As the title says, I had surgery last summer that was covered by my insurance (Comm Health Choice).
But recently the anesthesia provider of my surgery sent me a bill saying I owe them $5140 for a spinal tap. Or rather, $2570 each for two spinal taps. As far as I know, I had only one during my surgery.
My explanation of benefits shows my insurer denied both these claims last year and listed my "member responsibility" for the claims as $0.
It also shows the anesthesia provider DID get a payout from my insurance company on a separate claim for the same "type of service" (code 62322 - epidural injection) and billed for the same amount ($2570) as the two denied claims the anesthesia provider is trying to make me pay. Though with the discounts they negotiated, my insurer only paid them $118 instead of the full $2570.
So yeah. I'm wondering if I'm actually on the hook for this $5100 bill. It seems to me that the anesthesia provider didn't get the money they wanted out of my insurance, so they're trying to double bill me for the exact same service my insurance already paid for.
This is my first time having health insurance as an adult and I don't even know where to start with this situation.
Submitted February 17, 2019 at 07:47PM by phoenixphaerie http://bit.ly/2SGsAuw
