Posts Tagged ‘Dermotologist’

Who’s at Fault? Medical Billing Dept. or Insurance Company?

medical billing fraud
Tara C asked:

I needed to see a dermotologist and found a provider for my insurance. I saw a physician’s asst. and didn’t get a bill for 2 months, after my 4th visit. They were billed under another dr., not the dr. who I had asked for. The dr. they billed under was out-of-network. I talked to the billing dept. and they waived a lot of fees. I asked them why they didn’t submit it under the dr.’s name who I had requested. They said he doesn’t work at that office, he just owns the clinic. They said that it would be fraud to list anything under his name since he doesn’t practice at that specific clinic. However, the insurance company has him listed as a provider at that specific location. I looked at their website today and called the hotline, and they said he is still listed as a provider. Does this mean I need to fight the insurance company? I have called both parties so many times and don’t know who to blame anymore. At this point, it just looks like I’m reaching. Help!

hospital

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