House Insurance Providers
House Insurance Providers
Can Not Understand Insurance Application
Provider is the hospital my insurance I have been admitted responsibility for the use of a contract laboratory that is?
I had recently, a lesion removed my foot during a recent hospital outpatient surgury. The hospital is with my insurance (PacifiCare PPO) as part of "In-network provider awarded. Apparently, the hospital does not in the house pathology for the determination of the lesion, what exactly was it sent to a lab. It turns out that this laboratory does not in my insurance company, PPO network. If the outside laboratory sent the bill to my insurance company treated them in the laboratory and a lab in-network and reduced from the bill, their contracted level and then applied its 80% a responsibility my plan. The laboratory has refused to reduce the cost, as they are not in the network and billing me for the difference. Long story not so short ……. Question: Is the hospital responsible for using 3rd party labs, the "in-network" with my insurance, if the hospital as a whole as "in-network". Thank you
Unfortunately they did not have jurisdiction. But you should with your insurance company complain and ask you how you should know what the doctor uses Lab. This is an intolerable situation. If you complain, you can get some some satisfaction from your Insurance carrier. If it does not tell them you want to take the decision.
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