Atrium Health review: Miscoded or unnecessary service rejected by bcbs of illinois, still being billed by atrium.

Have made numerous attempts to resolve through messaging.

Last response by Atrium on April 17, 2025 despite numerous requests to escalate.

"Please be aware that I thoroughly reviewed claim 0202418455B17280H for services provided by ATRIUM HEALTH UNION for you on 06/18/2024-06/19/2024 but must maintain our original decision. Based on all the information available it was determined that it was processed correctly. The plan paid $14,295.81 to the provider. The patient responsibility is $558.55. The patient responsibility includes $100 for a copay, and $458.55 for a denied line of service.

After further review of your account, We are unable to change the diagnosis on this claim. This was sent to the coding team and was reviewed. They cannot legally change the diagnosis because they have to have supporting medical documentation that supports the change or that is considered fraud. There is only so much we can do on our end in this situation. It sounds like your insurance just does not want to cover something the provider said was needed. I do apologize about the inconvenience. Thank you! Carolyn M."

To me this seems like either a miscoding issue or an unnecessary service performed. In either case Atrium and BCBS of Illinois should resolve without me getting stressed on and having to be readmitted.