What is the name of your state (only U.S. law)? Tennessee
First of all, I would like to apologize for the double post. I think most regular members are aware of the problem last night with all posts ending up in the Auto Accidents forum instead of where they were intended. I feel it necessary to repost my question in the correct forum because I don't think I am getting the right answers due to the problem. Thanks in advance.
Original Question: Can I dispute a medical bill if my doctor's staff lied to a disability insurance company?
I have been having trouble for over a year now with trying to get a short term disability case approved by Cigna. There have been several issues with the way my case has been handled, both by Cigna and the doctor who originally approved my leave of absence from work.
My case has been denied twice now by Cigna, so this time I requested my complete case file from them before sending in my 3rd and final appeal. What I found in my file about what my doctor's staff told Cigna completely threw me for a loop.
The receptionist who took the call actually told Cigna that my doctor 1.) did not take me out of work, 2.) did not list any work-related restrictions, and 3.) wrote in my file that I did not have any severe symptoms.
Obviously this is the reason why my case was denied, despite the fact that the office notes written by my doctor about this visit state the exact opposite! My doctor DID take me out of work, DID state that I could not function at work, and DID list my severe symptoms.
When I went back to the facility (several times) asking that they send in a statement proving this, they outright refused. I have been unable to pay off the rest of my medical bill to this facility because I have not yet been paid by Cigna.
I highly doubt that I am ever going to receive my disibility pay from Cigna because the doctor and their staff will not send anything else in. Now my doctor's office is threatening to send my account to collections, but it is actually their fault that I do not have the money to pay the bill in the first place.
I plan to dispute the remaining bill, about $80 (I know it's not that much but I really do not think I should have to pay for the trouble they have caused me, not to mention the fact that they have cost me 3 months of pay).
Does anyone know if it is possible to successfully dispute this kind of thing? I know that you can dispute whether or not the bill is yours, but what about disputing that you did not receive the service promised to you? In fact, the facility in question has been very counterproductive to my cause (which is a difficult case in itself).
I would really appreciate any answers about a similar experience or insight into the process for filing a dispute. I am going to send a letter to the doctor's office and hope that it doesn't go to collections, but if it does then I will need information about how to proceed.
I would also prefer to do this without paying for a lawsuit. Even if I won the case, I would probably only recover the 3 months of pay I lost and then end up giving it right back to the attorney to pay my fees. However, I would be open to requesting a mediator or state funded attourney if there is a chance that I could recover the 3 months of pay I should have been entitled to.