Health

The doctor’s office will say yes, no, or contact your insurance company. The insurance company might say yes, I see them on the list. But then the claim gets denied for being out of network. The insurance company might say no but the doctor might insist they really are in network. I will not go unless the insurance company says yes. I think that’s true of most people. Now what I don’t understand is getting prior authorization from the insurance company sent in the mail and then the claim being denied for being out of network. I do not have out of network benefits so why would they provide prior authorization with a notation that the plan is in network?