I have insurance goddamn it!
September 20, 2012 10:20 AM Subscribe
My doctor's office billed me up front for an IUD and told me I would be reimbursed. Today, after calling them repeatedly, I found out that they have not filed a claim for the device, and they couldn't give me a satisfactory explanation as to why. I have no idea what to do now.
posted by showbiz_liz to Law & Government (21 answers total) 2 users marked this as a favorite
On September 4th, I had an IUD placed at this clinic (in New York City where I live). They told me at that time that I would be required to pay $650 up front for the device, and would then be reimbursed by my insurance. They said this was because they bought the devices in bulk and kept them at the office, rather than ordering them individually for patients. I thought this was strange- especially because no mention was made of this on my previous screening visit- but I went ahead and put it on my credit card, assuming I would have my money within a month.
It is now September 20th, they have not filed a claim, and they cannot explain to me why they have not done so. Originally they told me they'd filed it, the insurance company must just not have gotten it yet. I found out today that the insurance company HAD received a claim for the visit, but not the device itself. I called today to ask why, and they said, oh, well, WE'RE not the ones who file a claim for the device! It's the device provider, CVS! Call them and ask why THEY haven't filed a claim yet.
I called them- they have never heard of me, do not have a file for me in their system, and they didn't understand the situation I was describing at all.
I called back and told the clinic this. The clinic told me that 'their supervisor will get back to me'.
What the hell is going on here, and what can I do about it? At this point I would be happy to file a claim myself but I mentioned this and they basically brushed it off. I am scared that they scammed me somehow and I will never be able to file a claim for this, and am out $650 despite being fully insured.
What can I do now, besides just keep calling them every day (as I have done for the past 4 days)? Is there some sort of medical advocacy group I can call? I don't have money for a lawyer!