Re: Returned claim
Many insurance companies, both medical and dental, don't cover TMJ stuff at all.
I went through pretty much the same thing as you.
When I went for my MRI, I expected to be paying for my MRI. My insurance covered up to $1000 for diagnostic only, but at the time, I hadn't met my deductible at all.
When they called me to schedule the MRI, I asked them about the insurance. They told me my insurance had approved things and I didn't owe anything. When they called to confirm my appointment, I asked them about the insurance again and they re-ran the approval and told me everything was good. When I arrived for my MRI, they told me it was covered. A week or 2 later, I received my bill for around $900. I happened to have my appointment with my TMJ Specialist the next morning and I mentioned it to them. While I was with the dentist, the office manager at his office called the Diagnostic center. They confirmed things with her as well and said they would be in contact with the insurance about it. A week later I got a letter from insurance telling me they would cover the cost since they made a mistake, but shame on me for allowing them to do so. They also said not to let it happen again.
Do you have the book or an internet link to look up what your insurance covers? Most of the time the TMJ stuff is under exclusions, but now for everyone.
I'd recommend calling the radiology place to talk to them about this. They should have record of their insurance company approval.
Based upon what they tell you, you will then need to contact the insurance company. You can go from there.
Asthma, Allergies, severe LPR/GERD, Anemia, TMJD, Hearing Loss, Ulnar Impaction Syndrome, Shoulder Impingement, Ankle ligament repair, Benign Joint Hypermobility