Who should I contact? I need help from policy experts...

[Phentex]

4. Good ideas....

I had prior authorization noted as in network. I received that by mail. Also could be noted that I saw a different doctor at this facility for a different reason and those claims were processed as in network. In my stack of papers, I have something called a primary insurance benefit summary. This is from the doctor’s office and shows a case number, my info, the insurance info including deductible and limits and co pay. It states authorization and referral required which was sent before I started going there. So someone there must have called or looked at the provider portal to get that info.

In my insanity prior to this, I have considered calling 1000 doctors listed as in network on the insurance website to find out if they are still on the plan. And then looking one year from now to see if it’s changed. It’s mind boggling to me that the insurance company takes no responsibility for information on their website or by phone and the doctor’s office says you have to call your insurance company to verify.