Insurance question

[Guest guest]

Well, after over four and a half months and three submissions, I

managed to get the hospital portion of my surgery paid (I had to pay

up front for everything, so this waiting hasn't been pleasant).

Two problems -- The insurance company paid the provider (i.e., the

hospital) so I'll have to deal with their bureaucracy to get

reimbursed. The real question, though, is the explanation of benefits

-- the insurance company discounted the submitted charges as a PPO

discount and then paid a percentage of that discounted amount.

Since the hospital never should have received payment, I don't think

there should have been a PPO discount applied. Am I right in that

thinking or am I barking up the wrong tree?

Bill