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Medical bill question

So wife gave birth a month ago. Hospital, OB, and pediatrici david6198304/10/17
I don't practice, but I can see how this would be very frust 6figuremistake04/11/17
david61983 (Apr 10, 2017 - 6:48 pm)

So wife gave birth a month ago. Hospital, OB, and pediatrician were all in network so we got no bills from them. However, the day after birth the pediatrician noticed a heart murmur. It turned out to be nothing but apparently a pediatric cardiologist was used to run a bunch of tests...EKG, ultrasound, etc and apparently he was on contract with the hospital and out of network. We are now getting bills for his services for several thousand dollars. Do we have any recourse? We never gave any consent for out of network services and didn't even know they had been done until after when the pediatrician told us of the potential problem. We are in New York. Isn't there a law here against surprise charges such as this?

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6figuremistake (Apr 11, 2017 - 11:31 am)

I don't practice, but I can see how this would be very frustrating, and I hang out on Reddit personal finance a bit and this question often comes up. Here's an example post:

https://www.reddit.com/r/personalfinance/comments/58olno/doctor_sent_labs_i_did_not_request_to_an/

Essentially, you are correct that NY has a "surprise billing" law. The best course would be to politely contact the billing department and explain the situation. Hopefully they are aware of the statute and will quickly resolve the issue or at least be willing to research it and then rectify the problem. If you hit a brick wall with the doctor's office, the next step would be to get in contact with the insurance company. Even in state's without such statutes, they usually are willing work with you upon appeal. That probably won't be necessary because of the law in NY, and I imagine the insurance company is more familiar with the laws.

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