I have BCBS and I went in for a physical. I received a check from BCBS with my EOB a month later. I was confused as my physicals are fully covered under my plan. The check was for $150 and I called them to ask why I got a check. The agent told me the doctors office requested it to be sent to me instead of them directly – I thought that was weird and the agent told me to contact my doctor's office.

I never cashed the check and forgot about it until recently. I got another mail from BCBS stating they found an overpayment of benefits from this recent claim due to the provider sending them a correction. It states: if you accept there was an overpayment please complete the remittance form and attach a check with the amount of $150 (same amount as the check they sent me).it also states: please note you may be responsible for additional copays or coinsurance and deductible amounts.

I look on my BCBS account to see if there has been another claim and EOB. There was one made recently again for my physical and the status says "NOT PAID". No EOB available to view though.

Can anyone explain to me what's going on and what I should do?

submitted by /u/DisastrousFold6978
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See also  Out of Network Benefits & Repeated Claim Denials