General Discussion
In reply to the discussion: If you suddenly found yourself working for an insurance company and received a claim that looks like this for MRI-- [View all]moniss
(6,299 posts)Normally there are procedure codes etc. all over the place and I see nothing here except a those generic descriptions and dollar amounts. At this point I'm not buying the document as legit. Furthermore the medical billing I've seen done between providers and insurance companies isn't done on the basis of a whole slug of "individual" paper billings coming in. Depending on the billing cycle for the facility, from what I remembered, if it was let's say weekly then all of the billing to say Aetna for example would be in one billing computer to computer. People at the insurance company review that more so than an individual bill submission from an insured.
It is indicated in the OP technical note about the insurance company receiving codes etc. but as a patient I've received plenty of medical bills from medical care providers and they are never anything so limited as this picture. The service codes etc. are there also along with dates of service etc. and usually along with a reference to the name of a doctor. Especially in these days of managed care it is dubious to me that any facility would do an expensive procedure without submitting for pre-authorization first. That would carry codes also and none of that appears here. You would have a more detailed invoice for a car repair than what this is and all of my medical billings that I receive as a patient are way more extensive than this. That picture looks like something somebody hammered out on a color laser printer.