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The codes on the EOB should match the ones on your bill. It should indicate why a charge was disallowed. It may very well be that services that were covered last year are not now covered. I guarantee you that will be the case in 2014 and going forward.
One time, after the melanoma my wife had cut off her leg, that the dermatologist said was nothing, she went to an oncologist. They spent all of 5 minutes with her and sent her for a chest x ray. It was like an hour wait to get the x ray, so she split.
We got a bill for an extensive visit(hour of face to face time with the doctor), a chest x ray and the radiologist reading the chest x ray. I called them on it, and they said they billed for stuff when it was ordered, and bill for reading the films was linked to the order for the films to be done. They call it upcoding when you bill for a higher level of care than you provided. That, and billing for services that were never done is fraud.
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She was the kindest person I ever met
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