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Old Medical Bill.....need help ?

Date: Wed, 07/11/2007 - 16:32

Submitted by karenr216
on Wed, 07/11/2007 - 16:32

Posts: 50 Credits: [Donate]

Total Replies: 9


I had a Kidney Biopsy at a Hospital 2003.I gave the admissions clerk all my insurance information.
I now find that this bill has been turnrd over to a collection agency and date of removal on my
credit report is 2011.

I have researched and found out the Hospital did not file a claim.The insurance company has no record of any claim.The hospital's position is"we did not file in a timely manor".Do I have to pay this ? is there any way I can get this taken off my credit report?

I do have a statement from the insurance company that I had coverage at that time. :( :cry:


Based on my years of experience with a major HMO, I find it hard to believe that the hospital did not file a claim with your carrier. Trust me, they want to get paid!!!! If they had your information, there is no excuse for them not to do this--and then send you to collections.
What normally happens is when you're admitted, the hospital has to call the HMO to get a preauthorization for services, after which they bill. If they don't have the preauth, the HMO will not pay the claim.
When you got your bills, did it say that your carrier had been billed? It would be good to dig one out and see. If it does, then they did file a claim and I would definately escalate this with your carrier.


lrhall41

Submitted by kscornell on Wed, 07/11/2007 - 19:22

( Posts: 4407 | Credits: )


if it fell through the hospital cracks, it is their problem not yours. you are only liable for amounts that your insurance does not cover, when they are billed. Many insurance companies say they won't pay on bills submitted after a year, which is the hospital's fault if they didn;t submit it. You should not be penalized for their negligence. I would dispute it on your credit report and don't let them get away with this!


lrhall41

Submitted by dalfire497 on Wed, 07/11/2007 - 21:09

( Posts: 140 | Credits: )


Everybody is right here. I would call your HMO tomorrow, find out what they would pay for a hospital stay with your diagnosis, and then make arrangements to pay any left-over balance. It is the hospital's problem if they didn't file a claim--and to go after you is just wrong.
Now remember, you also have to pay the MD bill and radiology, etc., aside from the hospital.


lrhall41

Submitted by kscornell on Thu, 07/12/2007 - 18:11

( Posts: 4407 | Credits: )


I by passed the chain of command at the hospital.I went for the person in charge.Once I explained that the hospital had not filed this claim.She said they would write it off,contact the collection agency and
have it removed from my credit report.The whole transaction took less than 10 mins.
:D :lol: :D


lrhall41

Submitted by karenr216 on Sun, 07/15/2007 - 16:28

( Posts: 50 | Credits: )


I work for a major insurance company. First find out if the provider was a PPO provider (if you have a PPO policy) during the time of the service. Call your insurance company and find out if the provider can bill for you that because of timely filing. If they can't have your insurance company call the provider letting them know. I would also ask the insurance company if they can send you a letter so that way you can have it for your records.


lrhall41

Submitted by landrylou on Sun, 07/15/2007 - 18:31

( Posts: 310 | Credits: )