misleading insurance. i have bills upon bills. what should i do? doesnt hipaa apply?
Get Legal Help Today
Compare Quotes From Top Companies and Save
Secured with SHA-256 Encryption
misleading insurance. i have bills upon bills. what should i do? doesnt hipaa apply?
i am 20 years old and i am covered under my mothers insurance till im 23. i was receiving prenatal care for my pregnancy and then claims started to get denied. i called and they said they had my birth date wrong and that was the reason why. i then continued with prenatal care for months until my doctor said that they were still denying the claims so i called and the rep said i was covered and that the doctor was putting in the wrong claim number. So i then continued prenatal care again until i called once again to find out the problem and they said i was not covered because i was a dependent.
Asked on June 12, 2009 under Insurance Law, New Jersey
Answers:
J.V., Member, New Jersey Bar / FreeAdvice Contributing Attorney
Answered 15 years ago | Contributor
What you need to do is get all the paperwork together for the insurance coverage. read the coverage terms, see what they say is covered and what is not covered. Once you do that you need to call a manager at the insurance company, speak with them to get things straightened out as much as possible, explain the information you received based on the wrong birth date and wrong claim numbers. If this does not solve your problem you should think about hiring a local attorney
At that point the attorney can review everything with you and together you can decide if you have a valid cause of action. Based on the coverage terms and all other facts you provide it can be decided how best to proceed.
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.