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Joe
Lv 4
Joe asked in Business & FinanceInsurance · 1 decade ago

I just recieved a medical bill from a year and a half ago, do I need to pay it?

My insurance would have paid it, if they recieved it within 60 days of the treatment. Since they didn't recieve the bill until I did they are not covering the expense.

Since they aren't covering it but would have do I need to? So far they have told me not to pay it. I just don't want to ruin my credit because a hospital can't bill me or my insurance correctly

And yes they take my insurance, the other work done at their hospital has been covered.

Update:

The claimed that they filed the bill timely but it got lost in the records. I called both my insurance company and the hospital to get it figured out about a month ago and was told not to pay the bill by the insurance company.

The insurance company also said they were working with the hospital to confirm if the bill was sent within their agreed upon guidelines, and it was thus "resolved" on my end.

now I am getting the exact same bill from the hospital, and the insurance company websites says they are not covering it. (probably because it wasn't filed timely)

Overall something shady is going on, or at least I think it is and I'm guessing the hospital is the one at fault.

Update 2:

Also the insurance company had no record of the bill until after I sent them a copy of what I received from the hospital.

3 Answers

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  • 1 decade ago
    Favorite Answer

    Was this actually billed to your insurance company and denied? The reason I ask is some providers won't bill the insurance after the timely filing because then they have the notification from the insurance that they can not bill you. If they don't bill there is no notification/EOB to say your not liable

    Source(s): work for insurance company
  • 1 decade ago

    Call your insurance company.

    If the insurance company says that their contract requires that the hospital write off the balance, you need to put that in writing to the hospital, and demand that they write off the balance, in accordance with their contract with the insurance company.

    This is a very common provision with in network providers. As long as you have the EOB that says "patient responsibility $0" you can let them try to sue you for it - they'll lose. Doesn't mean they won't TRY to harass the money out of you, though.

  • 1 decade ago

    If your insurance company told you not to pay it, don't pay it. When you receive another bill, call your insurance company and let them deal with it. It is likely that something has been double charged or is not billable to you.

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