Blue Shield California Bronze 60 PPO. Trying to understand why I am being charged for labs at my annual exam that are general/basic labs.
This year, I have Blue Shield California Bronze 60 PPO and went in for my annual/well-women exam which included labs. Some were coded as "Well-Care" and covered, while some were coded as "Laboratory" and therefore charged. I've had different insurances through the years and these labs that I am currently charged with were always considered preventative, especially the lipid panel, A1C, and general health panel.
I spoke to Blue Shield who mentioned those labs would be considered preventative and to contact my provider, who then told me to contact labs, and then back again to insurance. I'm getting the run around with no real answer.
These were the codes related to the lab work for that visit (in bold are the ones that were charged):
86803- Hep C Antb- Well Care, no charge. 87624- Hpv high risk types- Well Care, no charge. 88175- Cytp c/v auto thin lyr prepj scre mnl rescr phys- Well Care, no charge. 80061– Lipid panel- Laboratory, charged. 83036– Hgb glycosylated- Laboratory, charged. 86317– la nfct agt antb quan nos- Laboratory, charged. 87340– Infect agent ant detect by immune tech qual or semiquant; hepatitude b surface ant (hbsag)- Laboratory, charged. 80050– General health panel- Laboratory, charged. submitted by /u/Hellaconditions
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