tag:blogger.com,1999:blog-1855066593161369056.post4022342238691914428..comments2023-09-27T11:22:05.849-04:00Comments on Cornish Adoption Journey: How can you really ever know?Meredithhttp://www.blogger.com/profile/07974293935380325338noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-1855066593161369056.post-14917499692095091152009-12-04T09:39:10.667-05:002009-12-04T09:39:10.667-05:00Each procedure, dr visit, shot, therapy, etc. has ...Each procedure, dr visit, shot, therapy, etc. has CPT codes, or the codes that tell the insurance precisely what was done. Charges are assigned to these codes and insurances approve or deny based on these codes. There is NO way to be 100% sure what is covered since every insurance company will refuse to "guarantee benefits" until they get the bill. BUT you can call the insurance company with the CPT codes prior to the procedure or visit and they should be able to tell you how that code falls in their benefit model for your policy.<br /><br />Of course, once they have given the green light for a CPT code, it can still be denied due to a ICD code (diagnosis) that is not covered as well. It's a constant battle... if I hadn't worked in it for years, I'd be certifiable by now--mentally, that is. :o)RKhttps://www.blogger.com/profile/11259757888643034394noreply@blogger.comtag:blogger.com,1999:blog-1855066593161369056.post-57358425444531253312009-12-01T22:30:09.794-05:002009-12-01T22:30:09.794-05:00I am right with you. It drives me nuts to have a p...I am right with you. It drives me nuts to have a procedure done, then get a bill...then a few months later a bill for some other part of the procedure, then a few months later another bill...all for different things relating to the same procedure! Just when I think I've got everything paid up another one shows up!Courtneyhttps://www.blogger.com/profile/13677010442934664757noreply@blogger.comtag:blogger.com,1999:blog-1855066593161369056.post-30696436649944158382009-12-01T17:42:58.734-05:002009-12-01T17:42:58.734-05:00You have my sympathy. I have no idea what my poli...You have my sympathy. I have no idea what my policy covers how anymore after a law changed in this state a couple months ago that drastically improved my coverage. (Mental health is covered like any other illness. With a recent psych hospitalization and lots of psych visits of various flavors this is a big deal.) I'm very happy, of course, but also have no idea now what anything will cost or how it will be covered. I was in the ER this weekend and I have no idea if everything will be covered under my met deductible or not, although I think it is. But my only way to know is to wait for those bills to show up. And then I will remember to request a new policy.......Just Mehttp://www.masterofirony.blogspot.comnoreply@blogger.com