My question involves insurance law for the state of: PA
- Wife had surgery in the fall of 2010 - all was covered by health insurance - six months later we received a bill for $850 - I called hospital to ask about it and they said that they would look into it - Didn't hear back from them - - We recently received a collections letter for the $850 - - Called hospital told them that I had never heard back from them - - - I asked about the original service date and billing....
- Oct 28, 2010 - pre-op appointment - COVERED - $50 copay - PAID
- Nov 1, 2010 - surgery - COVERED
- May 6, 2011 - Insurance company reverses coverage for the Oct 28 date of service - hospital bills us $850
Where do we go from here - can the insurance company change their mind six months after covering?
How could a pre-op appointment not be covered ?