kutzemup013 said:
What is the name of your state? Michigan
My wife went to a psychologist 3 years ago and they billed my insurance company for her visits. Apparently they missed sending one in and we just received a bill from them for it. When we contacted our insurance they stated they don't pay claims submitted over 2 years. Are we liable for this bill now?What is the name of your state?
My response:
It sure would be wonderful if that dullard, ecmst12, knew what the hell it was talking about. You see, what ecmst12 fails to understand is that your shrink was not "contracted with the insurance company." The big clue to that was your statement, "and they billed my insurance company for her visits." A "contracted" provider doesn't "bill," at least, not like other people think of "billing."
What dullard ecmst12 further doesn't understand is that after such a lengthy period of time, the doctor has placed your current financial status in jeopardy. You see, the doctor knew, or should and could have known, from prior "billings" with your insurance company, that timely billing of the insurance was important, and time was of the essence. The doctor failed in his duty, and has caused you a three year old financial burden that you had no reason to expect.
You need to stop the billing attempts, and teach the doctor a lesson concerning his own negligence; i.e., he cannot be allowed to shift his damages for his negligence onto you so many years laters. Therefore, you should "hit" your doctor with your own lawsuit, to stop him, for damages for breach of contract based on doctrine of promissory estoppel, which is an equitable doctrine. At the very least, if the doctor should sue you first, you would counter-sue the doctor on these grounds.
IAAL