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Doctor insights on: Who Do I Call If Insurance Company Wont Pay

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Dr. Ankush Bansal
782 doctors shared insights

Insurance (Definition)

Health insurance is a type of coverage that pays for medical expenses. Health insurance can be provided by an employer, the state or federal government, or ...Read more


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I called a dentist in my hometown and explained to them what is going on, they won't see me because I have no insurance. They said go to the emergency?

I called a dentist in my hometown and explained to them what is going on, they won't see me because I have no insurance. They said go to the emergency?

Call another dentist: First, there must be more than one dentist in bowling green, give another office a call. Second, you can pay for treatment yourself if you have no insurance. Many dental offices are willing to work out long term payment plans with patients. Third, the emergency room is not qualified to offer definitive dental care. They might be able to give you medication for short term relief, but that is all. ...Read more

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When must I call my insurance if I am having a transmetatarsal amputation?

When must I call my insurance if I am having a transmetatarsal amputation?

Approval needed.: One cannot have any significant surgical, procedure today without it being ok'd and authorized by the insurance company, which the surgeon's office should be doing; if not done properly, insurance company will not pay for it (insurance companies search for any excuse not to pay bills, but watch what happens if you kiss one premium payment). You will be left with the whole bill. ...Read more

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Called insurance and told "insomnia' was only diagnosis listed. Does that mean that is the only one listed in medical record too?

Called insurance and told "insomnia' was only diagnosis listed.  Does that mean that is the only one listed in medical record too?

No: In most cases, insurance claim information does not match up with the huge amount of information on a person's medical chart. On the chart, "diagnoses" can include proven diagnoses, probable diagnoses, possible diagnoses, past diagnoses (disorders that have resolved), and many other things. The insurance claim usually needs only 1 or 2 "diagnoses" to get a claim paid. The chart is more accurate. ...Read more

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My insurance is waiting on a pre authorization call for omnitrope 5.6MG. I am a burn victim can you call to help me get it?

My insurance is waiting on a pre authorization call for omnitrope 5.6MG. I am a burn victim can you call to help me get it?

No: Insurance usually needs the prescriber to call and get the pre authorization. Give a call to who wrote the prescription. Leave a message. Insurance guidelines are frustrating. I hope you can connect with your prescriber soon. ...Read more

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Where can I find a doctor for trichotillomania? I have a condition called trichotillomania and I have been suffering from this condition since i was 12. I need a doctor that specializes in this disorder and accepts medical-insurance. I am also looking to

Where can I find a doctor for trichotillomania? I have a condition called trichotillomania and I have been suffering from this condition since i was 12. I need a doctor that specializes in this disorder and accepts medical-insurance. I am also looking to

Look on trich.org: Treatment of choice = habit reversal training which involves a) awareness training; b) training in substituting behavior that competes w/hair-pulling; & c) social support. But hrt has not proven sufficient by itself. Treatment tends to be more successful/enduring when combined cognitive behavioral therapy, acceptance & commitment therapy, dialectical behavioral therapy &/or psychopharmacology. ...Read more

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I am trying to find out what kind of doctor to call to get scheduled for a colonoscipy that my insurance will cover?

I am trying to find out what kind of doctor to call  to get scheduled for a colonoscipy  that my insurance will cover?

Colonoscopy: A gastroenterologist will perform a screening colonoscopy for appropriate patients. Discuss with your primary care physician to get a referral. Most insurance plans cover a screening colonoscopy. ...Read more

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Severe, chronic R ovary pain, w/ spotting from brown, red, pink. post- menopausal. Insurance messed up, cant call to see Dr til 9/1/15. ?

Severe, chronic R ovary pain, w/ spotting from brown, red, pink. post- menopausal. Insurance messed up, cant call to see Dr til 9/1/15. ?

RLL abd pain: Right lower quadrant abdominal pain can be ovarian but also could be appendix, pelvic inflammatory disease, other bowel problems, and other things some of which can be very serious. Spotting in a post menopausal female could be due to polyps, thinning of the uterine lining, uterine or cervical or vaginal cancer, or thickening of the uterine lining. If the pain or bleeding worsens go to ER. ...Read more

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I called to dispute but the nurse just said the doctor was following routine gynecological processes. How do I prove she is wrong, that's he did not do her diligence to tell me. I told her upfront I don't have health insurance and I was a new patient.

I called to dispute but the nurse just said the doctor was following routine gynecological processes. How do I prove she is wrong, that's he did not do her diligence to tell me. I told her upfront I don't have health insurance and I was a new patient.

Wrong forum: This sounds like a conversation you need to have with the doctors office. Stay cool calm and collected. Resolving conflicts involves focusing on ways to solve the problem to everyones satisfaction. Listen and take the others party's perspective into account. Write down all of your grievances and think about them carefully before attacking the gyn. ...Read more

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Just got denial eob from insurance. Pcp's partner charged $45 for phone call for cyst on wrist. I am livid. What can I do?

Just got denial eob from insurance. Pcp's partner charged $45 for phone call for cyst on wrist. I am livid. What can I do?

Discuss: You can try discussing the charge with the physician to see if they can reduce, eliminate, or spread out the charge. When you signed the documents with your doctor on your first or recent visit, it must have said that they will charge for phone calls. The other option is to appeal the denial with the insurance company. Good luck. ...Read more

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Because ipl for dry eye is not covered by insurance, is there a list of doctors that provide this treatment for me to call and get price of treatment?

Because ipl for dry eye is not covered by insurance, is there a list of doctors that provide this treatment for me to call and get price of treatment?

Not sure which IPL: If it is intense pulsed light(laser) , how is this supposed to help dry eye? In any event, i would call and or check on the web the american academy of ophthmalogy, and also the mayo clinic dry eye page. ...Read more

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Can i call a dentist for a price of stuff to be done I am to get a teeth cleaning and a cavity filled, I have no insurance so it will be out of pocket, do dentists have a set price for these things that they can give me an idea of how much it will be?.

Can i call a dentist for a price of stuff to be done I am to get a teeth cleaning and a cavity filled, I have no insurance so it will be out of pocket, do dentists have a set price for these things that they can give me an idea of how much it will be?.

No: Remember that dentistry is an individualized service, not a commodity. While dentist may be able to quote fee for new-patient examination and cleaning, they will not be able to quote fee for services such as restorations without first doing an examination. Remember, you get what you pay for. ...Read more

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I had anal sex on 11/23. Haven't had what I would call a normal bowel movement since. Feel soft moist tissue in middle of anal ring. No insurance, hlp?

I had anal sex on 11/23. Haven't had what I would call a normal bowel movement since. Feel soft moist tissue in middle of anal ring. No insurance, hlp?

Anal sex: Anal sex shouldn't affect your bowel regularity although if trauma occurred, bleeding,pain,or inflammation could occur and affect the mechanical passage of stool through the anus. You may be feeling a skin tag or an external hemorrhoid. For further advice consult a proctologist or colorectal surgeon as needed. ...Read more

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Could someone be so kind and call me in some norcos (hydrocodone and acetaminophen). I have no insurance and no gp. I am extreme pain. Help me please.

Could someone be so kind and call me in some norcos (hydrocodone and acetaminophen). I have no insurance and no gp. I am extreme pain. Help me please.

Nope: But it was a valiant effort. That's why we have laws to restrict the distribution of "narcos!" try getting your physician to write a prescription-s/he will evaluate your condition and determine the appropriate treatment. ...Read more

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2 clogged ears over 1 year. Sounds are muffled, ENT called it weeping ear. Now no insurance and my wife is going crazy, feeling deafness. Please help?

2 clogged ears over 1 year. Sounds are muffled, ENT called it weeping ear. Now no insurance and my wife is going crazy, feeling  deafness. Please help?

Chronic ottits: Chronic ear infections can lead to all the symptoms of muffled hearing and drainage which can be helped by antibiotic drops and oral medications. Being examined for ear cleaning can help recovery and ensure the infections aren't causing permanent hearing damage. ...Read more

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How much do it call to get your tudas untied in can medicaid pay for some of it. They are just tied.

How much do it call to get your tudas untied in can medicaid pay for some of it. They are just tied.

You : You should have undergone counseling prior to getting your fallopian tubes tied. This is considered permanent, which is why your doctor should have made sure you were 100% positive before you did the procedure. Is it possible that since you just had it done you are feeling regret. Consider taking some time to think about why you did it, seek out a therapist if necessary. To answer your question, medicaid will not pay for a reversal surgery. This is something that will have to be paid out of pocket, and may or may not be a possibility depending on how the procedure was done. ...Read more