What is my responsibility to pay bills that were submitted late to my insurer?

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What is my responsibility to pay bills that were submitted late to my insurer?

I received a bill from my doctor for 4 radiation treatments done 3 years ago. There were 20 in all; the other 16 were paid by my insurance co. My insurance company won’t pay these cause they were billed well over a year after treatment.(just received bill) Thet allow 1 year for billing. Am I responsible for this. What action should I take? If these would of been turned in on time my insurance company would of paid them. Should I file small claims against the doctor’s office for neglect in billing; it totals $4,650.

Asked on May 13, 2012 under Bankruptcy Law, Ohio

Answers:

FreeAdvice Contributing Attorney / FreeAdvice Contributing Attorney

Answered 11 years ago | Contributor

If you normally would have had your doctor bills paid in a timely manner had your treating physician submitted them within a one year period after treatment but your health insurance carrier will not pay due to submission after one year, you should not be expected to absorb the payment and neither should your insurance carrier due to its rules that your physician presumably knew about.

From what you have written, it would appear that your treating physician due to his or her own delay should write off the unpaid bills you are writing about.


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