Revised Bill Not Used

Washington, 98391

A month ago my husband submitted a manual claim for payment of a psychology bill. At the time that we didn’t realize that the psych would provide us a final super bill with all the CPT codes etc necessary for payment.

Here’s the timeline 9/12 DH submits initial superbill 9/21 DH submits final revised superbill directly to the claims analyst he spoke with an explanation that this superbill includes all prior codes from the 9/12 submission and to simply disregard that initial bill and pay on this one. 10/6 payment received but on that initial bill not the revised bill as we explained they needed to use.

We will call bright and early tomorrow to straighten this out but it seems weird to me that they didn’t use the revised bill and there is no record of it in the claim history. Like it wasn’t even uploaded into our claim information. It’s like it doesn’t exist- except it does in the email my husband sent to the claims analyst.

Should he have just submitted the revised bill under a new claim # and let them figure out the duplicate billing? Because at this point now I’m not even sure what they will do. If I end up submitting the claim under another claim # they get 30 additional days and I have a large credit card bill due in a week that I was counting on having this money for. 🙁

I have lots of insurance experience but claims payment is another beast. Not to mention I was stupid and forgot that our claims would be based on the U&C not on what we actually paid so… kinda mad at myself for that.