Stupid question but… breast biopsy claim: how to read results?!
Hi everyone. I recently had a breast biopsy done back in May. I am 30 years old, female, and live in NYC (with not the greatest health insurance: Health First). I'm having trouble reading my bill on my health insurance account and have a residency coming up that I will need to use the $2,000 to pay for. The total for the biopsy, ultrasound and mammogram was $2,032. But then my claim says… $0 was covered by my health insurance plan. $0 was paid for by the plan? But somehow I only pay $93.15? Can I expect a bill from the radiology clinic for the remainder of this? Or, do I truly, only need to pay$93? Or, does it typically take a few months to process a bill like this? Just trying to see if I need to pull out of my residency if I have to pay the full $2,000.
Also–At the bottom of the claim, it says "Status Denied" and getting ahold of my health insurance provider is a headache and truly takes at least a couple hours waiting on the phone.
SERVICE TYPE BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), INCLUDING ULTRASOUND GUIDANCE
SUBMITTED CHARGE$2,032.00
-NOT COVERED BY PLAN$0.00
-PAID FOR BY PLAN$0.00
-AMOUNT OWED TO PROVIDER$93.15
MEMBER CO-PAY$0.00
"STATUS DENIED"
submitted by /u/makoobi
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