PeoplesHealth pays whomever and however the claims are filed. So, if you have an outpatient procedure done at a specialty facility, some places bill one flat fee for the use of the facility, the specialist performing the procedure, any supplies used, and the assistance of any ancillary support staff. Other facilities will bill separately for each of those charges. PeoplesHealth pays all valid allowed charges as appropriate, regardless of whether the charges are billed as a bundle or separately. The important thing to remember is to ensure your physician has obtained any necessary Pre-Authorizations, and that the diagnosis they use on your claim is one that supports the necessity of the procedure, staff, testing, and supplies. A general diagnosis of "back pain" will likely not be sufficient to support extensive testing, interventional radiologists, anesthesiologists, and multi-level back injections. There has to be substantiation for all of those things being required.
U would have to call people Health to make sure
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