Insurance office and provider not agreeing on bill amount

Hello! I am having quite some trouble figuring out how to navigate a billing issue between my provider and insurance company.

I visited a gyno office for a Pap smear and was charged the full amount for the appointment (ex: $300). At the bottom of the EOB, it says if the office visit was associated with a Pap smear, it would be adjusted to reflect that (meaning I wouldn’t have to pay the full amount for the visit). I reached out to my insurance and they reduced my cost down closer to $75.

My provider is now saying that my insurance company made a payment but then took back the payment so I still owe the full amount. However, when I reach out to my insurance, they say that they made the payment but have not requested a refund on the payment so I owe the reduced amount.

Is there any way to get the insurance company and provider on the same page? The provider is pretty insistent that I have to pay the full plan amount because of how my insurance plan codes the appointments. At this point, I don’t even mind paying the full amount but I would like that to be reflected by my insurance so it can go towards the total amount that I’ve paid out of pocket.

Any advice or help would be appreciated as I am at my wits end and have no idea what else to do. Thank you!

submitted by /u/baddiegraddie
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