Reply to insurance, billing and Children's

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[quote=Anonymous]OP, sorry you are dealing with this. It seems especially frustrating to have to deal with a sick child and these kinds of issues at once. 
I had similar billing issues when my child was seen by a physician at Children's a few years ago. Most doctors associated with Children are on salary at the hospital and the visits and services you receive are considered outpatient hospital visits, even when you just have a plain old office visit. That triggers a big facility fee and often has totally different (and much higher) cost sharing than the traditional copay. 
That was my experience, even after having called and asked explicitly if the doctor was in-network and I would face my specialist co-pay. 
I refused to pay and threatened to report them to the state insurance commissioner for giving me false information. They agreed not to pursue payment but said I couldn't make another appointment at Children's until I paid the bill. I chose to find another specialist.
Unfortunately more and more pediatric specialists are being bought out by Children's, making it harder to find docs, but I have so far managed.
Bottom line is I sympathize, wish I had a great solution.  But consumers need to fight back or its just going to keep happening.
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