I’m used to insurance companies declining to pay a consultation charge within 10 days of surgery.
It happens all the time.
It’s the very reason before I invoice consultations within 10 days of treatment, I ask if the consultation was “routine”. Or are there additional medical reasons.
It is only the consultant surgeon who knows the answer.
If routine, a post-surgical follow-up within 10 days, might not get paid.
If on the other hand there are medical reasons, then it should be.
But what do you do?
It is best to call the insurance company.
Tell them you are submitting an invoice.
Then provide evidence WHY the consultation was necessary.
Nine out of ten times the consultant will get paid.
After all the insurance company is NOT the enemy.
If you explain why you have taken a particular action, you are more likely to get a positive response.