Timeline for EOB says I owe $4500 but provider says I do not
Current License: CC BY-SA 3.0
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Sep 27, 2017 at 17:51 | history | edited | Chris W. Rea | CC BY-SA 3.0 |
added 3 characters in body; edited tags
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Sep 27, 2017 at 17:42 | comment | added | user42405 | Companies are very confused about what in-network and out-of-network means and often really have no idea. I've seen a doctor's office where the office was in-network but a doctor there was out-of-network, or the lab at the doctor's office is out-of-network even though the doctor's office and affiliated hospital are both in-network. It seems to me that there's a ton of paperwork for each place (even in the same building) to actually be in network that doesn't always get filled out, though with enough complaining it gets sorted out eventually. | |
Sep 27, 2017 at 17:06 | vote | accept | user2877750 | ||
Sep 27, 2017 at 16:26 | answer | added | user42405 | timeline score: 5 | |
Sep 27, 2017 at 16:19 | comment | added | user2877750 | Yeah, so I asked the insurance company, the provider is apparently out of network. Even though they said I was in network... | |
Sep 27, 2017 at 16:16 | comment | added | user42405 | Is the provider "in network" (or some similar term) with the insurance plan? It'd be very surprising if they were and they disagreed on the amount you owe. If it's "out of network", it may just be that the EOB is saying that the provider has the right to balance-bill you. | |
Sep 27, 2017 at 16:13 | comment | added | user2877750 | The EOB says the Insurance company things I owe $4500. But the provider says that I do not owe them anything | |
Sep 27, 2017 at 16:09 | comment | added | user42405 | Does the EOB say how much the insurance company thinks you owe? Or just how much they paid the provider? | |
Sep 27, 2017 at 16:03 | review | First posts | |||
Sep 27, 2017 at 17:29 | |||||
Sep 27, 2017 at 16:01 | history | asked | user2877750 | CC BY-SA 3.0 |