Re: Medical insurance: Any recourse of surgery fee too high

"Scott T." <anonymous@[EMAIL PROTECTED]
> wrote in message 
news:0tb8r39vhoeaoas13vast3qlriclnugk6o@[EMAIL PROTECTED]
| Does a patient have any recourse if their medical insurance claims the
fee
| for recent Mohs surgery for skin cancer was $600 above what is
considered
| "reasonable and customary" for my region (San Diego)?
|
| If I have no option but to pay I can grudgingly accept this. But not 
before
| doing a little research.
|
| Don't some medical insurance companies offer an op****tunity to appeal?
|
| Or should one try to negotiate with the provider (surgeon-hospital)?
|
| Any other ideas?

Might check on the possibility of 'down coding' on the part of the
insurance 
company AND up coding on the part of the provider.

Also discuss the matter with your doc, we had a similar problem years back

and found that the specific procedure was only offered in two facilities
800 
miles apart both had fees that were significantly higher than the
insurance 
company customary and reasonable.