CPTs reflect the medical treatment received. If the codes don't match, call your insurer and ask for an explanation. Watch for down-coding, a common error in which your insurer may fail to reimburse you for multiple procedures, for example, as in a visit to the dermatologist to remove five moles. Each of those procedures should be reimbursed, not just one. Compare the doctor's bill with the insurance payment to make sure they match.
Reviews usually take no more than a month.
If your insurer still resists paying a legitimate claim, you may want to take legal action. For larger claims, consult a lawyer or independent claims advisor. Often the notice of a court action is enough to spur the insurer to resolve the dispute. All rights reserved. Before you submit a question, please keep in mind that our experts receive hu ndreds of queries every day, so yours may not be answered directly.