I have refused to let them bundle my Paps with other services. If I do a well exam on a woman but she goes to a GYN for her PAPs, the GYN gets paid. So, I explain to the patient that their insurance will not pay for me to do both exams the same day and I make them come back another time for their PAP. It means another COPAY for the patient but,hey, it's their insurance, let them complain to Wall Street. In fact, so many of my patients complained to one specific carrier which is very big here that the carrier finally quit bundling. I still maintain the only way we will hope to change things is to get the consumers fired up about insurance companies. Just because an insurance company has their "rules" does not mean we have to play by them. We must be creative.
Leslie