Provider Billing Different Than EOB?
So after pre paying for a procedure (at an in network provider) I finally got back my EOB that shows a lower patient responsibility than what the provider is claiming I owe. The anesthesia has a code saying "This procedure is not a covered service on the covered services list. No benefits are payable". However, it shows the total charge (410.00) and not covered (168.60) which adds to my patient responsibility total. The allowed amount was ($0) so of course I'm paying it all out of pocket but my EOB shows I should be paying the discount not covered rate not the total charge rate. When I told my insurance they said it's balance billing but the provider says the EOB was wrong and it's allowed in this state (however it is federal insurance so I'm not sure that applies). When I called insurance they said it's correct. So is the EOB correct that I get the discount even on a non covered service with federal health insurance? Or is it wrong and I need an new EOB because it was non covered?
submitted by /u/Clean_Ice_1950
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