How much does a cable/satellite provider have to pay?

Medical insurance denied the claim and not much help form provider. Almost cornered to pay. Need help.?

• My Insurance denied a cliam for a doctors visit, saying its not covered by the company. I was acutally refered by another doctor to this guy for excessive sweating. when I book the appointment they took my insurance details and said all I need is to pay copay. Now they are after me asking for 250 just for a visit. I talked to my insurance how can they deny it..it was just a visit and Doctor visits are covered in the plan. It would make sense if I go for further treatment and services for a thing which is not covered and they said if they put a different reason code they can authorize and provider didnt check with insurance before my visit and not willing to change the code or help in any matter. I am cornered me to pay the money which I dont think I have to pay. Help appreciated.

• Answer:

  I pay these kind of claims and usually either the procedure code on the claim or the diagnosis code on the claim is not correct, ask your physician what the ICD-9 diagnosis code on the claim was and the CPT procedure code, then, once you've got that info call your INS company and ask then if that particular diagnosis code and or procedure code is covered. I would have thought that a consultation for hyperhydrosis or some such condition would have been covered. I would definately appeal the claim and maybe even contact your benefits administrator which is usually a division of the human resources office. Good luck !