Mn bcbs ? - Mothering Forums

Forum Jump: 
 
Thread Tools
#1 of 5 Old 06-04-2009, 03:39 PM - Thread Starter
 
cc_mama's Avatar
 
Join Date: May 2007
Location: State of Hockey
Posts: 347
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
We have an individual/family plan that is self funded (options blue). I recently became pregnant again and now some of the EOB's are coming through. Prenatal care is supposed be 100% cover with no deductible. But I'm getting billed for medically necessary ultrasound and labs (due to my previous pregnancy being ectopic).

Did your BCBS plan coverage routine and medically necessary scans and labs?

Amy - mama to dd 2/2007 and ds who arrived 2/2010 my VBAC
                  Comfy Cozy Diapers
Newborn Rentals, Military Discount, Free Layaway

14 Day Guarantee - Return diapers if you don't like them

Follow us on Facebook & Twitter

cc_mama is offline  
#2 of 5 Old 06-04-2009, 05:12 PM
 
Tine's Avatar
 
Join Date: Jan 2005
Location: Minneapolis, MN
Posts: 1,589
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I had BCBS for DS's pregnancy and birth. And yes, they did cover routine prenatal stuff 100%. But that was 6 yrs. ago....

Christine , wife of Ron , mama to Tony (4-25-03) and Maria (3-19-06) :
Tine is offline  
#3 of 5 Old 06-05-2009, 12:38 PM
 
littlecindy's Avatar
 
Join Date: Feb 2008
Posts: 242
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by anicholsonmartin View Post
We have an individual/family plan that is self funded (options blue). I recently became pregnant again and now some of the EOB's are coming through. Prenatal care is supposed be 100% cover with no deductible. But I'm getting billed for medically necessary ultrasound and labs (due to my previous pregnancy being ectopic).

Did your BCBS plan coverage routine and medically necessary scans and labs?
i have BCBS and had 100% prenatal coverage. they made an error once or twice. i had to make them correct it. i remember that my 12 week quad screen they tried to deny. they tried to call it genetic counseling or something?

i'd call your hospital and ask them how they "coded" what's being denied. they can recode it and resubmit it. if that doesn't work, call BCBS.
littlecindy is offline  
#4 of 5 Old 06-05-2009, 12:39 PM
 
littlecindy's Avatar
 
Join Date: Feb 2008
Posts: 242
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
we use park nicollet, btw. they have made a few billing/coding errors over the years...
littlecindy is offline  
#5 of 5 Old 06-05-2009, 11:42 PM
 
Ophelia's Avatar
 
Join Date: Feb 2005
Location: MinneSNOWta
Posts: 2,445
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
No advice but : : : !!

and yes i would try and get them to resubmit with a different code, or maybe you can get the doc to sign off on it that it's a necessity.

DS 2006 nocirc.gif DiaperFreeBaby angel1.gif March 2010, DD 2011

Ophelia is offline  
Reply

Quick Reply
Message:
Drag and Drop File Upload
Drag files here to attach!
Upload Progress: 0
Options

Register Now

In order to be able to post messages on the Mothering Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
If you do not want to register, fill this field only and the name will be used as user name for your post.
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



User Tag List

Thread Tools
Show Printable Version Show Printable Version
Email this Page Email this Page


Forum Jump: 

Posting Rules  
You may post new threads
You may post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off