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| *The Commerce Journal>>>Insurance |
I just received a letter from my health insurance company saying that I owe a doctor that I saw once $600+? |
I went there for a checkup and PAID my 40 dollar co-pay. This check up was done in November of 2006, and the letter from my health insurance company said that they would not cover the cost because the claim was filed/ received of November 2007- more than a year later! Sometimes insurance companies put into the doctor's contracts that they are required to write off charges if not timely filed. (I used to work for a medical provider negotiating contracts with insurance companies, and I've seen that provision in several.) You are correct. The insurance company was not telling you that you owe the doctor, only that they are not going to pay the doctor. If you get a bill from the doctor you will need to contact the insurance company and get something in writing stating that they would have paid if the claim had been filed within timely filing limits. This prevents the doctor's office from being able to come after you for the $600. Ultimately, don't even worry about it until you get a bill from the doctor's office. The doctor's office may turn your account to collection for the amount owed. While the doctor's office was remiss in very tardy filing of the claim, you are still responsible for the charges incurred. Apparently you do not carefully monitor the assorted reports which you get from your insurance carrier when a claim is filed. Don't worry about it...you are only responsible if you did not provide your doctor with your insurance information in a timely manner. Wrong, it's your responsibility to make sure that the doctor bills the insurance company - and if they don't, to get the claim form yourself, and send it in. |
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