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    Lb047's Avatar
    Lb047 Posts: 1, Reputation: 1
    New Member
     
    #1

    Sep 24, 2007, 09:19 AM
    Health Insurance
    My doctor's office will not release a claim to me with all the necessary information such as the diagnosis code and service code (cpt) because of HIPAA ? I have a self insured plan, the doctor is non-par and will not bill it, and I am trying to get myself paid. How can I get this information ? And is it true regarding HIPAA that they can not give this to me ? Help.
    LearningAsIGo's Avatar
    LearningAsIGo Posts: 2,653, Reputation: 350
    Survivor
     
    #2

    Sep 25, 2007, 09:06 AM
    I HIGHLY doubt this has anything to do with HIPAA. I can't imagine any reason they wouldn't give that to you except that they may not be prepared themselves to have that information handy.

    Are you saying they are out-of-network and that's why they won't submit the claim? If so, contact your insurance company directly and ask what they need. If you're out-of-network you might not get reimbursed at all, but its worth a try.

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