By skyforbes So, a few months ago, I was given notice from my Medicaid provider that my current PCP is no longer covered. Alright, no big deal, I'll go ahead and find a new one. I call around, find an office nearby who accepts my insurance, and set up an appointment. I make sure to let my insurance company know about the change.
Well, come to find out, they assigned a different physician at the same practice as my PCP before the visit. I see the physician I set up the appointment with and bam, a few weeks later, denial of coverage on a $325 claim.
Am I on the hook for this? I called up both the doctor's office—who said they hadn't even gotten the rejection yet and to call them back if a bill ends up showing up—and the insurance company, who said they couldn't do anything about it and it would be up to my physician to appeal the claim. I keep reading about how Medicaid is unable to bill patients for covered services, and by all accounts, this should have been covered; both physicians at the practice accept my insurance. Is the doctor's office just going to have to eat the loss?