Caught Between Doctor and Health Insurer. What to Do?

January 4, 2007

A co-worker is stuck in the middle between his doctor and his health insurance company.

He had a medical procedure in the spring of 2006. According to his doctor, the claim was filed with his insurance company three different times. According to his insurance company they never got the claim.

The doctor is fed up, refuses to file the claim again and is sending the $300 bill to a collections agency. The insurance company says the claim should have been filed within 30 days of the service. If the doctor resubmits the claim they may process it but no guarantees.

Both parties have pretty much said they are through working together on the issue and my co-worker may get caught holding the bag. He came to me for advice, I’ve never been in this situation before, thankfully, so wasn’t sure what to tell him.

Have you ever gone through something like this? What should he do? Who can he call to help get his issue resolved?


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Ben Edwards, the founder of Money Smart Life, saved up enough to buy a Nintendo back when he was 12 years old. When he used the money to buy shares of Wal-Mart stock instead, he knew he wasn't like the other kids... His addiction to personal finance has paid off for his family and now he's helping you to afford the life that you want. Check him out on the web at Google Plus, Twitter and Facebook.

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