What to do if a doctor’s office is refusing to accept payment from a contracted insurance company?

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What to do if a doctor’s office is refusing to accept payment from a contracted insurance company?

My health insurance company gave me a letter telling me how much my portion of medical bills were to my chiropractor. I paid my co-pays and additional amounts in addition to what the insurance company tried to pay the doctor office. Now the office has returned all payments and is threatening small claims court against me for the full amount billed. I spoke with my insurance company and they were under contract at the time of my services and should therefore receive payments according to contract but they choose not to. What type of attorney should I seek? If this legal?

Asked on March 12, 2012 under Bankruptcy Law, California

Answers:

FreeAdvice Contributing Attorney / FreeAdvice Contributing Attorney

Answered 9 years ago | Contributor

The best type of attorney for you to consult with about the situation you are writing about is an attorney experienced in insurance law (medical insurance). If the chiropractor is an approved "treater" under your insurance policy then legally he or she should accept all payments by you and your health insurance carrier.

I would also contact your insurance carrier and speak with one of its representatives to try and address the problem that you are writing about with the chiropractor.


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