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Family clinic accepted copay and claimed to be an in network provider. Insurance company denies claim because clinic IS NOT in the network. Can I dispute the bill for clinic's misrepresentation?
Wiki User
∙ 14y ago
I did and finally, took about 3 months and finally it was PAID. I called the place several times and called Schalder Insurance and they finally paid it. Just be patient and keep records documented!
Wiki User
∙ 14y ago
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What is incontestable period in life insurance?
The Incontestable Clause in a life insurance policy states that after the policy is In Force two years, the insurance company cannot void it because of misrepresentation or concealment by the insured in obtaining the policy.
IF Patient primary insurance denied claim because provider is not contracted with them will secondary insurance pay on the claim?
yes
What is incontestability clause in life insurance policies?
You can find this by looking at the "Incontestable Clause" in your life insurance policy. The "Incontestable Clause" states that after the life insurance policy is in force for two years, the insurance company cannot void it because of misrepresentation or concealment by the insured in obtaining the policy.
Does the provider have to file primary insurance before filing secondary insurance?
Yes, and you want them to because if they are paid out of order then it will be a mess to correct.
Can you get insurance in your name with someone else on the title?
No. You cannot insure something that you do not own. If you purchase insurance on a vehicle that you have no interest in the insurance company cannot pay you for any damage because you do not own the vehicle. They also cannot pay the owner because they have no contract with the insurance carrier. This is what is called material misrepresentation and will void all coverage on the vehicle. Do not get into this mess.
What do you do if insurance payment is denied because service not pre-approved?
This will depend on your insurance carrier and your provider. I would suggest calling your insurance carrier to ask for help. In general, if your provider is out of network, you will need to appeal the denial with the insurance carrier and provide details about why you didn't call to do the pre-approval. If your provider is in network, they usually cannot bill you if they fail to do a pre-approval. (check with your insurance carrier to verify this) In that case I would contact the provider and tell them they can't bill you for it. If they insist they can, contact your insurance carrier and ask them to send a letter to the provider stating they cannot bill you for the service due to their failure to pre-approve it.
What is contestability period in life insurance?
The Contestability Period in a life insurance policy is usually two years. You can find this by looking at the "Incontestable Clause" in your life insurance policy The Incontestable Clause states that after the life insurance policy is in force for two years, the insurance company cannot void it because of misrepresentation or concealment by the insured in obtaining the policy.
Is there a mobile phone insurance plan that will cover more than just wear and tear?
It all depends on the service provider that you go with. All you need to do is ask the provider when you go to get it , that you need some type of insurance because of your needs.
What is the reason to purchase health insurance from a specifically Christian provider instead of a nondenominational company?
The reason why you should purchase health insurance from a specifically Christian provider instead of a nondenominational company because if you're a Christian, they can give you a nice discount.
How long does a life insurance policy have to be in effect where it cant be questioned?
Refer to the Incontestable Clause in your life insurance policy. The Incontestable Clause states that after the policy is In Force two years, the company cannot void it because of misrepresentation or concealment by the insured in obtaining the policy.
Which companies provide health insurance maternity?
Maternity health insurance is not a stand alone insurance. It is usually included in a package provided by your insurance plan. Blue Cross and Blue Shield and Humana offer maternity and post natal insurance plans. You also need to check with your current provider, because insurance changes from state to state sometimes.
What are the pros and cons of PPO dental insurance?
A pro of having dental insurance from a PPO health provider is you get to choose which dentist or specialist you want see. A downside is the PPO plans are generally higher in price because of this luxury.
