I have a question regarding continuation of coverage when changing health insurance plans.
Question Details: I have a patient whom I've been seeing for awhile who changed health insurance plans. I am on both panels. The first plan required no pre-authorization for treatment. The new plan required pre-authorization for treatment, which neither the patient nor I sought. The new company denied the first few claims for lack of authorization. Are they allowed to do that?
Insurance Law Law Answers
I am not admitted in Florida. Are you trying to say that the "condition" is pre-existing and therefore the claims can not be denied? That would depend on what the condition is and who is making the claim. It may not be your fight but your client's, but that also may depend. He/she needs to read the policy and you your obligations under the panel. This may not be black and white. You can check with your state insurance department as well.
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