I was very sick at the beginning of the year and the doctor, surgery center and anethesiaologist were out of network.
I've gone rounds with Blue Shield because the claims were not paid according to my PPO plan (70/30 for out of network).
Is there a way I can get my claims audited? Is it internal to Blue Shield or a 3rd party?
Any help or suggestions on how to get this started would be greatly appreciated!