Help on resolving a problem

[desiconsultant]

What is the name of your state?What is the name of your state? Illinois

My daughter was born with a congenital heart disease. She needed a procedure to be performed for which she was transported to another hospital using an ambulance and then back to her birth hospital after she had recovered from the procedure.

The Ambulance company filed a claim with the insurance company. After a lot of appeals and issues, the insurance company paid for all but one item, which is medical care. they are contenting that an Ambulance Service cannot provide medical care (actual e.g. given by ins person, like a dentist cannot perform eye tests).

The ambulance company is billing me for this. How do I go about resolving this issue?

 

[purple2]

First, try mailing your Explanation of Benefits form to the ambulance company along with a dated, signed letter from you inquiring and requesting a response. There may be a problem with the way they coded the claim that may be fixable.