Help! Claim Denied due to Provider Address?

Kind of freaking out.

I have UMR/United, and went to see a psych PA for an initial visit last week. Looking at my claim, it got denied on the grounds that she is "out of network", leaving me with an exorbitant patient responsibility amount. Thing is, the office said they were in-net when I made an appointment and the PA's bio page also lists her as such. When I went, they had me pay my normal co-pay, which to me seems like they already checked my plan and made sure it was gtg.

I called UMR and they confirmed she is indeed in-net with my plan, however the practice addresses listed for her are two other branches of this clinic across town, not the one I visited hence why it was denied. To my knowledge, she only practices at the location I went to, not the two others listed on the profile. FWIW the location I went to itself shows to be in-network and I can see her supervising physician and other providers listed under there, too.

Is this likely a clerical error? I will def be calling their billing office Monday morning to get more clarification.

submitted by /u/gemini_texan
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