PA CHARGES

[bellabeans 74]

I was sleeved 9/7 approved by Aetna ins and also have a secondary insurance that I am covered by 100% . Today I received a bill for $2500. My surgeons PA billed the insurance co 40,000 and it was denied, keep in mind the surgeon also billed the insurance company and was paid what Aetna pays with no responsibility from me . I never saw this dr the day of my surgery before , after or any time during my hospital stay . The bill says that the PA appealed the bill and it was denied , and they have dropped the charges to $2500 that I owe . I don't know how they decided to adjust the bill by $37500. I called the insurance co and they told me I could appeal it and that it was not paid because she is out of network. My surgery was prior approved by my insurance company so why would it be approved if the Pa was out of network . My surgeon is in network though. Sounds to me like the office is double dipping . I'm not sure how to handle this because my son is being sleeved within the month and has worked so hard to get all of his requirements in . I don't want to cause a scene in the office at least not until my sons procedure is done .

Sent from my iPhone using the BariatricPal App

[docole725 0]

That is actually frightening.