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New Member
Member Since Oct 2011
Posts: 1
12 |
Oct 07, 2011 at 07:51 PM
#1
I started an outpatient Suboxone program 10 weeks ago. Their policy is to require up front payment for services from everyone. I am lucky to have good health insurance that is covering completely. So far, I have paid almost $500 out of pocket. The treatment program received reimbursement from my insurance company over the past month for all services I've received. It's been two weeks since the final check was received but I have not been reimbursed anything. I've been given several different timelines by the program's biling department, the most recent being "7-14 days to process reimbursement."
My question is, "how can this even be legal?" The program has had my $500 since the first week of August. My insurance began reimbursing in mid-August and was up to date before the end of September. I understand that it is the program's perogative to require payment before providing services, but how are they able to just "hold" my money AND the insurance payment? Has anyone heard of this before? |
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Magnate
Member Since Jul 2011
Posts: 2,309
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Oct 07, 2011 at 09:13 PM
#2
I' ve heard of similar things. Deposits and such. They make money on the interest, so they' ll keep it til last possible moment. You can try being super annoying and saying words like lawyer and better business bureau. It might get your money back faster, but if you are going to be dealing with them in yhe future ypu migjt not want to raise too big of a stink.
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Legendary
Member Since Aug 2007
Location: West of Tampa Bay, East of the Gulf of Mexico
Posts: 14,352
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Oct 07, 2011 at 09:19 PM
#3
Call the insurance company and tell them you paid up front. Then fax or mail (some require original documents and fax is a copy, so may have to mail) your proof of payment and request the insurance company reimburse you.
If they don't comply, file a complaint with your state's Department of Insurance (DOI). Insurance companies do not like this and the law requires them to resolve your complaint as quickly as possible. After they reimburse you, they can request a refund from the hospital/program. |
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This is an old thread. You probably should not post your reply to it, as the original poster is unlikely to see it.|
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