Auto Insurance Claims/EOB

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Question
when an EOB from your auto insurance shows, billed amount $250.00 and allowed amount $200.00 and it shows no discount for the $50.00 or no patient responsibility can the provider bill me for the $50.00

Answer
Hi Lynn,

There is no specific answer to this question. If the medical provider is a preferred provider through your medical insurance program, then that provide has agreed to accept what the insurance company pays. So your EOB shows the charge by the provider then the provider shows what they feel is the reasonable charge for that service. If the provider is not a preferred provider of your insurance then they may send you a bill for the balance.

You should call the claims department of your insurance company and ask them if your provider is on their list and if the provider can bill you for the balance. They would be the only ones that can answer your question with absolute certainty.

I hope this helps
Richard Hixenbaugh

Auto Insurance Claims

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Richard Hixenbaugh

Expertise

Auto insurance claims procedure, auto coverage, liability issues, auto damage questions, how to deal with the insurance company, loss of use and diminished value.

Experience

I have been involved in the insurance industry for over 25 years. I have experience in underwriting, sales, claims adjusting, auto damage estimating, auto value appraising and diminished value appraising. I have testified as an expert witness over 35 times.

Organizations
Society of Certified Auto Appraisers

Education/Credentials
Completed all required courses for the Florida Property-Casualty agents license and the Florida claims adjusters license. I have attended various courses on auto damage estmating, vehicle appraising and am ASE certified in collision damage analysis.

Past/Present Clients
My company has done work for consumers nationwide.

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