What is the name of your state? ILLINOIS
I use our local Doctors Family Pratice for medical care. They are a Health Link provider with my insurance company. We have to pay for services at the time of service then I file the claim myself with my insurance company.
I always send a copy of the cancelled check along with the documents the Doctors office give me to the insurance company. We have a health link discount and on my explanation of benefits it says "you need to request a refund from the provider on the discounted amount. Be sure to make a copy of this EOB and send it in with your refund request"
Doctors Family Pratice has not refunded any of my request and I am owed almost $2,000.00. I have called and called and no one will return my calls. This has gone on since 9/05 and it is 4/06! Who can I contact to help me? My insurance company said they can do nothing and I cannot afford an attorney. I can not even find a law on the books that tells me they have to honor my request.
Which leads me to believe that if I pay for my services up front out of my pocket I do not get a discount, but if my insurance company pays it then I get the discount?
I would be grateful for any direction or information