Eye exam billing squabble ends in stalemate

Eye exam billing squabble ends in stalemate

Lori Miller of Chesapeake, Va., says she was incorrectly billed for an eye exam by Dr. Stephanie J. Marioneaux.

"When I scheduled my appointment, I explained it was for my annual checkup, which my insurance covers," Miller says. "Later, they informed me they had done special tests, and I got a $510 bill. I refused to pay it, then told them to bill my insurance properly."

Miller contacted Angie's List for help, but Marioneaux says she can't resubmit the bill.

"The member is requesting me to commit insurance fraud," Marioneaux says. "She refused to get a referral from her insurance company, and by signing our form, she acknowledged that without a referral her insurance may not pay for her visit and she would be responsible. Based on her exam, we recommended additional testing. The member fully consented to have it done."

STATUS: Stalemate

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I completely agree with the doctor in this case. I have worked in medical billing before and unfortunately...many patients don't look close enough at their own insurance benefits before seeing the doctor. And the doctor's office cannot be held responsible since there are so many different plans out there. Every plan coming from every business is different. Patient's need to be proactive in learning about their own coverage.

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