This signed Iron IV ABN supersedes any EOB that you receive from your insurance. If you choose to have the procedure billed to your insurance, you are responsible for the difference between what insurance pays and the total cost of the Iron IV. No insurance adjustment will be recognized.
If you would like to contact your insurance to see what they will pay, please give them this code: 96374. Be sure to inform them that you have signed an ABN for the procedure. Please remember: you are responsible for anything insurance does not pay.