HOSPITAL BILLS, Texas

[pctadvice]

What is the name of your state? TX
IN Sep 05, my Dr. reffered me to a medical center here in Austin, TX for a test and my medical insuranne paid for it. But in Jan 2006, the same Dr. reffered my son to the same med. center for the same tests, the same insurance now refuse to cover the charge for about $ 2,500. I called the insurance and was told that it's contract with the med. center ended on 12/31/2005. The Isurane didnot inform me about the above contract.
The med. center billed me the charges. Before the tests were done, the med.center checked with the insurance and my son paid the copays upfront.
He also signed two paper works about the disclosure of personnal info. and financial responsibilitie.
Later I went to the HR where I work asking them call the insurance and they told the HR that the Med Center was back in the nework therefore they will reprocess the claims. But about two week later the insurance sent me a letter stated that their original decision was process correctly.
I need help on what to do.
Edit/Delete Message

[Litigation!]

Originally Posted by pctadvice

I need help on what to do.

My response:

Did you have a question about "law"? "I need help on what to do" is not a legal question.

IAAL

[pctadvice]

No, My question is not about law. It's about how to deal with a such situation.
Thanks,

[Litigation!]

Originally Posted by pctadvice

No, My question is not about law. It's about how to deal with a such situation.
Thanks,

My response:

We answer "legal" questions. We don't take people by the hand.


IAAL

[ecmst12]

Well, I'll help.

Call customer service yourself and speak with a supervisor. The claim was less then 30 days after the contract was terminated, and the facility is now re-contracted. Supervisors sometimes have a certain amount of flexibility to reprocess claims as in-network in situations like this, so you may be able to get the bill paid "as a courtesy", even though the denial was technically correct. Chances are you aren't the only person who made this mistake.