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ncsustandup | Can insurance still pay for medical bills after they have went to collection? |
I had recently obtained new insurance and i went to the dr. around 6 months after getting the new insurance... now they wont pay because they are saying that it was pre existing when it wasnt but they advised they always say that becasue they havent insured you for at least a year so now after battles the bills have went to collections...what should i do. |
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a b
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Did you ever write them an official dispute letter in writing? Do that if you haven't. Send a letter to the insurance company and the collection agency both and send them certified, return receipt requested so you know they get it and you have a paper trail.
To the collection agency write that the account is not valid and not your bill. Tell them you are disputing the full amount. They will have to verify the account details with the doctor who billed you.
To the insurance company write that you were insured for such and such coverage for such and such dates and that the condition was not a precondition. Also write that they are violating the terms of your insurance agreement. You can also take Michael Moore's advice and contact your local media to let them know you have your own home-town "Sicko" story. (Sicko is a documentary that just came out that is about insurance companies doing exactly this sort of thing)
Edit: There is no "time limit" you have to dispute with insurance. Bill collectors will lie about this (and maybe even believe it themselves), but if you don't owe a bill then you don't owe it. You don't have to get the dispute resolved in a limited amount of time. |
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mbrcatz
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Well, there's a TIME LIMIT to file claims with the insurance company. If they are denying due to pre-existing condition, and you know it's NOT related to a pre-existing condition, you can fight the denial (if it's not too old), by appealing it to the insurance company, AND by complaining in writing to your state insurance department.
Your insurance company will THEN have to show the state insurance department the information they received that shows you've been treated for the condition (or related condition) in the past.
If too much time has elapsed, however, it could be too late. You say you "recently" obtained insurance, THEN went to the doctor six months after that . . . but you don't say how long ago it is. MOST of the time, the claim/appeal has to be filed within 6 months of the service date or date of denial.
IN ANY CASE, you still owe the provider for the services. That's ONE transaction. Getting reimbursed by the insurance company is a seperate transaction. |
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l_fidelius_graecus
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You should insist they review your claim and/or pursue legal action against them if you can prove it was not pre-existing. Don't pay until you have used all of your options with the insurance companies- some will fight you even if they know you are right in hopes you will back down and pay. |
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Keith
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Call the insurance company and ask to have the claim reviewed. It may have been miscoded. Everyone makes mistakes. |
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Christie
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First, file an appeal with your insurance company. If the claim is not due to a pre-existing condition, it should be covered by insurance. Filing an appeal forces them to review the claim.
And yes, even if the charges have gone to collection, your insurance can still pay if the claims are determined to be eligible. |
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