Reply to fighting with insurance company over denied claim

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I think we should all make it cost insurance companies more to deny claims for physician-ordered tests than it is to just pay them.

Call. Take up staff time — electronic communications won’t get it done. But always, always be nice to the people on the front lines. They aren’t the problem.

Make sure you know the diagnostic codes and billing codes when you call. I make my insurance calls while driving or doing housework or making dinner, to ensure that it doesn’t actually cost me valuable time. 
 [/quote]

It sounds like it wasn't denied. Rather, the OP didn't bother to wait until prior authorization was obtained.[/quote]

this is accurate.  I didn’t wait for prior authorization because the radiology clinic TOLD me very clearly that I could self-pay and submit to insurance - what I was waiving was their obligation to submit it.  I then got authorization - I have an approval letter from the 3rd party that evaluates radiology orders [b]for Cigna. [/b] [/quote]

Finally ! OP, you did the right thing by naming the insurance company as others might share similar experiences as well as a warning to others.[/quote]

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