How can I make a hospital stop billing me due to their mistake?
Get Legal Help Today
Compare Quotes From Top Companies and Save
Secured with SHA-256 Encryption
How can I make a hospital stop billing me due to their mistake?
My insurance company approved a diagnostic procedure for my hospital. My hospital performed a different, more expensive procedure, which my insurance refused to cover. The hospital is now billing me full-price for the unapproved procedure. My insurance carrier says based on their agreement with the hospital, I’m only responsible for the co-pay. What is my legal recourse to settle this matter?
Asked on August 16, 2011 Oklahoma
Answers:
FreeAdvice Contributing Attorney / FreeAdvice Contributing Attorney
Answered 12 years ago | Contributor
You need to obtain documentation from your medical insurance carrier stating clearly that based upon its agreement with the hospital where you had the procedure that you are only responsible for the "co-pay" amount.
Assuming you get this document from your health insured and that you have paid the "co-pay" amount, send a copy of this document to the hospital's accounts receivables office requesting that you be immediately contacted to resolve the issue on the invoice claimed to be owing. Copy your health insurer on the letter and keep a copy for your future need.
At this point, it is very important for you to set forth your position on the subject with documentation supporting it.
Good luck.
IMPORTANT NOTICE: The Answer(s) provided above are for general information only. The attorney providing the answer was not serving as the attorney for the person submitting the question or in any attorney-client relationship with such person. Laws may vary from state to state, and sometimes change. Tiny variations in the facts, or a fact not set forth in a question, often can change a legal outcome or an attorney's conclusion. Although AttorneyPages.com has verified the attorney was admitted to practice law in at least one jurisdiction, he or she may not be authorized to practice law in the jurisdiction referred to in the question, nor is he or she necessarily experienced in the area of the law involved. Unlike the information in the Answer(s) above, upon which you should NOT rely, for personal advice you can rely upon we suggest you retain an attorney to represent you.