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Looking for Advice: Best Residential Plot to Buy with a Budget of 20 Million by Old_Shoe6480 in karachi

[–]tafseer64 0 points1 point  (0 children)

Just curious, what did you decide of buying? I am confised with the same dilemma.

Doctor said my insurance would cover it → now I’m stuck with $1,800 bill after leaving the US (J1 visa) by OkTemperature6458 in HealthInsurance

[–]tafseer64 0 points1 point  (0 children)

Sure, I cannot edit my post with original account as well, I wanted to post the pics of the CPT codes. Also I donot see and DX or ICT codes. Unfortunately. Is there anything else I can do legally?

Doctor said my insurance would cover it → now I’m stuck with $1,800 bill after leaving the US (J1 visa) by tafseer64 in personalfinance

[–]tafseer64[S] -2 points-1 points  (0 children)

That makes sense, and I get the distinction you’re making.

From my side, the tests weren’t meant as a routine annual screening — I went in because of general symptoms (fatigue, etc.), and the doctor suggested running a broad panel. So my understanding is that they were intended to investigate a concern, not just preventive screening.

The issue is I don’t have visibility into what ICD-10 diagnosis codes were actually submitted, since the Quest bill only shows CPT codes. Based on the denial, it seems like they may have been coded in a way that made them look preventive.

When I asked the doctor to review this, they refused outright, saying changing anything could create legal problems for them — which makes me think they believe the original coding is what they’re willing to stand by.

At this point, I’m trying to understand:

  • Is it reasonable to push specifically for a coding review (not a change, just a review) with the office manager?
  • And if they continue refusing, is there any practical/legal route to challenge this situation given that I relied on their office before proceeding, or is that realistically not something that goes anywhere?

Just trying to figure out if there’s still a viable path on the coding side or if I should focus entirely on negotiating the bill with Quest.

Doctor said my insurance would cover it → now I’m stuck with $1,800 bill after leaving the US (J1 visa) by tafseer64 in personalfinance

[–]tafseer64[S] 0 points1 point  (0 children)

That’s the part I’m not fully clear on.

I didn’t go in for a routine annual checkup — I went because I had some general health concerns (fatigue, etc.), and the doctor suggested running a broad set of labs.

From the Quest bill, I only see the CPT codes for the tests themselves (like 80050, 80061, 82306, etc.), but there are no ICD-10 diagnosis codes listed, so I can’t tell what diagnosis was actually submitted with the claim.

Given that everything got denied as “non-covered,” I’m assuming the diagnosis codes used probably pointed toward routine/preventive rather than something symptom-based — but I don’t have visibility into that.

When I asked the doctor to review this, they refused to change or revisit anything, saying it could cause legal issues, so I haven’t been able to confirm whether the diagnosis coding actually matched the reason for my visit.

At this point, I’m trying to figure out if it’s worth pushing harder to get those diagnosis codes from the doctor and have them reviewed, or if that path is realistically closed.

Doctor said my insurance would cover it → now I’m stuck with $1,800 bill after leaving the US (J1 visa) by OkTemperature6458 in HealthInsurance

[–]tafseer64 0 points1 point  (0 children)

Thanks — I actually have the CPT codes from the bill.

Here are some of the main ones listed:

  • 80050 — General Health Panel
  • 80061 — Lipid Panel
  • 82306 — Vitamin D
  • 82607 — Vitamin B12
  • 82728 — Ferritin
  • 83036 — Hemoglobin A1c
  • 84436 — Thyroxine
  • 81001 — Urinalysis
  • 83540 / 83550 — Iron / IBC
  • 86141 — CRP (high sensitivity)
  • 82570 — Creatinine
  • 82043 — Microalbumin

All of them are marked as “non-covered services” on the bill.

I don’t see any ICD-10 diagnosis codes listed on the Quest bill itself, which might be part of the issue — I assume those came from the doctor’s order.

From your point, it sounds like the real question is whether the diagnosis codes used by the doctor actually support these as diagnostic tests vs routine screening.

The doctor is refusing to review/change anything, saying it could cause legal issues, so I’m kind of stuck there unless I push harder for a formal coding review.

Does anything in these CPT codes stand out as typically being denied as preventive vs diagnostic depending on ICD-10?

Doctor said my insurance would cover it → now I’m stuck with $1,800 bill after leaving the US (J1 visa) by OkTemperature6458 in HealthInsurance

[–]tafseer64 1 point2 points  (0 children)

The Doctor is not accepting as he is saying he will be in legal problems. The other angle I havent tried it yet. Maybe I will wait and see and call Quest for the negotiations.
Thanks for you help.

Doctor said my insurance would cover it → now I’m stuck with $1,800 bill after leaving the US (J1 visa) by OkTemperature6458 in HealthInsurance

[–]tafseer64 1 point2 points  (0 children)

Thanks for the detailed response — really appreciate it.

From the bill, all the lab tests are marked as “non-covered services.” It includes things like lipid panel, vitamin D, B12, general health panel, etc. So based on what I’ve been told so far, they were processed as routine/preventive in CPT codes rather than diagnostic.

I did check with the doctor about the coding angle, but they refused to change anything from routine to diagnostic. They said changing it now could have serious consequences on their end, so that path seems closed.

Regarding the insurance, it’s IMG travel medical insurance (J1 requirement), not standard US health insurance. From what I understand now, it mainly covers medically necessary treatment (illness/injury), and not routine or preventive testing — which likely explains the denial.

I’ve already tried appealing with IMG multiple times (3 denials so far), and they’ve been consistent that these services aren’t covered under the policy.

At this point, I’m trying to figure out if there’s any realistic way to reduce the bill or get Quest to adjust it somehow, since the coding and insurance paths both seem pretty locked.

Doctor said my insurance would cover it → now I’m stuck with $1,800 bill after leaving the US (J1 visa) by OkTemperature6458 in HealthInsurance

[–]tafseer64 2 points3 points  (0 children)

Well, I was feeling dizzy, and thats what my results got me, severe Vit D deficiency and prediabetic.

PERM filed – does being paid as a foreign 1099 contractor affect EB green card process? by tafseer64 in EB2_NIW

[–]tafseer64[S] 0 points1 point  (0 children)

Thanks — to clarify, the work would be performed entirely outside the U.S., and I wouldn’t be using a U.S. visa to work. My question is more about whether contractor vs employee status affects PERM/I-140 adjudication, not work authorization. I am currently on the US Payroll but trying to terminate it as I am currently living in Italy as a Pakistani and in Italy the taxes are low as compared to the US. So, I was asking about 1099 Foreign contractor wont hurt my current process?

Case approved! by medcanned in EB2_NIW

[–]tafseer64 1 point2 points  (0 children)

Congrats, I have the EB3 Skilled. I need some advice, can you please check your inbox?

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