What is the name of your state? SC
In Jan. of this year my doctor ordered a CT Scan done on my face at my local hospital. The hospital sent me a bill for this procedure...$2147.00...and then my insurance company...United Healthcare...sent me a letter stating that they were not going to pay anything on this bill due to it not being pre-certified by them.
I contacted my doctor's office about this and they told me that it was up to me to get this procedure pre-certified. I informed them that I have never had to pre-certify a procedure myself and also informed them that no one from the doctor's office had told me to do this. The lady I was talking to changed her tune with me after this and told me that she sees that I have United Healthcare and this is the one insurance company that they have to call and get procedures pre-certified. I then asked her what I was supposed to do.
To make a long story short...I was told to contact the hospital to see if they would see what they could do to get United Healthcare to pay on this bill. My doctor's office also wrote up a letter for me and got me my medical records and told me to send this in.
Today I get a letter from United Healthcare telling me that they are still not going to pay on this bill due to my doctor's office not getting me pre-certified.
Should I sue my doctor for this bill? Please someone help me here.What is the name of your state?