Posted by All Done on March 15, 2005, at 10:17:53
Since my T went to private practice, I’ve been paying his entire fee of $90 upfront and submitting the claims to insurance after the fact. He then gets reimbursed and signs the check over to me. I have a $25 copay, so I figured the check would be for $65. Instead, it was for $47. (Mind you, I have tons of claims, so this issue is actually about hundreds of dollars.)
I called insurance and they told me that, as a contracted provider with them, he agreed to accept $72 and he should be writing off the additional amount, not charging me. They also jumped all over the fact that he should be filing the claims, not me, and I shouldn’t be paying upfront. She asked me for his phone number and wanted to call him together to talk about it :o. Umm, no. Of course, I don’t want to get him in trouble.
I’ve heard of others filing the claims the same way I do, I think. Should I be expecting the entire amount back? Or should I just say at least I’m getting $47 back? As of the first of the year, though, my copay increased to $35, so now I’m only going to get $37 back. I know it could be worse and he could just stop accepting my insurance.
Some of these claims go back to August because he didn’t let me know he was a provider (even though he knew I freaked out when he told me he was going to private practice because I would have to pay his full fee.) I know he doesn’t like dealing with insurance stuff, but is he really that oblivious about it all?
It’s all starting to piss me off, but there’s still such a huge part of me that just wants to let it go.
poster:All Done
thread:471253
URL: http://www.dr-bob.org/babble/psycho/20050315/msgs/471253.html