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Insurance Claim Denial — surprise medical bill after insurance

Started by newbie_contractor_advice · Jun 11, 2022 · 1,470 views · 4 replies
For informational purposes only. This is not legal advice. Laws vary by jurisdiction. Consult a qualified attorney for advice specific to your situation.
NC
newbie_contractor_advice OP

Has anyone dealt with something like this? I'm not sure what my options are.

surprise medical bill after insurance. I've been dealing with this for about 15 weeks now and the situation isn't improving.

I have already done some research online but did not get a clear answer.

Am I overthinking this or is this a real legal issue worth pursuing?

TL
Mod_TermsLaw Moderator

Licensed attorney — a few thoughts. Here's my take on the legal issues.

This is a common situation and the law is fairly clear. Under the relevant statute, actionable.

I'd recommend documenting everything in writing from this point forward. Keep copies of all communications.

SM
SeniorDevMike_PDX

Not a lawyer, but I have direct experience with this.

What worked for me was filing with the appropriate government agency. It took 4-8 months but was worth it.

NS
newbie_seller_CA

I had a similar issue and ended up consulting with an attorney. It was worth the $200-300 for the initial consultation just to understand my rights.

NL
NursePractitioner_LA

I've seen this play out several times in my field.

In my case, it took about 1-3 months to resolve. The key was escalating to a supervisor/manager.

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