Re: Anyone w/United Health using Dr. Mosca at Seattle Children's Hosp?

[Guest guest]

I have not seen Dr. Mosca but my daughter's Doctor,

only practices out of Cincinnati Children's hospital

and all of our appointments are billed as regular

office visits. For us, I wish it would be billed as

an outpatient because all of our outpatient stuff is

covered 100 percent.

Jenni

--- hltrachta wrote:

> Hi there,

>

> I have a new insurance question for anyone that has

> seen Dr. Mosca at

> Children's Hospital. I have been fighting with the

> clinic and CUMG,

> the group that does his billing, since July on this.

> My insurance is

> pretty straightforward - $20 copay for main

> pediatrician, $30 copay for

> a specialist - no other fees. I consider Dr. Mosca

> to be a specialist,

> right? Wrong. Dr. Mosca ONLY practices at a clinic

> inside Children's

> Hospital in Seattle - which makes each of our

> appointments an

> OUTPATIENT VISIT, not an OFFICE visit! This means I

> have to satisfy my

> deductible, then they only pay X%. I cannot believe

> this is the way

> that this is billed. There's no other " office " that

> Dr. Mosca

> practices from. They've tried to tell me it all has

> to do with

> Medicare laws, blah blah blah, and I think it is

> bogus. And don't even

> get me started on the FAB billing!!!

>

> I NEVER had this problem with Dr. sy in

> Atlanta. Just a $30

> copay for our visits. Of course, his practice was

> not physically

> located in a hospital.

>

> I guess I should be happy it's covered at all, with

> so many people out

> there that aren't covered at all, but this is

> driving me crazy. Does

> anyone have any advice, or has anyone else

> experienced this billing

> issue with Dr. Mosca's office?

>

> Thanks!

>

>

> mom to Addison (girl, 7/3/04, BCF 14/7)

>

>

>

Jenni-

Mom to (10/31/01) and Kelsey (11/7/03)happy girl in DBB nights only for

left clubfoot.

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