Reply to Billing at CNMC vs KKI

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[quote=Anonymous]Has anyone noticed weirdness in the way that these two places bill clients?  We have a version of Carefirst.  On a Friday we saw a physician for a consult at CNMC.  It was us in a little room talking--the equivalent of an office visit--no tests or anything else fancy.  The following Monday we had an appt at KKI--same type of appt--just a consult like an office visit.  (It was just chance that the appts happened to be back to back.) As far as I know the two physicians we saw practice only at their respective hospital.

The insurance statements and bills come. CNMC wants a co-pay as if we had just had an office visit with a doctor.  KKI wants that too but is also trying to pass along a $500 fee because the visit took place within a hospital.  Their billing office said that their contract with Carefirst allows them to pass along the fee but I'm confused how this is possible since if they accept Carefirst they have to also accept their billing scheme.  The Carefirst agent agreed it looked weird and resubmitted the claim.

Has anyone else noticed this difference?[/quote]

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