I have a client on MA HMO.
Here is the issue she got referred to Physical Therapy And told them which plan she had and what copay was, She went from Jan till Now
Now she started getting bills in the last few weeks, She called and they said They are out of Network and that she would have to pay all this money owed.
She told them she told from the beginning and what copay was and also that they have been taking copay all this time that she should not be responsible because they made it as they took it
They said it's not their problem and that should wound need to pay all monies owed
As far as the primary she asked why was she referred out of network Doc said she does not know who is in the network and is not responsible for referring in network
Does she have any recourse in this case?
Here is the issue she got referred to Physical Therapy And told them which plan she had and what copay was, She went from Jan till Now
Now she started getting bills in the last few weeks, She called and they said They are out of Network and that she would have to pay all this money owed.
She told them she told from the beginning and what copay was and also that they have been taking copay all this time that she should not be responsible because they made it as they took it
They said it's not their problem and that should wound need to pay all monies owed
As far as the primary she asked why was she referred out of network Doc said she does not know who is in the network and is not responsible for referring in network
Does she have any recourse in this case?