Recent content by Nokin

UPDATE! This got resolved already in late December last year. After pressure from the insurance company the doctor finally did pay the difference that he owed us. I also learned that BcBs had the same type of a claim against the same doctor from another member. I also had a private conversation...

Insurance might drop him so he would not scam other members of the same insurance and yes, then he has no reason to pay me anything. My only hope is that there is some incentive or benefit for him to be a preferred provider within Bcbs and that he would like to keep that status.

Well, after I talked with BCBS rep they said this matter will get forwarded to their case management unit where I should hear back within the next 21 days. I still have time. I am very new to all this. Coming from a country of universal healthcare I am extremely overwhelmed by system here in US...

Hmm... BCBS sent the check to the doctor for what was HIS part of the reimbursement. I got a copy of explanation of benefits. The explanation of benefits basically states how much the insurance allows to be billed for that particular code, what part is the doctors reimbursement from the...

Nope. He still has an ongoing contract with them. I called BCBS, their representative made a three way call. I was able to listen in the background while BCBS rep talked with him. He tried his same shenanigans by telling that I signed a paper beforehand that he doesn't accept insurance. BCBS...

What is the name of your state? Virignia I am covered by BlueCrossBlueShield. A doctor that has a contract with BlueCross BlueShield and is in network for me (PPO) provided a service that is covered by my insurance with the plan I have with them. Before providing a service he informed me he...