Supposed to be Self-Pay, But insurance Billed Question??????

[Judy Robinette 51]

I was denied through my insurance for the surgery, not sure why, but I ended up going ahead as a self pay as I could afford the payments with adjustments. I just received a claim paper from my insurance that they were billed for the surgery and it is being processed???? Anyone else have this problem? I am so confused. If the insurance covered it than why am I self-pay? I contacted the billing department and she is going to call and find out what is going on.

[2muchfun 8,927]

It's common practice to bill insurance for most all procedures. Insurance will either deny or accept responsibility and should also indicate how much they would have paid if it were covered. This should be the amount you would owe?

I wouldn't make waves till insurance denies the claim? If they pay it, won't you be the lucky one?

tmf

[ADJL 685]

I wouldn't make waves till insurance denies the claim? If they pay it, won't you be the lucky one?

tmf

Exactly!

[GuyMontag 1,264]

Just make sure you get your money back from the doc if you've already paid! Lol.

[Judy Robinette 51]

Thanks everyone! I just found it so weird. I checked the claim status and it is a rather large amount and shows as processing with services being covered so I am awaiting for the billing department to call me back with any answer. They billed it twice because I was seen on Monday for the endoscopy which was approved by my insurance and then again on Thursday fro the surgery (I had a hernia repair along the lap band) and given the amount, it has to be for both as it was more than my severely broken ankle surgery from February.