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Old 10-21-2011, 05:02 PM
 
12,120 posts, read 29,361,920 times
Reputation: 3810

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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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Old 10-21-2011, 06:51 PM
 
Location: In a house
13,253 posts, read 37,913,939 times
Reputation: 20198
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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Old 10-21-2011, 07:25 PM
 
12,120 posts, read 29,361,920 times
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Default 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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Old 10-21-2011, 07:27 PM
 
12,120 posts, read 29,361,920 times
Reputation: 3810
Default 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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Old 10-21-2011, 08:28 PM
 
Location: home state of Myrtle Beach!
6,296 posts, read 19,542,063 times
Reputation: 3518
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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Old 10-22-2011, 09:15 AM
 
12,120 posts, read 29,361,920 times
Reputation: 3810
Default 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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