AboutTricia Expertise Has your medical insurance company denied your claim and refuses to pay? Have
you received a pre-authorization and still your insurance company
refuses to pay? How can you get your insurance company to reverse a
denied claim? How do you get a provider to waive your copayment if you
are financially unable to pay? Can a provider sue you for a unpaid bill and
will they? Can a provider send me to a collection agency for a medical bill?
If my insurance company does not pay, am I responsible? If you have these questions or others on why your insurance company is not paying your bills, I can help. I can give you "tricks of the trade" to get your insurance company to pay.
I have limited knowledge on Medicare and Medicaid and that is not my expertise. Each state is very different regarding Medicare and Medicaid so you need to review their website when you have questions. So please no Medicare or Medicaid questions!!
Experience In the medical field for over 20 years spending majority of time in the collections aspect.
Question I recieved a referal from my primary Dr. to go see A heart specialist also in network. Insurance paid for all test but one,Stating based on my findings from ekg,stress test and ultra sounds this test with dye was not medically necessary. Dr office appealed several times and sent additional info each time. Insurance still refused to pay, I am now being turned over to a collection agency cause
i am not working and cannot pay{i have lyme disease
] My question is Am i responsible for this bill
?
Answer Hi Bo!
Depends on the explanation of benefits that you got from your insurance carrier when they denied.
Look to see if they say you are responsible.......if you can not find the eob then call them and ask them.
It all depends on your specific policy and your insurance company.
