Family member was in hospital four days (behavioral health) then a partial program. I was told by facility that provided partial program that they had received authorization for treatment. After all was said and done I received denial for what was billed as miscellaneous. Received another EOB same claim billed as miscellaneous and Cigna covered it. The very next day I receive an EOB exactly the same as the first which says I'm responsible for $5600 because the miscellaneous was educational and they don't cover education. I had a medical claim in April. The physician provided non-covered services and I wasn't held responsible so I'm at a loss as to why this is being treated differently. I have spent numerous hours on the phone with Cigna and the partial program facility, and I can't seem to get this resolved. I have been given several different answers.

Leave a Reply

Your email address will not be published. Required fields are marked *