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Question
I was involved in a motor vehicle accident. The hospital billed my health insurance company which paid them. I submitted a claim to my auto insurer under the med pay provisions. They mailed me checks for the full amount of medical expenses I incurred with all providers except one, the one my health insurer had already paid. They mailed a check directing to this provider two months after the provider had been paid and the provider returned the payment to my health insurer and kept the med pay payment because it was for the full amount of the bill as opposed to the contracted amount with the health insurance company. Can I recoup the med pay and force the provider to accept the health insurer's payment?
Hi Everett,
It's certainly worth while to try.
As I see it, the hospital had no legal right to reverse a payment that they had received months ago and keep the larger check from your auto medical coverages.
Sincerely,
Bennie
San Francisco Bay Area
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Answers by Expert:
Bennie719
Expertise
I have extensive knowledge in Personal Auto, Homeowners Insurance and Personal Umbrella coverage. I am also thoroughly familiar with claims handeling procedures. Will answer questions related to the above.
Experience
Experience in the area: Served as an expert at askme.com from 7/2000 thru 10/2002 in the catagories of general insurance, auto and home insurance. Answered 422 questions before that site closed. Licensed in California since 1961, first in Life and Health for 2 + years and as a Property/Casualty Agent/Broker since 1964. I sold my business and took early retirement in 1998. Still maintain a valid California Property/Casualty Agent/Broker license.
I have been a volunteer at allexperts.com since 2002. I can provide assistance in the following fields: Property and Casualty Insurance, Insurance Law, Auto Insurance Claims.
Education/Credentials
not applicable
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