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being charged OON for my daughters 3 month check up b/c they were neg. contract

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dianab:
i have received a bill for my dts 3 month check up for 164.24.  I paid a copay of 35.00 and it was excepted.  My bill should have been 0 b/c part of my ins. plan is free well baby visists.(shots)  I got the bill and called and they said I should have been notified that they were OON.  I was not notified by that appt.  I was notified approx. in end of Jan beg. of Feb when they were going to reschedule her 6 month check up to another location(30 more mins. out of my way) so it would be in Network.  I said no, swithced her pediatrician to local MD that was in network and she saw them until i was notified that previous Md was back in network.  I have explained this to them and their billing but they say all they can do is give me a 30% discount.  How is this, when I was not informed until her next appointment.  What do you think about them excepting my copay at that appointment.  Please help me with this, I can not pay a 164.00 bill especially when I pay my insu. premiums to help with bills.

PMRNC:
It's technically your responsibility to make sure you see a provider in - network.

dianab:
Yes Ma'am, I understand that.  For the past 3 years though(they are my 3 year old daughterd md also) they have been in network and I have never had any problem like this, So.... I would not think to ask are they in network b/c that's where I have always gone.  Could I get some advice on this.  Thanks so much for your input.

dianab:
 ??? I just received call from office manager at pediatrician office.  She stated that they took my copay b/c they didn't know i was out of network either?????????What???
How was I supposed to know then.  I reinforced this with her and she still tried to offer just a discount.  I feel like I am going to blow.  MY back is against the wall.  Please help ???

PMRNC:
You need to call your insurance carrier and find out first for sure if this doctor is or is not in your network. If they are not, then again, technically it's still your responsibility to have made sure of this.

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