Quote:
Originally Posted by firebiker
We are having major billing problems with the office at Colony. We went to have our annual physicals, which our insurance company will pay 100%, but many of the tests were not "coded" as being part of the physical, so we are having to pay for a lot of money out-of-pocket. After several discussions the issue still hasn't been resolved. It seems that the schedulers are at the root of the problem(?).
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G
Go to the office and tell them you want a complete print out of the day you had your physical. Then sit down with the office manager (her name I believe is Autumn) and ask her to have a doctor review it and tell you what part of visit was not part of your physical. When I did this it was agreed it should have been coded as a physical, but it was actually the doctor not the scheduler that coded it wrong. If it gets recoded correctly and resubmitted to your insurance company you should be fine.
It took me 7 months of calling them to get this straight. I only had luck when they replaced the office manager and Colony and she agreed to have another doctor review the information. This was needed because the doctor that had coded mine incorrectly had been let go (thank God, but that's another story). Hang in there - you pay for the benefit of a physical annually and it should not be denied because they don't know what they're doing. I wonder if they'll ever figure it out???
I'm assuming this happened at Colony.