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C Moon

(13,615 posts)
Sat Nov 29, 2025, 01:41 AM Nov 2025

New patient fee at Providence (with Bluecross ins.)

My old doctor's office shut down, so I had to find a new doc.
I made an appointment with a doctor at a Providence facility for a yearly physical.

Just got the bill from our insurance: $260+ owned by us.
They charged my insurance $580+ for "Office O/p New Mod 45 Min."

Anyone familiar with these kinds of charges? I've never seen it before, and it seems awful steep if it's some kind of new patient charge.

Thanks in advance!

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New patient fee at Providence (with Bluecross ins.) (Original Post) C Moon Nov 2025 OP
legalized extortion Skittles Nov 2025 #1
Does not look like billed/coded correctly LtTx Nov 2025 #2
Okay. Thanks. Yes, the doctor was in my network. C Moon Nov 2025 #3

LtTx

(74 posts)
2. Does not look like billed/coded correctly
Sat Nov 29, 2025, 06:23 AM
Nov 2025

Also is the doctor in network? This was billed as a new patient visit, moderate at 45 min. It does not appear to be billed as annual. Somewhere on the EOB(explanation of billing) there should be a code or a footnote explaining the charges.

C Moon

(13,615 posts)
3. Okay. Thanks. Yes, the doctor was in my network.
Sat Nov 29, 2025, 04:15 PM
Nov 2025

The insurance gave me a "discount" because he was in my network. I guess otherwise I would have owed the whole $580.
Just don't understand what that is and why it's so much. I'll look into the codes. Thank you again!

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