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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

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[–] • 3 pts

Did you ask them if they were in network before you went? Always do this AND verify with your insurance company before visiting any medical or dental provider

It's on you to make sure ahead of time.

And yea what they did was perfectly legal.

[–] [deleted] • 1 pt

Yeah what zzz says here. Plus you need to call your provider and have them give you a list of in net work providers. Most likely you can go to their website and pull up a list of medical providers in your area that are in network. When you call a new provider you ask them, “are you contracted with——- ?” blue cross for example. Do you adhere to blue cross example price agreements. If they charge above the blue cross contracted amount you will have to pay that difference. You need to be with a provider that your insurance company has pre approved.