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10-21-2011, 05:02 PM
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8,232 posts, read 9,259,466 times
Reputation: 2230
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Getting bills from wrong lab(should be NO bills at all)
what happens when I keep getting bills from a lab that my insurance carrier no longer uses? I have at least one bill from a lab for labwork when labwork is covered under my plan 100%(should be no bills)
i probably will get another bill for labwork because i just got a statement from my insurance co saying they didn't pay the lab because the claim wasn't submitted
my health plan covers me 100% for labwork done at an office visit when you pay the co pay
what is the best way to mediate this, send my insurance card with an explanation to the lab or contact the provider who didn't use the right lab?
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10-21-2011, 06:51 PM
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Location: Wallis and Futuna
9,253 posts, read 7,288,477 times
Reputation: 12614
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The most likely thing that happened:
You gave the insurance info to the lab people (whoever drew your blood, took your culture, got your urine sample, whatever it was you went to the lab for).
They either submitted the wrong accounting code, OR submitted it to an obsolete address, because the insurance company never sent them the new address (this is a very typical problem).
The first thing you need to do is check the claim rejection, if you got one. Find out exactly why the claim was rejected. If the claim was never submitted, you have to find out why.
Check with the insurance company for the address that the lab should be sending the claims to. Then check with the lab and confirm that this was where they actually sent it. If they didn't send it, then ask them why not.
It really shouldn't have to go any further than that.
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10-21-2011, 07:25 PM
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8,232 posts, read 9,259,466 times
Reputation: 2230
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I think they said the claim was rejected because it was submitted too late
past a certain deadline
it was for 9/1 of 2010 i have no idea why. whose responsibility is it to check into this? i don't want this affecting my credit. i don't want to have to pay anything. shouldn't my provider and the lab work together? when can the lab start forcing me to pay? if the correct lab(the one i am 100% covered for) was supposed to do this and the other wrong lab already did the services how can i argue it?
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10-21-2011, 07:27 PM
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8,232 posts, read 9,259,466 times
Reputation: 2230
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i didn't actually go to the lab
what happened was i went to the specialist and they took a urine sample then what they did is send the sample out to a lab
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10-21-2011, 08:28 PM
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Status:
"Orange Julius!!!!"
(set 27 days ago)
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Location: home state of Myrtle Beach!
4,500 posts, read 6,377,263 times
Reputation: 1712
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first you should be working with your doctors to make sure they use the correct lab. I had a plan that used one lab only and if you didn't get the samples sent to them the insurance company wouldn't pay. This is your responsibility. Many healthcare bills have a section on the back to provide the correct insurance information; have you done this and sent it in to the lab that was used?
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10-22-2011, 09:15 AM
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8,232 posts, read 9,259,466 times
Reputation: 2230
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when i got a first bill from
the lab for the i provided them with my insurance info on the section on the back. haven't yet heard from them
this second time for the 9/1/10 visit i did not yet get a bill but figure i will because i got a statement from the insurance carrier stating that they did not pay the lab so i would expect to receive a bill from them
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