Difficulty with Insurance claim
I went to HPA for a doctor-referred hearing test. Test went fine. However, since the test showed my hearing was good, HPA submitted insurance claim as 'screening', which resulted in claim being denied.
***HPA then billed me for the full service over $400!!**
In adddition, **I** had to file an appeal to insurance, with no help from HPA.
Insurance said HPA should resubmit claim as 'diagnostic', as that would be covered.
I spoke to the Audiologist to have them resubmit claim as 'diagnostic' but the Audiologist refused, stating that my hearing was okay, so they WON'T submit the claim as 'diagnostic'. This is even though my primary care doctor REFERRED me to check my hearing.
While waiting for the appeal, I asked HPA to not bill me until we hear from my appeal. They sent me a letter saying I must pay, and if Insurance pays, HPA would reimburse me.
My main issues:
-------------------------------
- HPA business practice made my insurance claim get denied
- HPA did not help me appeal to the insurance company
- HPA requested that I pay $400+ while we waited for insurance appeal
- HPA would not resubmit claim as suggested by Insurance company
- HPA refused to consider lowering bill if insurance appeal was denied
In the end, Insurance company reviewed my appeal and granted the coverage, However, the whole HPA billing experience was time consuming and aggravating for me. read more
