Bill sent to collection without being sent to insurance or patient

by Lisa
(Savannah GA)

My husband visited the emergency room for a worker's comp visit in May 2011. He recieved notice to provide the workers comp insurance information and responded in August 2011. No other letters were sent to us and we thought it was paid by workers comp. We received a collection notice in February 2012. We called and found out that they never billed the insurance company with the claim. They never billed my husband (the patient). They simply sent it off to the collection agency. Now they are going to place the collection on hold for 60 days and bill the insurance company (which they should have already done). If the insurance company does not pay, we will remain in collections, even though we never received a bill or had the opportunity to pay. What are my rights?

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Apr 03, 2012
Bill sent to collection without being sent to insurance or patient
by: D to the G

For a workers comp claim, the provider has 1 year from the date of service to submit the claim to the carrier. You should make sure that they did indeed submit this before the year runs out. If they did not, you can be held responsible since the claim information was not given to them at the time of service, this is considered a delay on the patients part. If I were your husband, I would request an itemized statement from the doctors office and submit it to the workers comp carrier directly to assure it is received in time.

I have been a medical biller for over 20 years.

Mar 04, 2012
Bill sent to collection without being sent to insurance or patient
by: Debtcollectionanswers

I am not an expert on medical billing or insurance issues. Therefore, I recommend that you visit The Access Project which will answer your questions for free.

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