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Reply to "DC Psychiatrist Falsely Represented That He Is Cash-Only OON"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Sorry, that seems frustrating by the insurance company if they are processing some as in network, and some as out of network. It’s still only mid-April, so it may be taking some time for the doctor to be fully set up under the insurance with his own practice if he just started in January. For the first 11 visits, insurance reimbursed you 70% each—so roughly $175 per visit. The last three were processed as in-network, which means you’re only responsible for the coinsurance instead of the full $250. It might be best to contact the office billing department to reconcile the account and request a credit for any overpayment. Also maybe request the insurance company to reprocess the first 11 claims as in network. [/quote] There’s no office billing department. Hence the awkwardness. Also, like 5 visits I had to pay in full with no reimbursement because of the separate OON deductible. [/quote] He owes you this money. You and he need an agreement of how you will be reimbursed. Personally, I would prefer to be paid back in full and would have already created and submitted an accounting of every cent. and I'm not an accountant, just someone who doesn't want anyone messing with my money. If he reimburses you immediately, and he is otherwise a good psychiatrist, then keep seeing him. Get that money back, though![/quote]
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