Confused about wording on EOB

I’ve been having issues with fatigue lately and my doctor referred me to a sleep clinic after blood work came back normal. They scheduled a two part sleep study (one at night and one the morning after). I called my insurance ahead of time and was told both parts of the study were approved.

Today I saw on my insurance’s website that both claims for the studies were denied. However, it says patient responsibility is $0.00. The EOB says the following:

YOU DID NOT REQUEST APPROVAL FOR THESE SERVICES PRIOR TO THE SERVICES BEING PERFORMED. HOWEVER, WE REVIEWED THE RELATED DOCUMENTATION AND FOUND NO REASON TO MAKE A PAYMENT EXCEPTION IN THIS CASE. YOU CAN'T BILL THE PATIENT. PLEASE SEND APPEAL REQUESTS TO address

I am confused by this wording, did I do something wrong and I am on the hook for this, or is it on the provider since it says “you can’t bill the patient?” It sounds like the provider did something wrong but I’m not sure. Anyone have any insight?

submitted by /u/juandefuco
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