Originally Posted by TromboneAl
With reasonable terminology and a clear statement, there would have been no confusion. Any point in being a curmudgeon and calling BC to tell them the statements are wrong and confusing?
One can always express that the EOB is hard to read, and as a customer, you hope they will listen. I worked for a health plan for 16 years and constantly pointed out that our customers wouldn't understand -- the result is the same today as it was then.
As to them knowing you were seeing a preferred provider and therefore, any amount over the allowed would be waived? Well all it takes is programming (or a completely different type of plan, OR the provider's software that doesn't submit a bill for more than the allowed amount).
One can always hope!