Perhaps this is the wrong forum, but I need help with disputing a Denied Claim with my health insurance company. I was denied coverage because the ER doctor coded my procedure as something the Insurance company wouldn't cover, yet I had no choice in the matter. I had collapsed and then woke up in the hosital.
Talk with the hospital and get them to recode.
What did they code that won't be covered?
I will check on this for you tomorrow as this is one our business, health insurance brokers. I'm pretty sure what Lynette is stating is right on. Call the doc/hospital wherever the service was performed and speak to someone high level and ask for them to re code the procedure and explain that hte way it was coded, your health insurance company will not pay for it.
Patients get things like "renova, a wrinkle cream" covered because the doc codes it in a way that it is medically necessary (they use "acne" for the purpose sometimes). Just some food for thought.
Feel free to PM me with an additional questions and I'll do my best to get you an answer.
I'm contacting both the hospital and the insurance company. I'm basically asking for a recode from the Hospital and I'll following what you outline in your sig line with the Insurance Company.
I'll let you know what happens.
Pay You Never