Recent content by RVAwhat

What a nightmare...thanks Vince Carter.

Bump for anyone that might know anything...I have talked to insurance company, PCP and no one can help it seems...

My insurance is calling it an HCPCS Code

Do u know which procedure code should be used? Or at least confirm that it should NOT be G0480

It was done in conjunction with other labs... The used Procedure Code G0480 (which seems to be for drug tests...maybe this is the problem?) along with Diagnosis Code E291

New question - now I am having DHT rejected by insurance because the diagnosis code is not accepted. When I take to my doctor and ask him to change diagnosis code, he says no other code can be used... Does anyone know much about coding and what is the correct diagnosis code to use in...

Yes, it is not that simple. I wish it were. You can ask all of the questions you would like to and different customer service agents will give you different answers. But when the bill comes in the mail, no one has any definitive answers. All they can do is put it under review which requires 30 days.

How can I find out if my plan covers "out of state labs"? I have called customer service numerous times and those people are clueless. I call 3 times and get 3 different answers.

So you call ur PCP ... tell them you're working with an out of state fertility doctor the has prescribed blood work and you then ask them to match the prescription?

Thank you - I haven't thought of that!

Are you meaning to imply that if I contact my employer's HR director who has some contacts with BC BS, I may be able to get someone more knowledgeable and qualified on the phone?

I certainly can do all of that math and figure out which would be cheaper. However, right now I am at my in network deductible on my insurance plan. Therefore, all of this bloodwork would be covered at 100% until June 1 which would be ideal for me.

I have Blue Cross Blue Shield. LabCorp is on contract with BC BS at each one of their locations across the country. The customer service rep from BC BS told me that they bill to the state of the prescribing doctor... I might just try a different LabCorp location to see if each location does this.

I'm in Virginia and working with defy. They prescribe bloodwork for me and obviously the prescribing physician is from FL. When I get my labs, labcorp bills thru Florida...thus making it an out of network provider under my plan. Is there anyway to avoid this? Other than discontinuing with...

Standard low t symptoms...mostly loss of libido and low energy/motivation.