Wilkes Barre, PA asked in Health Care Law for Pennsylvania

Q: Do I have a right to a copy of what has been billed to my insurance company from a home health agency?

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1 Lawyer Answer
Tim Akpinar
Tim Akpinar
  • Little Neck, NY

A: Insurance practices are governed by state regulations, so a Pennsylvania attorney would be most familiar with applicable laws. But your question remains open for two weeks. As a general practice virtually nationwide, policyholders are provided with the information you describe. Just ask your insurance carrier for a copy of the EOB, or Explanation of Benefits. Those forms will provide a breakdown of what was billed by the medical provider, what was paid, what was denied, applicable fee schedules, and other relevant information. Good luck

Tim Akpinar

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