Question about out of network billing.
Hey!
I have anthem with 2700 in network deductible and 8,000 out of network deductible.
I was having bad headaches with a whooshing sound in my ear, I thought I had a brain aneurysm so thought I should see a doctor. I tried to keep it cheap so looked up in-network facilities, went to my in network primary care provider who ordered a CT scan which was declined by my insurance company at their facility for being a “high cost facility.” I was then sent by my insurance company to another in network imaging department called Simon Med Imaging. I had the studies performed, they quoted me at 1200 which I paid upfront but now I am getting a bill from them because the radiologist who read the CT was “out of network” even though the facility was in network. Anthem is applying this towards my out of network deductible and I am stuck with a 4k bill even though the facility was in network and I should have already hit the deductible.
Does anyone have any advice on resolving this matter and/or how this fits into the surprise billing laws that were passed a few. years ago? I live in Colorado.
https://doi.colorado.gov/insurance-products/health-insurance/health-insurance-initiatives/federal-no-surprises-act/colorado#:~:text=Colorado%20law%20protects%20consumers%20from%20surprise%20medical%20bills.&text=Non%2Demergency%20services%20from%20an,or%20government%20entity)%3B%20and