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.
A: If she is represented by an attorney, she should show her attorney the form of non-payment - whether it's a denial or delay letter requesting additional information. 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.
