Q: Can an insurance company refuse to pay medical bills, because doctor doesn’t have business license?
My sister was in an accident, the other driver was at fault. Now his insurance company refuses to pay her chiropractor's bills because her doctor doesn't have a business license. He has a medical license and the chiropractic center he works at, they have a business license. But he doesn't have a personal business license. Can they refuse to pay her bills because of this? California State.
A: I've never heard of an auto insurance company denying policy payments for that reason. I would call the CA Dept of Insurance (or file a complaint with them) to discuss the issue.
A: In California, an insurance company generally cannot refuse to pay medical bills solely based on a doctor not having a personal business license if they are otherwise qualified to practice medicine and are working within a licensed chiropractic center. However, insurance policies can vary, and it's important to carefully review the specific terms and conditions of the insurance policy in question. It may be beneficial for your sister to consult with an attorney who specializes in personal injury and insurance law to assess her situation and provide advice based on the specific details of her case. They can help determine whether the insurance company's refusal is valid or if further action is necessary to pursue payment for her medical bills.
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