Advocating for What’s Right
Amy had a surgical procedure and received a balance bill of $1,068 from the radiologist.
She called The Purple Card® for assistance. The Patient Advocate contacted the insurance carrier and found out the provider filed the same claim three times.
The claim had been processed and paid correctly by the insurance carrier according to the insurance contract. Per the contract, the provider should not have billed Amy the balance because of providers coding practice. Once notified of the balance bill, the insurance carrier mailed a letter to the provider advising them to stop billing Amy for the $1,068 balance because was not responsible for this amount.
“Thank you! I really appreciate the time and effort you took looking into this!”