Chiropractor is not willing to refunded me, excuse me?
This is my original story.
Why doctor doesn’t submit my claim?
byu/No_Syllabub_4536 inHealthInsurance
In short, I visited this chiropractor on December 1st, 2022. She asked me to pay $260 upfront first and after the insurance came through, she would refund me so I did so.
Finally, I see my claims on the website. The explanation of benefit is:
Bill by provider: $260
My Health Plan’s Discount: $193.79
My Health Plan Paid: $21.21
My Cost: $45
The items were:
Patient visit: $120
4 X-rays: $140
The chiropractor says that because the insurance company only paid her back $21.21, she can only refund me $21.21.
So I called the insurance company and they told me that the chiropractor didn’t submit the prior-authorization. Luckily, I didn’t sign the waiver.
So what should I do next?
(I also Googled this chiropractor and found out that she and her husband were sued by an insurance company for submitting false claims a decade ago.)