Recently had ACL surgery. Confused about billing and PT. Aetna

I have Aetna PPO II plan. My deductible is $2,500 and my in network out of pocket max is $4,500.

On the day of surgery 6/5/24, I was told I need to pay $2108.90 to the surgery center in person. I did that, however that is not showing up on my Aetna webpage as a reported claim at all. That would go towards my deductible as it was the first service I used this calendar year. Should I call the surgery center to see what’s going on and ask for a receipt/why it isn’t being reported to Aetna?

I’ve been getting the claims reported for anesthesia, actual surgery in Aetna. Those are going towards my deductible and I’ve hit that $2,500 figure so it’s now 80-20 co insurance for the rest. With the surgery center bill that I paid already, I would hit my out of pocket max already.

Second part of the problem. My rehab center (IvyRehab) is billing me $90 co-pay each visit. When I look at Aetna claim on website, it’s showing that my responsiblity per visit/claim is only $19.39. Does a co-pay differ from what Aetna is telling me im responsible for?

All I’ve actually paid so far is the surgery center fee and full co-pay balance at PT (but that is way more than what Aetna is billing my out of pocket max at per visit and total)

I’m so confused, looking for some help please. I can provide additional information if needed.

Thank you,

submitted by /u/TheInfamous187
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