Practice billed insurance for dates I was not there

I think I have followed all of the rules for this forum, so here goes.

First office visit was on 4/3. 99204 Second office visit was on 4/17 99214

Looked at EOB‘s, insurance was billed for 4/15… 99424 Insurance was also billed for 4/16 Insurance was also billed for 4/16 99427+99426

Third visit was on 5/1 99214

Fourth visit was on 5/16 No code shown but same amount billed as 99214

EOB shows a visit on 5/15 99427+99426

I was at work on 4/15, 4/16, and 5/15 I did not visit the provider on those dates.

About the provider… on two separate occasions, I requested a doctors note via email, and was sent a doctors note for a different patient each time. On each of those times, a separate PDF for the patient’s diagnosis was sent to me as an attachment instead of my doctors note. I had to reach out to them each time and let them know that they had forwarded to me the wrong document. So, there are challenges in the office with paperwork apparently. They collect payments on site, but a portion of their billing and practice management is offshore. So possibly a case of one hand, not knowing exactly what the other is doing.

My question here is about the charges for the dates I was not in the office… Should I just respond through the insurance company portal on each individual EOB and let them know I wasn’t there on those dates? or should I reach out to the provider and have them contact the insurance company themselves?

I will follow up with a question about the billing on the remaining charges in a separate post as cash was collected on several occasions at the office in access of my deductible and apparently also in access of my share of cost. I think they will pay the access back at some point, but I’m not sure if this is standard operating procedure, or if this is an attempt to balance bill.

Looking forward to hearing what you all think. Thanks.

submitted by /u/whichisworthmore
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