Aimee, it may not be that your doctor's office has to lie to get Em's visits coded. They may be making a coding error. It happens all the time. Call your insurance, and ask what sort of well baby care is covered, ask them for the diagnosis and procedure codes of the covered care. Then, call your doctor's office, and tell them why the insurance is rejecting and what they will cover.
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Topic!Cindy - May 11, 2005 8:19:13 am PDT #8563 of 10001
What is even happening?
DavidS - May 11, 2005 8:19:21 am PDT #8564 of 10001
"Look, son, if it's good enough for Shirley Bassey, it's good enough for you."
Screw 'em.
Yep. They've dicked with you plenty, and you've been on the up and up with them. They got more than their money's worth with you. And you're leaving because they suck. That's that.
They suck. You rock. Next year they do without you. That's punishment enough. Like the people in Purgatory who glimpse heaven but can't get there. They'll think back fondly on their Fay-ful days and sigh and think, "Shit. I really fucked that one up."
Aims - May 11, 2005 8:19:38 am PDT #8565 of 10001
Shit's all sorts of different now.
I know. And I did ask, but leave it to me to find the 3 remaining ethical pediatricians in BUrbank.
t disclaimer: not all pediatricians lack ethics.
Topic!Cindy - May 11, 2005 8:21:01 am PDT #8566 of 10001
What is even happening?
What, specifically, does your insurer say is covered in way of well baby care? (I used to be quite involved in this in my old job, which is why I'm being such a pill--because I've seldom seen insurers refuse well baby care, and really do think there might be an error in billing procedure).
Aims - May 11, 2005 8:21:05 am PDT #8567 of 10001
Shit's all sorts of different now.
Call your insurance, and ask what sort of well baby care is covered,
I did. They cover up to $100. Per year. That's it. I went through that the first appointment after we got out of the hospital. They'll cover the vaccines and a $20 administration fee for the baby to get them. That's it. THey suck.
Topic!Cindy - May 11, 2005 8:21:28 am PDT #8568 of 10001
What is even happening?
Sorry. Xpost. They do suck.
Aims - May 11, 2005 8:22:07 am PDT #8569 of 10001
Shit's all sorts of different now.
No big. X-Posty goodness.
$100!! For well-baby visits??? WTF?? I mean, granted, I'm new to this mom stuff, but that's ludicrous, right?
edited to correct the spelling. Rappers have nothing to do with this issue.
§ ita § - May 11, 2005 8:25:47 am PDT #8570 of 10001
Well not canonically, no, but this is transformative fiction.
I'm new to this mom stuff, but that's ludacris, right?
Word. Fifty cent sounds better.
Sparky1 - May 11, 2005 8:25:49 am PDT #8571 of 10001
Librarian Warlord
every single one of my prenatal visits was covered. Every. Single. One.
They are just like drug dealers. Lured you in with the promise of free visits, and now that you are addicted to the baby toes/smiles/giggles -- WHAM!
Aims - May 11, 2005 8:26:22 am PDT #8572 of 10001
Shit's all sorts of different now.
Word. Fifty cent sounds better.
Pllbbt.