insurence issues

am really worried I got a letter from bcbs saying there not paying for my dr visits !!! I dont understand why ?? its over 600.00 but I have not heard anything from the dr office so maybe its a billing problem ..I dont no I was told the insurence would take care of everything but the phych eval.. anyone have this problem ? hugs Sherry

Does your bcbs normaly pay for your office visits? Mine doesn't so I have to pay out of pocket. Hugs judy

I was told thay would pay for 2 visits . Hugs Sherry

Is your doctor in network? If not, you might have to hit the deductilble and then co-pays first. If they are in network then you should only have copays. What does your EOB's state? There is generally a note under all the claims (mine lately says something like 'being paid at a higher benefit something something something in network....you are not responsible for unbilled portion'). The letter you received should state why they are not paying for the doctor visits. Can you post that for us? I have BCBS and my PCP was not in networ****il last October. I always had to pay the full bill until I reached the 300.00 deductible and then it was 30 percent out of my pocket until I reached the individual out of pocket maximum. Thank goodness now all I have to pay is the copay!! Michelle

well am looking at the bill now and I still dont understand it !! there is a couple notes one says this service is not payable when performed at this location .(y654) I was told thay were in network I just dont understand . Sherry

You went to mmpc and the internists are considered out of network per BCBS ppo. You might want to call your pcp and have them fill out a referral form for you so when mmpc bills the claims to BC they will be paid as in network. The problem is the surgeons are in network but the internists are not and you do not have a choice when you have surgery with them you have to see there doctors for surgery clearance. I would call the office and speak to the biller and ask her to submit with a referral form. I went through the same problem when I had my surgery three years ago when I had BC. Tricia

ya I think am going to call them in the morning , cause I have not got a bill from them yet . thanks Sherry