L
LAHFL
Guest
What is the name of your state? Florida
Had tests done Aug 2002 by private diagnostic company. I received notice from insurance company Sept 2003 that they had just received claim and denied because "claim has not been filed within the time limits specified in your contract (one year)." Just received bill from provider stating, "Ins Co advised us that you are not on the policy info." NOT TRUE and contadicts reason for denial on statement of benefits from insurance company. I have been covered under this policy for the past 4 years and still am. Have had 3 surgeries in the past year -- all paid by same insurance company. Am I responsible for the full amount ($1027.50) even though it was denied due to their negligence in billing too late? BTW, claim would have been paid at 100% due to having met my deductible during the year.
Thanks for any help you can provide.
Had tests done Aug 2002 by private diagnostic company. I received notice from insurance company Sept 2003 that they had just received claim and denied because "claim has not been filed within the time limits specified in your contract (one year)." Just received bill from provider stating, "Ins Co advised us that you are not on the policy info." NOT TRUE and contadicts reason for denial on statement of benefits from insurance company. I have been covered under this policy for the past 4 years and still am. Have had 3 surgeries in the past year -- all paid by same insurance company. Am I responsible for the full amount ($1027.50) even though it was denied due to their negligence in billing too late? BTW, claim would have been paid at 100% due to having met my deductible during the year.
Thanks for any help you can provide.