An oral surgeon charged me more for wisdom teeth extractions than his negotiated rate with my insurance company. I found out when I got the explanation of benefits from my insurer. Can he do that? Is it possible for me to recover the difference?
Whether your provider can charge you a higher price that his contracted (negotiated) rate depends on the terms and conditions of his contract with your insurer.
The only way you can find out about this particular term is to contact your insurer and ask them that question directly. This will get you the information you need & inform them at the same time if their contracted provider in breaching his contract.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.