Originally Posted by mommafank
Second time this has been experienced in our family. You go to the doctor for a check-up and get billed for a well check visit but if you discuss anything else you get billed for a second visit. My daughter took her baby for one week checkup and asked about the cord and was charged for well baby visit and for a problem visit. Of course insurance only pays for one visit so the patient pays not only an additional co-pay but the physician charge. I went for my yearly and was charged for a physical and for a medication check because my prescriptions were renewed. Just wondering how common this is and how to avoid it in the future.
I've been billing Insurance for over 20 years and If I were you I'd be calling the Insurance Co and ask why they are paying for 2 visits in the same day and give them dates, he must be putting some modifier on the billing code and as far as I know this is illegal unless you come back in for in an emergency situation. Unless you live in a state that allows this but it sounds wrong to me. Greed and people wonder why we're in such a MESS!!!