy. I recvd a bill, stated Dr was out of network. Not once was I told this the day of. Can I fight?

1 Answers. Asked on Apr 26th, 2017 on Insurance - Tennessee
More details to this question:
The procedure was a referral from Primary physician, I handed them my insurance card, and at that time, they should have informed me it was out of network. I would have never had the procedure if it wasn't covered fully. I received a bill stating Anesthesiologist was OON. They submitted the bill twice to Humana, they denied one because it was already submitted. Then we get a bill for Anesthesiologist for being out of network. We have been going back and forth on this for 2 months.Today Humana called and said it was definitely out of network. Primary physician said we were basically out of luck. Endoscopy physician office stated that they had just deleted Humana the day before my procedure and they submit some claims and not others??? That does not sound legal. Again, if I was not going to be covered, I WOULD NOT have had the procedure. What are my rights? Thank you
Answers Showing 1 out of 1
Answered on Apr 27th, 2017 at 12:51 AM

The responsibility is yours to determine if the physician that you choose is within network or not.

If you would like to contact me personally by either phone or email, you may do so as follows: Patrick Johnson, Johnson, Scruggs & Barfield, 95 White Bridge Road, S. 508, Nashville, Tennessee, 37205, email: patrickjohnson@jsblaw.com; Cell: 615-646-9417; Office: 615-352-8326

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