My Insurance denied a cliam for a doctors visit, saying its not covered by the company. I was acutally refered by another doctor to this guy for excessive sweating. when I book the appointment they took my insurance details and said all I need is to pay copay. Now they are after me asking for 250 just for a visit. I talked to my insurance how can they deny it..it was just a visit and Doctor visits are covered in the plan. It would make sense if I go for further treatment and services for a thing which is not covered and they said if they put a different reason code they can authorize and provider didnt check with insurance before my visit and not willing to change the code or help in any matter. I am cornered me to pay the money which I dont think I have to pay. Help appreciated.
Additional Details
Adding details:
I was refered by a specialist.(In network doc but not primary physician) to the specialist who is also in network.
Insurance company says the claim code or diagnosis/illness is not part of my benefit. in network physicians and specialits are covered though.