Djmohr
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Thank Goodness! Today I heard back from my old Bariatric Center where I had my surgery. I asked them to provide a letter that I could take to my new doctors and insurance company in my new state indicating that having to have the annual blood work is an absolute necessity to ensure proper nutrition post RNY. My lovely new insurance company refuses to pay the $2363.00 bill for said blood work because they used the work Bariatric in the coding. The clinic of course refuses to change the coding so I wrote the check yesterday because they threatened to send it to collections. What BS. Now I am filing with both the insurance company for an appeal and I am filing with the state, thanks to @OKCPirate. Don't know if it will do any good and I will get my money back but it is what it is.
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it is supreme idiocy for them not to cover it as the results of "not knowing" could land you in more medical trouble that would probably be covered.
it's like birth control not being covered but covering pregnancy. but maybe I am just having a bad day. I work for a medical facility and have been dealing with idiotic management decisions all week.
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Ugh! I am so sorry that you are dealing with this. I hope that things go well with the state, and I would say the same for the insurance company, but I know how they can be. I had a similar issue with an ambulance company once (they billed under the wrong code, they refused to change it, insurance refused to pay) but mine was for much less.
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