I’m being billed for a general visit.

I PPO insurance through my work. I haven't been to a doctor in a while since my old clinic closed and all the staff relocated. Anyway I check with my insurance for in network providers. I scheduled the visit for September of this year. It's all the things you usually get, blood pressure, breathing in a few times with a stethoscope, and a few questions. They tell me to go to another place called quest diagnostics to do my blood work. Everything is fine until last week where I receive a statement from my insurance telling me that the Clinic can bill me for $362 so I call them to confirm and yep they are billing me for that amount. On my insurance card it says 0% for office visits, and general visits. So I'm surprised as to why I'm being billed. I call up my insurance and they say that the Clinic may have used the wrong CTT code. I contact the clinic's finance department and they tell me they opened an investigation for the pricing and the code used. But I have my follow up visit this week and I don't want to go if I'm going to be billed another $360 just so he can read me the results of the blood work. The person from the clinic mentioned that the fact that I'm a new patient is information that is going to be used for the investigation. I asked them if that's the reason that I'm being billed but they weren't sure.

My question is how should I proceed? I'm already planning to confirm with my insurance if my follow up visit will be covered, but what else can I do? Was there something I missed? $360 for a general visit stings and if there's any risk of it happening again I don't want to go.

See also  Is this fraud? Or legit?

submitted by /u/ShortTurtle1
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