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
  • 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

Justia Ask a Lawyer is a forum for consumers to get answers to basic legal questions. Any information sent through Justia Ask a Lawyer is not secure and is done so on a non-confidential basis only.

The use of this website to ask questions or receive answers does not create an attorney–client relationship between you and Justia, or between you and any attorney who receives your information or responds to your questions, nor is it intended to create such a relationship. Additionally, no responses on this forum constitute legal advice, which must be tailored to the specific circumstances of each case. You should not act upon information provided in Justia Ask a Lawyer without seeking professional counsel from an attorney admitted or authorized to practice in your jurisdiction. Justia assumes no responsibility to any person who relies on information contained on or received through this site and disclaims all liability in respect to such information.

Justia cannot guarantee that the information on this website (including any legal information provided by an attorney through this service) is accurate, complete, or up-to-date. While we intend to make every attempt to keep the information on this site current, the owners of and contributors to this site make no claims, promises or guarantees about the accuracy, completeness or adequacy of the information contained in or linked to from this site.