Dillon, CO asked in Insurance Bad Faith and Insurance Defense for Colorado

Q: so i went to the chiropractor that was out of network with my insurance so the chiropractor submitted a claim to them af

so i went to the chiropractor that was out of network with my insurance so the chiropractor submitted a claim to them after my visit to see if they would make an exception. my insurance sent me claim documentation and they approved to cover $78 of the total meaning i would have to pay $178 out of pocket. During my visit i paid $205 out of pocket because the claim wasn’t filed until afterwards by the chiropractor office. Since i already payed $205 wouldn’t that mean they would need to reimburse me the difference of $178

1 Lawyer Answer
Tim Akpinar
Tim Akpinar
Answered
  • Insurance Claims Lawyer
  • Little Neck, NY

A: A Colorado attorney could advise best, but your question remains open for four weeks. Speak with the office's billing and collections personnel. Most medical offices would make adjustments where a patient paid out of pocket for charges that were submitted and partially covered. Good luck

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