Bill 8 of 15
Primary care bill, in network09/02 Office visit, established patient
Copay due: $40.00
Copay due: $40.00
The appointment was your yearly physical. You raised no new problems and had no symptoms.
What is the right move?
Correct. Not quite. Most plans cover an annual preventive exam with an in-network doctor at no cost to you. The description here, “office visit, established patient,” is the label for an ordinary problem visit, which does carry a copay. If the visit truly was routine, the claim may have been filed under the wrong code. Ask the billing office to review it. Had you discussed a new symptom, a separate charge could be correct.
More: Your “Free” Screening Came With a Bill. The Reason Is Often One Word on the Claim