In the state of Texas, do insurance companies have a set time limit in which they must complete a pre-existing investigation?

Get Legal Help Today

 Secured with SHA-256 Encryption

In the state of Texas, do insurance companies have a set time limit in which they must complete a pre-existing investigation?

I do medical billing for a chiropractor in Texas. One of our patients has over $6,000 in unpaid claims. The claims date from Sept. 2007 to June 2008. They say that they are still waiting to hear back from one doctor. They have been saying that for a year. I was told by the insurance company that this could go on indefinitely until they heard from that doctor, because they had denied the claims, and there were none pending.

Asked on June 10, 2009 under Insurance Law, Texas

Answers:

L.M., Member, California Bar / FreeAdvice Contributing Attorney

Answered 12 years ago | Contributor

I assume this was a personal injury claim with an insurance company.  The statute of limitations on personal injury claims is two years from the date of the incident.  The insurance company has a reasonable time within which to complete its investigation, and that can vary a great deal depending on what information is being sought.  The patient, nevertheless, owes for their chiropractic bill and it is their responsiblity to pay it whether through their own insurance, the responsible party's insurance, or out-of-pocket.


IMPORTANT NOTICE: The Answer(s) provided above are for general information only. The attorney providing the answer was not serving as the attorney for the person submitting the question or in any attorney-client relationship with such person. Laws may vary from state to state, and sometimes change. Tiny variations in the facts, or a fact not set forth in a question, often can change a legal outcome or an attorney's conclusion. Although AttorneyPages.com has verified the attorney was admitted to practice law in at least one jurisdiction, he or she may not be authorized to practice law in the jurisdiction referred to in the question, nor is he or she necessarily experienced in the area of the law involved. Unlike the information in the Answer(s) above, upon which you should NOT rely, for personal advice you can rely upon we suggest you retain an attorney to represent you.

Get Legal Help Today

Find the right lawyer for your legal issue.

 Secured with SHA-256 Encryption