Phoenix, AZ asked in Car Accidents, Health Care Law and Personal Injury for Arizona

Q: Can a hospital ask for reimbursement from a car accident settlement even if the health insurance company has paid?

If the health insurance company has paid off the hospital, can the hospital still ask for money from a car accident settlement in Arizona? I understand that health insurance companies work deals with hospitals to pay a lower price so with that being said, could the hospital still ask for more money from the settlement?

3 Lawyer Answers
Matthew Maerowitz
PREMIUM
Answered

A: If you had an attorney representing you on your bodily injury claim, your attorney is the one to talk to. This often gets resolved through the attorneys handling a personal injury case to make sure all liens are resolved when disbursing the settlement funds. In general, the hospital can ask for reimbursement unless the insurance company paid in full, in which case the insurance company would likely request reimbursement.

A: You should look for a member of the AzTrialLawyers Assn--they give free consults. You may have an underinsured claim and you need this straightened out. At a minimum get the payout log so you know what he insurance paid. But you really, really need to consult an attorney. This is not d.i.y. time.

Sally A. Roberts agrees with this answer

A: The answer is it depends. If the hospital has been paid by the insurance company, meaning the health insurance plan of the injured person, the insurance will want to be reimbursed - not the hospital. A personal injury attorney should be dealing with this as liens and subrogation for reimbursement is an extraordinarily complex matter.

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