VERA/ Consult fee for Dr Gagner

[Guest guest]

Jeanie, I had received my insurance forms saying they had not paid Dr.

Herron for my

consult. I called them because I know the surgery is covered by them they

looked at the bill and said the office

sent the billing for a consult for weight loss (only - Not Weight Loss

Surgery) which they would cover. so I am trying to get in touch with

whoever bills for him to rebill with the proper diagnosis. Check and make

sure this is not the case with your company. If they cover the surgery

they most likely cover the consult too. Oh, by the way I think $200.00

is the magic number in New York for everything!! :0)

Vera

On Thu, 11 Jan 2001 13:26:25 -0000 jeannie793@... writes:

> I should add that originally I was told that there was NO consult fee

>

> with Dr Gagner. If your insurance didn't pay it you would not be

> billed. I wasn't billed until about 4 months after my appt because

> my

> insurance denied coverage for the consult and the surgery. They

> then

> billed me which is not what I was told originally. It was also $200.

>

>

>

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[Guest guest]

Vera,

No the consult was denied by my HMO. Therefore when they billed the

HMO it was denied period. Then they started billing me. it wasn't a

code thing with my HMO. We knew going into the visit that I was going

on my own without their approval. They just thought that if I won an

appeal that they would get paid then. I didn't win and now they are

billing me.

But thanks for the tip!

Jeannie

-- In duodenalswitchegroups, " V. C. Ross " <vera329@j...> wrote:

> Jeanie, I had received my insurance forms saying they had not paid

Dr.

> Herron for my

> consult. I called them because I know the surgery is covered by

them they

> looked at the bill and said the office

> sent the billing for a consult for weight loss (only - Not Weight

Loss

> Surgery) which they would cover. so I am trying to get in touch with

> whoever bills for him to rebill with the proper diagnosis. Check

and make

> sure this is not the case with your company. If they cover the

surgery

> they most likely cover the consult too. Oh, by the way I think

$200.00

> is the magic number in New York for everything!! :0)

> Vera

>

> On Thu, 11 Jan 2001 13:26:25 -0000 jeannie793@c... writes:

> > I should add that originally I was told that there was NO consult

fee

> >

> > with Dr Gagner. If your insurance didn't pay it you would not be

> > billed. I wasn't billed until about 4 months after my appt

because

> > my

> > insurance denied coverage for the consult and the surgery. They

> > then

> > billed me which is not what I was told originally. It was also

$200.

> >

> >

> >

>

> ________________________________________________________________

> GET INTERNET ACCESS FROM JUNO!

> Juno offers FREE or PREMIUM Internet access for less!

> Join Juno today! For your FREE software, visit:

> http://dl.www.juno.com/get/tagj.