We receive many calls from clients who believe their claims have been processed incorrectly.
Take for example charges for routine preventive care that should be paid at 100% but have instead been applied to a deductible or coinsurance. Translation: you pay instead of the insurer.
Every medical procedure has a diagnostic code. The best way to be certain your claims will be processed correctly is to find out when you make the appointment.
You don’t really need a secret decoder ring. Just ask your provider.