Cigna. Confusing EOB (denial), I have little experince with this.
From the EOB:
Amount billed: $1236
Cost reduction: $0
Amount not covered: $1236
Allowed Amount: $0
Copay: $0
Deductible: $0
What your plan paid: $0
Coinsurance: $0
Note: A0
Below, that note A0 says:
“A0 – SERVICE NOT REIMBURSABLE WITH BILLED DIAGNOSIS CODE(S). PROVIDER: SEE COVERAGE POLICY ON CIGNAFORHCP.COM AND RESUBMIT. DO NOT BALANCE BILL.”
I’m trying to figure out, does this mean I owe the whole $1236, or none of it? I haven’t gotten a bill from the provider yet though I’ve gotten bills for several other things done the same day. But I also know some providers will send out bills later than others. It’s been about two months.
On the first page of the EOB where it summarizes things (the above is the more complete version a couple pages in) it says “Amount you owe: $0″ but I am not sure whether cigna is there saying that they can say for sure I owe the provider nothing, or instead is saying hey, through this claim you don’t know anything but we’re not saying you won’t get a bill.”
