Any problems with claim payment for mandatory visits to nutritionist & psych visit?
My insurance carrier is BC/BS State of Maryland PPO. The surgery was approved with the knowledge that I am required to see a nutritionist and psychologist prior to surgery. The nutritionist requires a referral from my primary care physician, even though it is not an insurance requirement. My pcp is refusing to do the referral based on a visit to a nutritionist is not covered unless I have diabetes. I have a call into my BC/BS account manager for clarification. At this point I don't know if my pcp is mistaken, or it really is not covered. Has anyone had this issue come up with BC/BS State of Maryland PPO?
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