A standalone emergency room operates as in Houston. My insurance denies the claim stating that they do not have a medical license. Is this legal?
Question Details:
The real crux is what recourse would exist if they are operating without a license?
You need to read the terms of your health ins. policy to see what written reasons exist to deny payment of a claim.
If this facility does not have a required liscense, you should report to the appropriate State of Texas board.
Not having a liscense could be used as evidence to establish a medical malpractice claim.
For free Texas medical malpractice information, please visit www.kiplawfirm.com
Jason