OC Physician Services submitted a claim to my insurance for $6400 for 2 hearing aids. My insurance said the rate they had established for the 2 hearing aids was $509 of which I had a $500 deductible, so they would only pay $9 :-) This was in sharp contrast to a previous submission a few years back by OC Physician services where my insurance covered just about the entire cost.
The audiologist could not explain to me why this occurred, so she said she would have Dr Coleman call me.
When Dr Coleman called he immediately came off as arrogant and flippant. He started by say, let's talk about your "crummy insurance". I tried to explain to him my explanation of benefits, but he constantly interrupted. He said the only thing I'd be able to afford are those "big ugly fat hearing aids". He said he had some scheme to submit the claim another way, but since I got frustrated with him for interrupting me, he didn't even want to do that. He said he's excusing me as a patient:-)
Subsequently I called my insurance who said they cover 80% of hearing aids up to $5000 every three years. I went to a different audiologist office and am currently awaiting my new hearing aids, at the rate my insurance company promised!
So not sure how OC Physician's Hearing Services submitted the bill to my insurance which caused them to provide an EOB at such a low, incorrect rate. But I think this could have all been avoided if Dr Coleman would focus on his organization's ability to work with insurance companies to determine the correct insurance coverage instead of berating his clientele and their incorrectly billed insurance company. read more
