My medical plan includes physicals. When a claim was made following my physical, Anthem rejected it because of the diagnostic codes used in the description of what was discussed by my doctor to me. It was a routine physical and the billing code was correct but my doctor talked with me about bone density. The clinic included that diagnostic code for their records. Unfortunately, Anthem says that is what is blocking the claim even thought the billing code is correct.
My husband also went for a physical and the claim used the same billing code. His claim was not rejected because his doctor didn't "discuss" bone density with him.
I have talked with the clinic billing services and Anthem and neither will budge on their policy which leaves me with an unpaid bill. I refuse to pay this bill as I feel I have already paid for it through the premiums.
0 comments