Also, the insurance lady told me she could not tell me the allowed amount. So I just bill for whatever and then they will send a check for the allowed amount? That doesn't seem right to me. Or could they at least not tell me what that number will be? And does the facility have to write it off or could the rest of the money not fall onto the patient?
If they are out of network how would we know the allowed amount?
If they are out of network they really don't need to know the allowed amount do they? They would bill their regular fees. Payment is most likely going directly to the patient in that case.