Do you contact my doctor?

Yes, your auditor may contact your doctor’s office if additional information is needed to understand why a claim was billed a certain way. In most cases, the auditor communicates directly with the Billing Office to clarify charges and ensure accuracy.

Your signed HIPAA Authorization Form allows our auditors to access the information necessary to conduct these reviews securely and in compliance with privacy regulations.

If, for any reason, you prefer that a claim not be investigated, simply avoid using the “Lower My Bill” feature—this is what initiates a claim review or investigation.