Quote Quoting adjusterjack
View Post
One possibility is that a service that is preventative and covered 100% becomes diagnostic when a condition is reported.

I had that happen a few years ago with a colonoscopy.

It was covered 100% as a routine preventative exam.

But polyps were found so it got billed as diagnostic and I ended up paying about half the cost due to deductible and coinsurance.

When is this country going to wake up to medical billing being a colossal scam?
But that involved a different procedure (snipping rather than just looking). With the op there was no additional exam (at least as stated). The receiving of a telling of ailments is what one would expect from the question;

The Doc asked her how she was doing
so are you suggesting that a doctor can covert an annual exam where one is supposed to disclose ailments and issues into an “emergency visit” by answering a question that is part of the annual check up?

And since when does one schedule emergency trips to the hospital? Given it was scheduled (presumably) well before the visit, even considering it an urgent care visit is improper.

If anything it might be a valid charge as a regular office visit but changing it to an emergency visit? Totally wrong.