Alpharetta, GA asked in Health Care Law for Georgia

Q: My chiropractor did not file a claim with my insurance company and now it’s too late. Now he wants me to pay.

If he would’ve filed with my insurance company, I would not have had to pay anything, because I was over my deductible and out-of-pocket limits. From what I’ve found, he is in violation of Georgia law. Please advise.

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1 Lawyer Answer

A: A Georgia attorney could advise best, but your question remains open for two weeks. As a GENERAL PRACTICE nationwide, if the delay was due to awaiting things from patient - providing signature on an assignment of benefit, providing insurance info, patient agreed to valid lien, etc., it's on the patient. If the delay was due to medical provider not submitting claim in a timely manner through no fault of patients, it's on the medical provider. In terms of Georgia law, a local attorney would need to advise there. Good luck

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