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2 weeks ago my wife and baby got sick with sinus and ear infection. Called a pediatrician (we don't usually go in for anything) They asked me what kind of insurance I had and to send in pictures of my insurance card. I did all of this and they said I was good to go with the appointment that day.

Today I got a text from the doctors office: "Your family was seen and your insurance denied the claim as we are out of network. There is a balance of $750 ."

Why couldn't they tell me the insurance was out of network when I sent in my insurance info before the appts? I don't really know how this stuff works but it's not right. $750 is a lot of money for us.. anything you think I can do? Thanks guys

2 weeks ago my wife and baby got sick with sinus and ear infection. Called a pediatrician (we don't usually go in for anything) They asked me what kind of insurance I had and to send in pictures of my insurance card. I did all of this and they said I was good to go with the appointment that day. Today I got a text from the doctors office: "Your family was seen and your insurance denied the claim as we are out of network. There is a balance of $750 ." Why couldn't they tell me the insurance was out of network when I sent in my insurance info before the appts? I don't really know how this stuff works but it's not right. $750 is a lot of money for us.. anything you think I can do? Thanks guys

(post is archived)

[–] 2 pts

That's a good point, but they may not have submitted to the insurer before providing services. In that case, it's on the doctor because they didn't do their work.

Insurers have many different plans and they can often have different ways of accounting for in and out of network doctors.