What to do if a doctor’s office is refusing to accept payment from a contracted insurance company?
Get Legal Help Today
Compare Quotes From Top Companies and Save
Secured with SHA-256 Encryption
What to do if a doctor’s office is refusing to accept payment from a contracted insurance company?
My health insurance company gave me a letter telling me how much my portion of medical bills were to my chiropractor. I paid my co-pays and additional amounts in addition to what the insurance company tried to pay the doctor office. Now the office has returned all payments and is threatening small claims court against me for the full amount billed. I spoke with my insurance company and they were under contract at the time of my services and should therefore receive payments according to contract but they choose not to. What type of attorney should I seek? If this legal?
Asked on March 12, 2012 under Bankruptcy Law, California
Answers:
FreeAdvice Contributing Attorney / FreeAdvice Contributing Attorney
Answered 12 years ago | Contributor
The best type of attorney for you to consult with about the situation you are writing about is an attorney experienced in insurance law (medical insurance). If the chiropractor is an approved "treater" under your insurance policy then legally he or she should accept all payments by you and your health insurance carrier.
I would also contact your insurance carrier and speak with one of its representatives to try and address the problem that you are writing about with the chiropractor.
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.