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Rectal Cancer Survivor

Colorectal Cancer | Last Active: May 18 11:23am | Replies (11)

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@hopenjoy2024

Yes, it was an anoscopy in office, 6 month check up. The surgeon’s office pre-auth-ed with the new insurance but submitted the claim using a referral from the oncologist, not the GP which is not allowed. When the claim was denied, they sent me a bill, which I paid on the assumption it was copays and coinsurance since it was a new year and out of pocket maximums did not apply. If I would have contacted the doctor’s office when I received the bill, they would have been able to appeal and resubmit.

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@hopenjoy2024
Since the office made the error, they should definitely correct it and resubmit the claim, complete the appeal, and reimburse you what you overpaid.