Receiving an incorrect medical billing claim can be frustrating if you don’t know what to do next. It’s not always clear who you should talk to first or what documents you should have on hand to dispute the claim. When you’re in a stressful situation, you want answers fast. That’s why we put together a guide to help you handle an incorrect medical bill. The following steps are a general overview of what to do when you want to dispute an incorrect, denied, or rejected insurance claim.
Contact your insurance company and doctor
The first thing you need to do is contact the involved parties: your insurance company and the doctor who performed your service. Ask your doctor for a comprehensive list of all services you had performed during your appointment.
Collect all relevant documentation
The more information, the better. Gather any medical paperwork you have from your visit, and reach out to your hospital or doctor’s office, wherever you received care, and ask for a complete, detailed statement of the services you received. If your claim states you received a procedure that you didn’t, have your doctor explicitly write that the said service didn’t occur. It’s always better to have an excess of information as proof than too little.
Verify insurance codes
If you were denied coverage for your procedure in error, there’s a good chance the incorrect medical billing code may have been put on the claim. This is a common error and one that can be easily fixed, too.
How to avoid incorrect and denied medical bills
Many billing errors occur because the right information wasn’t collected at the start of an appointment. While this typically falls on the provider, it’s just as important for the customer to be aware of any changes to their policy or personal information. If your insurance or policy coverage has changed, make sure you always let your provider know before your appointment to avoid any discrepancies later on.