Clinic sent me bill for 7k after realizing they entered my insurance wrong.

Hi all, i’m needing some advice here. Id like to start by saying I’m fully aware that it is my responsibility to confirm a provider is in network which I did with the clinic directly.

I had two appointments, prior to my first I confirmed they accepted my insurance. During both appointments my in-network co-pay was collected. I didn’t find out they were out of network until I referred a friend who has the same insurance I have to go there for similar treatment I received. He was told by phone they didn’t accept our insurance.

I called them and spoke with the receptionist who advised my insurance was entered as Aetna rather than Banner Aetna. She also confirmed they had photo copies of my ID card which clearly stated Banner Aetna.

I spoke with the billing manager now who admitted it was their mistake, and that the best she could do was lower my cost from 7k+ to $1299.00. This is still an absurd amount that I’d prefer not to pay considering if they were in network like they said, i’d only be out $100.

I am young and don’t have any resources on handling this and I’m not sure what I should say to that. I understand it’s a great offer considering it’s less than the initial charge but again — this wasn’t really my fault which I know doesn’t hold much weight. I’m looking for any suggestions here or general advice. Thank you!

TL;DR: Provider advised they were in network and collected my in-network copay during my two appointments. I was billed 7k, upon reaching out to provider discovered they entered my insurance as Aetna vs Banner Aetna. Billing manager offered to reduce bill to $1299 and admitted fault to mistake. Should I continue to fight for a complete dismissal of my bill??

See also  Self pay while processing appeals?

submitted by /u/hannavas1017
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