u/Coffee-Chaos1

I’m going insane over this. After months of going in circles, I’ve decided enough is enough and I’m sharing my experience because there’s a chance someone else is dealing with the same thing , or maybe someone here knows what I can actually do about it.
I had 2 ultrasounds at BayCare imaging facilities in Florida — one at BayCare Outpatient Imaging at Bardmoor and one at Carlisle Imaging Center.
I have Cigna insurance and both facilities are in-network.
I ended up with $900+ in bills for the two ultrasounds. According to my benefits, I expected these to be a copay, not something applied to my deductible.
I appealed with Cigna twice. Denied.
Then I talked to another Cigna rep who actually looked into the claim and told me basically: this was processed as a professional service, but because the ultrasound was done at the facility, it should have been processed under the facility benefit. BayCare needs to correct/resubmit the claim.
So I contacted BayCare.
BayCare escalated it, told me they would reprocess/resubmit the claims to Cigna, AND put my account on hold so it wouldn’t go to collections.
Great, right?
Nope. 🙃
After months of going back and forth, BayCare is now telling me “we billed it correctly, this is Cigna’s problem” and sending me back to Cigna.
Meanwhile Cigna is basically saying “BayCare needs to correct the claim.”
So I’m stuck in the middle while $900+ is sitting there as my responsibility.
And I have documentation of similar services that were processed correctly with just a copay.
I have screenshots of my benefits, the Cigna rep conversation, Cigna’s appeal decisions, BayCare bills, and the communications where BayCare originally said they would reprocess everything.
At this point I’m looking at filing an AHCA complaint against BayCare because I’m honestly out of options.
Has anyone dealt with something like this with BayCare/Cigna? Or know who I should escalate this to? Any corporate email? Is very hard to get a hold of anyone there even supervisors.
Basically: who can actually force these two companies to sit down, look at the same claims, and figure out who screwed up?

I’m going insane over this. After months of going in circles, I’ve decided enough is enough and I’m sharing my experience because there’s a chance someone else is dealing with the same thing , or maybe someone here knows what I can actually do about it.
I had 2 ultrasounds at BayCare imaging facilities in Florida — one at BayCare Outpatient Imaging at Bardmoor and one at Carlisle Imaging Center.
I have Cigna insurance and both facilities are in-network.
I ended up with $900+ in bills for the two ultrasounds. According to my benefits, I expected these to be a copay, not something applied to my deductible.
I appealed with Cigna twice. Denied.
Then I talked to another Cigna rep who actually looked into the claim and told me basically: this was processed as a professional service, but because the ultrasound was done at the facility, it should have been processed under the facility benefit. BayCare needs to correct/resubmit the claim.
So I contacted BayCare.
BayCare escalated it, told me they would reprocess/resubmit the claims to Cigna, AND put my account on hold so it wouldn’t go to collections.
Great, right?
Nope. 🙃
After months of going back and forth, BayCare is now telling me “we billed it correctly, this is Cigna’s problem” and sending me back to Cigna.
Meanwhile Cigna is basically saying “BayCare needs to correct the claim.”
So I’m stuck in the middle while $900+ is sitting there as my responsibility.
And I have documentation of similar services that were processed correctly with just a copay.
I have screenshots of my benefits, the Cigna rep conversation, Cigna’s appeal decisions, BayCare bills, and the communications where BayCare originally said they would reprocess everything.
At this point I’m looking at filing an AHCA complaint against BayCare because I’m honestly out of options.
Has anyone dealt with something like this with BayCare/Cigna? Or know who I should escalate this to? Any corporate email? Is very hard to get a hold of anyone there even supervisors.
Basically: who can actually force these two companies to sit down, look at the same claims, and figure out who screwed up? 😭