Billing office – Numerous Errors

Complex situation:

Mom had an incident, 3rd party agreed to pay chiropractor then backed out later My mom verified that the chiropractor took her insurance just in case. Throughout months of treatment, my mom checked with the front office and they said things were fine (related to the bill and 3rd party). Well, 3rd party backed out and never paid a dime, but my mom didn't know for months.

Now they're claiming that they didn't have her health insurance on file. Gave it to them (again) later, and the claim was denied. The chiropractor they assigned her was out of network (which is what we were trying to avoid) and it was now past 90 day deadline to submit for out of network. Had it been in-network, there would have been 365 days to file a claim which would have been plenty of time. All the other chrios in that office are in-network, they assigned her the one that wasn't.

I have verified with the insurance company about the timing deadline, the chrio assigned was out of network, etc. Their last email to me was saying the exact opposite. This has stretched out over a long period, they have had ample time to get this right.

How do I even respond to them now?

There's a very large outstanding bill. My mom isnt out to screw anyone over and they would be paid by now if they had done things properly.

If this bill is headed to collections, feels like we have a legitimate argument to fight them on it. How do we handle this? We dont ever have stuff go to collections.

See also  Claim Denied, So Confused

submitted by /u/IronManRandom
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