Insurer Denied $2000 charge but Provider says it’s still Pending. Will I be responsible?

I had an urgent care visit over a month ago at an in-network provider. I’ve already been billed ~$500 which was partially covered by insurance. That’s fine. However there’s another line item for $2000. My insurer says it’s been denied, according to their app. I don’t know the reason but there’s a note that they were asked to review it again by the provider and that they made the right decision and it’s final. Maybe it’s a double billing or out of network billing. Right now however, the provider shows that the $2000 charge is still pending or in process (according to my account in their website).

I have no clue how this stuff works but will I be responsible and have to pay this? There is verbiage around my insurance app that I might not be responsible (for example the breakdown in my app says something like: urgent care: $2000. We paid: $0. You may owe: $0)

So…do insurers really have the power to force providers to remove charges? And if I do get billed in the end, who do I complain to? My insurer or provider? Thanks!

submitted by /u/DataClump
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