Another experience, simple treatment in office for poison ivy – my nemesis! Called my PCP and was told he could not see me but there is a new mid-level provider available later that day if it would be OK to see her. Of course that would be fine. The experience was typical – arrive at the office, hand over the credit card, wait 20 minutes and then escorted to the exam room. Treatment was as expected, a steroid shot, prescription and on my way home.
About a month later we receive a statement indicating we owed ~$190 for a level 4 office visit and that the insurance company had denied payment due to provider not part of the network. We called, staff indicated they were aware and that the claim would be re-billed under that doctors name since credentialing had not been completed for the new mid-level. They would also look into the documentation for the appropriate level of care, they know that I am a consultant and understand the process.
