What to do about a provder that won’t co-operate with my insurer?

I went to ER 9 months ago and they did some tests. The provider billed my insurance but my the insurer said that they had the wrong code so denied it. I and asked them to bill again but the provider didn’t correct it and billed us instead. I called and my insurer who called them about this but they won’t budge. Finally, they gave the account to a collection agency. What should I do? Is that my responsibility to pay the whole amount ?

Asked on August 18, 2012 under Bankruptcy Law, California

Answers:

FreeAdvice Contributing Attorney / FreeAdvice Contributing Attorney

Answered 8 years ago | Contributor

The way to resolve the situation that you are in is to write your medical provider and your insurer a letter demanding that they get the issue of billing issue squared away immediately. If such does not happen, then you need to make a complaint with the American Medical Association in your state against the provider. Another option is for you to consult with an attorney that practices in the area of consumer law to force the issue with the medical provider and your health insurer.


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