I gave birth last November 2015. My baby’s vitals were dropping, so I had a c-section right away. I started getting bills from the anesthesia doctor’s billing office. After a few more bills were received, I called the billing office to find out what was going on. The billing office stated that my primary insurance paid for most of it, except for one line item, the c-section. It was not paid for because the insurance provider stated it should have been bundled into the entire procedure, but the billing manager said it was a separate procedure.
The billing office sent out two appeals and both were denied. My insurance provider said that they requested documentation from the billing office and did not receive it, so they denied the appeal. All this occurred because it was coded incorrectly.