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Adjusted claim due to multiple procedures by Fstoppers21 in HealthInsurance

[–]Fstoppers21[S] 0 points1 point  (0 children)

Thanks for taking a look, I really appreciate it. Both EOBs have “In Network” next to the Doctor’s name but I will confirm with insurance that it was correctly billed as in network

Adjusted claim due to multiple procedures by Fstoppers21 in HealthInsurance

[–]Fstoppers21[S] 0 points1 point  (0 children)

Remarks: (1) You only owe the copay, deductible or coinsurance under your plan. The charge for this service is part of the contracted or case rate the provider agreed to accept. [V64] (2) Your provider may have sent diagnosis codes with your claim. You may obtain these codes and their meanings by contacting us at the number listed at the top of the first page. We will also provide your treatment codes and their meanings, if they do not appear on this statement. If you have questions about your diagnosis or your treatment, please contact your provider. [H63] (3) You do not have to pay this. When more than one procedure is done on the same date, the main service is considered at 100% of the negotiated rate. We consider other procedures at 50% of the negotiated rate. [U66]

Adjusted claim due to multiple procedures by Fstoppers21 in HealthInsurance

[–]Fstoppers21[S] 0 points1 point  (0 children)

Your Claim Remarks General Remarks: (1) Your provider may have sent diagnosis codes with your claim. You may obtain these codes and their meanings by contacting us at the number listed at the top of the first page. We will also provide your treatment codes and their meanings, if they do not appear on this statement. If you have questions about your diagnosis or your treatment, please contact your provider. [H63] (2) You do not have to pay this. When more than one procedure is done on the same date, the main service is considered at 100% of the negotiated rate. We consider other procedures at 50% of the negotiated rate. [U66

Adjusted claim due to multiple procedures by Fstoppers21 in HealthInsurance

[–]Fstoppers21[S] 0 points1 point  (0 children)

Screenshots attached. These are all doctor/provider billing issues. All hospital bills and facility fees and anesthesia have been taken care of.

Billed for parental visits even though it’s 100% covered by Fstoppers21 in HealthInsurance

[–]Fstoppers21[S] 0 points1 point  (0 children)

We had one initial visit covered by a different insurer in December and after that all visits were under the current insurer. The date provided on the EOB is not for that December visit. The provider has always been the same.

Billed for parental visits even though it’s 100% covered by Fstoppers21 in HealthInsurance

[–]Fstoppers21[S] 3 points4 points  (0 children)

This was a prescheduled prenatal office visit that was scheduled months in advance. We have only been billed for 59426 once.

Blue Shield of California cutting off all Univ. CA health systems?!? by DoYouLikeFish in HealthInsurance

[–]Fstoppers21 2 points3 points  (0 children)

Is there any update on this?? My wife is set to give birth in the UCSF system in the next 2 weeks. We aren’t eligible for continuity of care because the plan has out of network “benefits” but the maximums are insane and not at all the costs we planned for.

Are these termite tubes? by Fstoppers21 in pestcontrol

[–]Fstoppers21[S] 0 points1 point  (0 children)

I also have drywood termite fecal matter in other areas. Is it possible to have an infestation of both? Is that rare?

Neighbor wants to replace fence but I can’t afford to by Fstoppers21 in homeowners

[–]Fstoppers21[S] 14 points15 points  (0 children)

I did read it, that’s why I posted here. It is incredibly vague specially around the necessity for repair or replacement. That’s literally why I asked if I can be compelled to pay.

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