<prompt> Human: The invoice just shows up as Office Visit. I called the billing number on the invoice to ask about it, and they told me to call the Doctors Office. I called the Doctors office, and they told me to call my insurance company. I called my insurance company, and they told me to call the Doctors office.The second time I called the Doctors office, they told me that there was a new patient charge that was significant, but they would not tell me how much those charges were. They also said that I was billed for 4 different things, but would not give me any details about what those things are.It seems suspicious that they wont give me any information. I also think this significant new patient cost is suspicious - I have never heard of this before. If I was charged for 4 different things, shouldnt they appear on the invoice? Is there a way to dispute these charges? I dont even know where to begin.  <response>: I have a background in medical billing procedure. I would say that bill seems very high for a 10 minute office visit, But its important to consider a couple of things. First, were you being seen in-network or out of network. Often the contracts your insurance company has with a certain hospitals reduce the cost of your medical service only if you are in network. Check the back of your insurance card for more information about that. If it says HMO then you better be sure to be seen by someone in-network as they never pay for services at out of network locations. If its a PPO then you should be fine as they are more flexible with who you see.Second, and to build of the previous point, its important to consider who you being seen by. If it was a specialist then the bill would be greatly increased. A previous comment noted the use of CPT codes use in conjunction with Diagnosis codes. Your specific service has a certain CPT code based on how they diagnose you. For new patients under a certain type of medical insurance it is not unheard of for that first visit to be billed at a greater amount.A few things to know however is that you have rights as a patient. You are entitled to your medical records. The health organization you went to should have a Health Information Management Department. Search the internet, get their number and request the notes if you want to see what was exactly going on in the diagnosis. You are also, by law, given the right to appeal decisions that insurance companies make. This is normally done directly through the insurance company, although you could call your doctor and have them argue on your behalf.I created a Reddit account to comment on this, so Im new to this. Im not really sure if it was helpful or concise enough. If you have questions comment and Ill try and explain in more detail. 