Wrong code on my claims for routine lab work

TLDR: a mental health diagnosis code appeared on my claims that was supposedly for routine lab and I have to pay a little out of pocket with deductible even though it is part of my benefits.

I did an annual routine lab work which is covered by my health insurance and I would not need to pay anything out of pocket. However, Quest sent me a bill, not much but I find it weird that I still had to pay anything. Called BCBS and they told me that my pcp submitted a mental health diagnosis code and not a routine code.

After multiple back and forth with insurance and my telehealth/Firefly, bcbs said they’ll handle it by reaching out directly to Quest but quest said they won’t change it because of that diagnosis code. Reached out to Firefly, they said they can’t provide additional codes to my bill.

The cost isn’t the issue here, but I’m more concerned how a mental disorder diagnosis code appeared on my claims and no one is taking responsibility for it. My PCP said she did not diagnosed me and BCBS said that I should’ve make sure they put the right code before submitting (I didn’t know this was supposed to be my job??).

Does this sound like it was my telehealth that screwed up? I really want to get to the roots of this to avoid this from happening again, but is it worth or should i just pay the bill and call it a day?

26 MA

submitted by /u/sqrt100over10
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