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Discussion in 'Credit Talk' started by chelechele, Aug 22, 2001.
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The CA hasn't given me the contact info. But, I was covered by Pacificare PPO and always was covered. The CA sent me a statement that they got from the doctor's office apparantly. The statement shows that on my last visit I made a co-pay, and that the existing balance was prior to that statement range. I've asked them to get the date of treatment, what was done, diagnosis, etc. so I can contact Pacificare and find out what the heck is going on. Or, alternatively, to give me the contact info for the doctor. This was from 4 years ago so I'm not really sure the phone #, address etc. I've tried to look it up but I think they may have moved.
Hmm...see, you have 2 key things to go on here...one is that assignment of benefits and the other is if the Dr.'s office was legally authorized to charge you the remainder for that specific date of service in question...Meaning, they can only charge you what the ins co tells them to ex: deductable, co insurance, copays....it should be on the EOB that you wish to receive. But again, if there is no assignmrnt of benefits....then the Dr.'s office likely doesn't have anything with your signature.....
Oh yeah and was this your primary care doctor? Also, some policies are 80/20 etc...even in network...
It was the primary physician. It's the only office I went to when I lived in Houston. Other than this fee, I had never paid more than whatever the co-pay was. Unless it's an accumulation of overages, but I won't know that until someone tells me what the $159 is made up of.
yeah...when you find out let me know...that is interesting...