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 had my tubes tied after having my fourth child, had to have an emergency c-section and my baby died. I wanted a tubal when I thought everything was fine with my child. I didn't sign any forms neither did my husband for the tubal ligation. Is there any way that I can get a reversal paid for? I no longer have the same insurance, now I have a HMO.
Answer Hi Amy!
It depends on your specific HMO policy. You need to call the Customer Service Department and give them your ID# and policy # and they can look it up to see if they will pay.
Most insurance companies only pay for procedures that are medically necessary so you may have a problem since most HMO's are pretty strict, however you never know until you ask.
