I’ve never been charged for doctors to read any other kinds of results, and this feels like something that should, at a minimum, be disclosed in advance or put into her practice policies. XRays, Biopsies, Ultrasounds, lab tests… none of those have required an extra payment for the interpretation of the results. It’s just a flat fee that encompasses both the testing and results. Also, as someone who provides services using insurance, I am not allowed to bill when the client is not present. I do not get paid for writing summaries or notes through insurance unless I do it with my client present, which just makes me wonder if this is common for all providers or just my field or just the specific insurances in my area. Lastly, the $30 vs $100- both were the costs after my insurance. She told me it would be billed as an office visit, not a specialist, and then I was charged at a specialist rate. There were 3 separate sessions where billing codes were entered incorrectly and the services were initially denied (before appeals and corrections on her end), despite our initial session’s billing going successfully. Truthfully, I appreciate your input, but it seems like your comment was really to play devil’s advocate and not to actually answer whether or not the way the billing happened is a type of fraud.