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... View More
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
1 month old child experiencing breathing abnormalities and oxygen desaturation was flown from small mountain town hospital to major children's hospital for more acute care. Doctors at both hospitals gave order of medical necessity for flight, arguing other transport is not an option(3+ hr... View More
Then ask for an EUO almost 8 months later? They did not ask for EUO with in 15 days. The claim has now drug out to be eight months long. We just received one small payment, and they are not wanting to pay out the rest of the claim which is substantial.
According to our declarations. We feel... View More
A Colorado attorney could advise best, but your question remains open for a week. More details are needed about the carrier's need for the EUO. You raise a good point. If the claim appears to be turning contentious, you could explore representation. Most injury law firms offer free initial...View More
The Colo. Vilage collaborative, compensated others some of which had no prop loss. Yet cut ties with myself and a handful of others completely.i filed claim with their ins.provider who stated they had lapsed ,had consumer advocate entity liasion to no avail. And have been trying to get legal help... View More
A Colorado attorney could advise best, but your question remains open for three weeks. I'm sorry for your property damages. At this point, you could try to set up a free initial consult with attorneys who handle property and casualty claims. If nothing else, you could learn the timelines that...View More
It was the the policy I had for my now deceased husband . We got divorced -- Mar 2018. He wanted the policy back -- I didn't argue. BUT apparently he DID NOT change the beneficiary -- its still me. This ins co has been requesting a lot of stuff, and I have provided it, and they keep... View More
A Colorado attorney could advise best, but your question remains open for four weeks. One option is to look into a consult with a Colorado attorney who handles life insurance claims. If you have the basis for a claim, which is something that an experienced attorney could better understand after...View More
I had a sizable condo fire, and it was determined that it was the HOAs insurance policy that should make the repairs (not due to fault but bylaws- both parties agree). Suddenly, my HOA changed ownership a few weeks after the fire to a new company. Now the old HOA is saying that it is no longer... View More
The police report we were given has his name, phone number, address, and the information for the owner of the car (his mom.) It seems like the only way to ask him for his insurance is to call, send a letter, or go to his house. I wasn't sure if any of those options are ok to do.
Especially if you are injured, but in general, accident/injury lawyers will provide you a free initial consultation and I recommend that you contact a few and take us up on it. You will obtain a better understanding of the process and perhaps get a better idea on how to proceed ----and perhaps...View More
I see that you are in West Virginia but asking about laws in Colorado. The Colorado law supports you leasing your automobile to someone who then uses it for profit. Leasing an automobile to another person or business can be done at a profit to yourself (just be sure to tell your CPA about that...View More
I also requested documentation of the coverage policies. The agent said he would send what documents he thought would be pertinent, and my policy was increased. Additionally, the adjustor denied certain parts of my home's siding were damaged by hail and said these areas were due to normal... View More
A Colorado attorney could answer best, but your question remains open for four weeks. I'm sorry about the damage to your home. Yes, as a general matter nationwide, premiums could increase. Insurance practices are governed by state law and they can be subject to state-specific conditions under...View More
She is a soldier in the Army and emergencies such as these are covered by Tricare which is the health insurance provided for military members. She received a bill in the mail for her hospital visit saying that Tricare did not cover the cost because it was not coded by UC Health correctly as an... View More
A Colorado attorney, and possibly a military law attorney familiar with the operation of health benefits for members of the armed forces, could advise best here, but your question remains open for three weeks. The matter might require someone familiar with medical coding to look at the CPT and...View More
I have received a quote from a dental company for implant, abutment and crown for 4 535$. This is with the consideration that my dental insurance will cover 50% of the first and second part of all work and my out of pocket will be 2212$. I thought that this quote means this info is checked with my... View More
A Colorado attorney could advise best, but your post remains open for three weeks. In terms of reimbursement efforts, they could depend on whether that how the clause was worded and the dental company's agreement. One option could be to consult with a Colorado attorney who handles...View More
I have had an illness for months but specialist is still seeking diagnosis. Short term disability has been exhausted. Long term disability company is asking me to sign medical release for entire medical record and waive HIPAA in addition to other seemingly inappropriate questions that have nothing... View More
A Colorado attorney could advise best, but your post remains open for two weeks and you mention needing help quickly. One option is to start reaching out to attorneys who handle disability claims. Many attorneys in that area provide free initial consults - that's between you and the attorneys...View More
Over 3 years ago my car was T-boned in the front end when parked and sustained body/axle damage. Their insurance company has been fighting since the beginning about fixing all the axle damage. They sent me to a car body repair place who uses Brakes Plus to fix other issues like axles. Brakes Plus... View More
A Colorado attorney could advise best, but your question remains open for two weeks. It sounds like you were trying to negotiate with the adversary vehicle's insurance carrier. Unfortunately, the premise that generally applies in such situations is that an opponent is not under an obligation...View More
I was treated in an emergency room for injuries from an accident that was the fault of the other driver. I provided my health insurance card at the time of my treatment. 3 months after treatment, the hospital made a claim against my auto insurance medpay, but after ~$2K of payment to the hospital... View More
Most likely the hospital will have a Lien on your settlement monies. It really depends on the specific laws of your state. Hospital lien laws are very powerful here in my state of Colorado. You would have to look at the hospital lien statute and laws governing that statute in your state.
Structural engineer who no longer is in business had a claims based policy which supposedly ends when they stop paying the policy premiums. Other contractors the insurance company will cover if they had insurance at the time of work. Is an insurer required to defend a suit after the policy... View More
My dad lives in Longmont. "Duplex" is probably not the correct term: it is a single building that contains two residences, each owned by a separate person. The area has an HOA. There was a hail storm a few months ago. A roofer and my dad's insurance (State Farm) adjuster... View More
You may be better off just having your dad's neighbor go straight to an attorney who specializes in first-party property insurance bad faith claims. That lawyer can get a better idea of the facts of the case and point them in the right direction. Often bad faith insurance litigation firms...View More
Dear Mechanic’s Lien Defendant: in reply to inquiring about the type of attorney, you should employ an attorney whom has experience in your local jurisdiction in construction litigation, more specifically one whom understands the nuances of filing a “Petition For Release Of Mechanic’s...View More
My fiance was killed. Uninsured claim paid out but went to his son, why didn't that come to me since we shared that Uninsured policy? And is it true in CO both people have to sign the rejection letter or just one?
Sharing a policy is not the same thing as listed beneficiaries. If the pay-out whet to the deceased's son, you likely were not listed as a beneficiary on the insurance.
If by rejection you mean a modification of beneficiaries, then only the deceased (when living) could modify...View More
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.