My insurance provider is denying a $43,000 prostate biopsy that was pre approved by provider with insurance. I received an estimate and paid my part up front. After much research I suspect it is because the biopsy was a transperineal biopsy instead of a rectal biopsy and may be considered medically... View More 
answered on Sep 14, 2023
An Ohio attorney could advise best, but your question remains open for two weeks. I'm sorry for the anguish this has caused. Try to arrange a free initial consult with an attorney - this could be a complex claim that could require medical expert opinion. Gather your insurance records, denials,... View More
My Insurance company says pre existing, but it clearly states within 5 years on policy we signed and it has been closer to 8 years since treatment for condition. I'm starting to get second notice bills from hospital & ambulance service. Do I start making small payments to providers or... View More
answered on Sep 2, 2023
An Ohio attorney could advise best, but your question remains open for a week. There are attorneys who handle health care claims. If you're considering consulting with an attorney, first review your paperwork. That could help make the most of a meaningful consult. Review your policy, review... View More
I believe my insurance company covers dental exams and also i had the exams done on march 14 but the date that the insurance company mailed the letter to me was july 22, which i think is not right
answered on Aug 14, 2023
An Ohio attorney could advise best, but your question remains open for two weeks. Until you are able to consult with a local attorney, one option is to call the claim examiner and ask about the reason for the denial. If you consult with an attorney on the claim, that's one of the first things... View More
I was in an auto accident 4 months ago.. The other man was at fault, but did not file a claim (I was just informed of this) for 4 months I have not had a reliable vehicle, nor have repairs been made by our insurance due to no collision policy. Our insurance did send the adverse carrier 4 demand... View More
answered on Oct 7, 2022
Auto insurance is tricky. You don't have a claim against his insurance company. You have a claim against him. He has a claim against his insurance company if they refuse to pay you on his behalf. Your insurance company has no claim against anyone, because you did not have collision coverage.... View More
I'm a health care provider. Several years ago I received a single-case agreement on a client. When I billed for services rendered under that agreement I was repeatedly denied for various reasons that were not applicable to the single case agreement. 20 sessions remain unpaid. This was in... View More
answered on Dec 22, 2021
An Ohio attorney could advise best, but your question remains open for three weeks. But it would probably be difficult for ANY attorney to advise meaningfully based on the brief description here. An attorney would likely need to see the agreement, the treatments rendered, basis for denials (medical... View More
I got into an accident, my steering locked up on my vehicle and I went into another vehicle pulling out of a gas station. Damaged were done and I didn't realize my insurance that I paid for 6 months in advanced had expired a few weeks prior. The other party has State Farm insurance and they... View More
answered on Nov 3, 2021
Only an Ohio attorney can advise here, but your post remains open for two weeks. You should consider reaching out to an Ohio attorney without further delay. I'm sorry, but from what you describe, it appears that you are being sued by the other motorist. Writing an informal note as you describe... View More
We had purchased it together when my daughter was younger, 2 yrs ago her mama said she dropped it. I am having to pay all of my daughter's debts while her grandmother gets the life insurancepolicy
answered on Apr 19, 2021
It's a little unclear what happened here, but it sounds to me like grandma bought a policy with you as beneficiary, later canceled that policy, and bought a new one with her as beneficiary. If that's the case, its her money. Were you paying any premiums? Do you have the policy documents?
My cousin passed away from cancer. Over 1 year later, his wife received a Bill from a large cancer treatment center. She had great insurance. He was receiving experimental treatment. The bill was denied because it was above usual and customary. $71,000
answered on Jan 23, 2021
According to recent Ohio case law, a creditor must deliver their claim to the estate's representative within 6 months of date of death. The cancer treatment center's claim should be denied.
This claim has been drug out since May and they refuse to return my calls
answered on Sep 27, 2020
An Ohio attorney could answer best, but your question remains open for four weeks. With most types of property damage claims, there isn't usually an issue in providing copies of, or disclosing findings of reports. It's difficult to speculate what could be causing the protracted course of... View More
I’m in Ohio and my employer changed insurance companies effective the first of this year. Neither I nor my therapist realized that this change made her out of network as many of her patients have the same employer as I and I found her through my old insurance which was provided by the same... View More
answered on Apr 1, 2020
Your employer will not be liable to pay or waive the expense. It is your responsibility to ensure that your health care providers are covered under your employer's insurance plan. You can ask if your therapist or your insurance company is willing to work with you on payments.
I was involved in a not at fault accident on 08/17/2019 can i send the demand letter then after that is sent go to my primary doctor for my injuries from the accident?
answered on Sep 28, 2019
An Ohio attorney would know best about any applicable state laws here. But your question remains open for three weeks. As a general matter, there isn't anything to stop a claimant from doing that. But a fundamental issue that could confront such a claimant if the visit to the primary doctor is... View More
And to find out the neighbor had been plotting this move for over a year after the head of soil and conservation advised neighbor not to block the watercourse THATS been their for 100+ years so the neighbor gets a permit to put in a WMSC and now we are getting all of the pollutions from the... View More
answered on Aug 15, 2019
Your neighbor cannot alter the course of the natural flow of water onto your property. The permits and zoning do not determine whether he has a right to adversely effect your property. You have rights that should be enforced through a complaint for trespass and request for mandatory injunctive... View More
Capital First, will only deal with my mother. They act like she has power of attorney over me. My mother is now trying to keep half of my monthly settlement. This was done while I was still suffering from my brain injury. I no longer am, and that was proven by a doctor two years ago. I'm now... View More
answered on Oct 16, 2018
I don’t practice in Ohio but your question remains open for four weeks. If you were represented by an attorney, it could be worthwhile to ask them to go over the terms of your release and other closing documents for the case.
Tim Akpinar
My mom is 70 years old and had let her insurance lapse (I had no idea it had). Apparently it has been a few months. I know that it is illegal to drive without insurance. This had also happened about 7 years ago too. I thought that she was on the straight and narrow and was keeping her insurance... View More
answered on May 4, 2018
No jail. I'm assuming you had an accident. The other person or their insurance will ask for her insurance. If she doesn't have any they'll ask her to pay. It may be to her advantage NOT TO MAKE ANY AGREEMENT TO DO SO because she may be "judgement proof." It really makes... View More
A vehicle covered under my policy was struck while parked at a fast food restaurant. It was unoccupied and my step son was inside the restaurant. My insurance company is raising my rate by 29$ per month because of this. They paid nothing out for this incident, The at fault persons insurance covered... View More
answered on Mar 5, 2018
Get them to put in writing why they are doing that. Then file a complaint with the insurance commissioners office.
I borrowed car for 1 day while car was in shop to get to work. I found out after I was in car accident due to black ice hit a parked car On the street who was parked by the curb. that the car I borrowed from a family member did not have insurance. The family member has told me they did have... View More
answered on Jan 17, 2018
But you carried insruance that covered you for liability so you should be OK. If you want, get a consult from an attorney who handles citations. Bring proof that you had coverage through your company at the time of the wreck. Notify your company.
The officer said because I cooperated that the judge would keep me out of jail because of that. But I accidently missed my court date and I had to recite myself. So does this mean that I will be taken to jail now?
answered on Aug 23, 2017
That you missed one time and had to reschedule is not going to have a major impact on the outcome. You really ought to have an attorney for this. Police officers are not very reliable sources of legal advice and often minimize to keep people calm. You need a lawyer familiar with the judge... View More
of the potential claim. Before I jump through all of the paper work hoops & pay filing fees, (insurance is asking for a certified copy of 'waiver of administration'). Is there some way to find out how much the claim may be?
answered on Jan 3, 2017
Probably not. Who was the owner of the policy? Your uncle? If so, then the proceeds are assets of his estate. Because of privacy rules, the insurance company can only release information to someone with proper authority to act on behalf of his estate, i.e. executor or administrator appointed by... View More
answered on Oct 5, 2016
Assuming they are over 18, they are responsible for their wrecks. Question is whose name is it in and if there is insurance,and whose fault the wreck was. If you are on the car as owner then if they were a known risk you may have some exposure not for causing the crash but for giving a car to... View More
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