My MagnaCare doctor visit was covered by the Plan, but MagnaCare denied the lab bill. Why did that happen and what should I do?
If you go to a physician for a non routine visit and diagnostic tests are prescribed by the physician, the tests are covered if the physician’s visit is covered. Sometimes in such cases, the physician does not put the diagnosis codes on the request you take to the drawing station, and the lab marks it as a routine diagnostic test. The claim may then get denied as a not covered routine test. To guard against this possibility, please make sure the physician requesting the diagnostic tests is writing the appropriate diagnosis code on the request he sends you with and the drawing station records it. In spite of all precautions, if you are in a situation where the physician’s claim is paid but the diagnostic claim has been denied, please call the MagnaCare customer service line at 1-877-624-6210 and mention that you have a “diagnostic denial” claim issue. Please have ready the name of the physician you visited who prescribed the diagnostic tests and the date of the visit.
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