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health provider billing

 
 
HMOHELL
 
Reply Tue 19 Jul, 2005 10:18 am
Does anybody out there know if there is a law that says a health provider has to bill the consumer within a certain period of time? I received a bill from a provider 16 months after the service and my insurance company won't pay because they said a claim had to be filed within one year. Info is appreciated.
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fishin
 
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Reply Tue 19 Jul, 2005 04:37 pm
Re: health provider billing
HMOHELL wrote:
Does anybody out there know if there is a law that says a health provider has to bill the consumer within a certain period of time? I received a bill from a provider 16 months after the service and my insurance company won't pay because they said a claim had to be filed within one year. Info is appreciated.


I seriously doubt any such law exists in the terms you laid them out in here. Having said that, every state (assuming you are in the US) had laws that establish a point after which bills are no longer collectable.

But what I think you are facing here is an Insurance Company policy issue here. As an insurer they can, as regualted by the states, establish limits that claims must be filed within. That doesn't eleviate you, the policy holder from the debt but it may exempt them from liability for paying it on your behalf.

Without knowing what state you reside in it's hard to be any more specific.
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