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Excessive Medical Billing Claims

Excessive Medical Billing Claims Lawyer

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Excessive Medical Billing Claim

Stories about astronomically high medical bills are all over these days. Consider the case of a woman whose doctor wanted to test her urine after surgery. The bill came to a whopping $17,850 after the lab decided to run numerous tests that weren’t ordered.

Ultimately, this patient’s father settled the bill for $5,000, but that’s still an outrageous expense. The woman’s insurance was willing to pay approximately $100 of the bill, leaving her on the hook for the remaining balance.

If you believe that you are the victim of excessive billing from a health care provider, then you need the services of a medical bills lawyer. These legal professionals understand the medical billing process, know the law and are determined to see justice done.

Best of all, a hospital bills lawyer from Your Insurance Attorney won’t ask for any payment from you unless your case is won. This means that they’ll always do their utmost to help you at every stage of the process.

Disputes over Medical Billing

It happens every day. An insurer denies or underpays a claim for health treatments, and this leaves the patient stuck with the bill. As treatments continue, the bills keep piling up.

What can you do? If you require ongoing treatment or medication, then it’s impossible to deny yourself care. It’s even more unthinkable to consider not getting necessary treatment for a loved one.

The result is that you are drowning in medical bills debt, and it may seem like the only way out is bankruptcy.

What if your insurer is wrong? What if the company should have paid for more of your expenses? Would that save you from financial ruin?

When you can’t sleep at night or enjoy life any longer because your medical bills are consuming your every thought, then it’s time to look for help from an experienced hospital bills lawyer.

What Can a Medical Bills Lawyer Do?

Attorneys are skilled negotiators who also understand the law. This provides them with the background and the learning that are required to work with health care providers and insurance companies.

The process may begin with your attorney talking to the offices of the health care providers who are billing you. Occasionally, it is possible to get these bills reduced by asking for it.

When a medical provider understands you, your financial situation and your ability to pay, then they are frequently willing to reduce the amount you owe. Moreover, it is not unusual for the hospital or doctor’s office billing department to make clerical errors that could result in you being billed for thousands of dollars that you don’t actually owe.

Your attorney is intimately familiar with the medical billing process and the many errors that can occur within it. Additionally, because it has handled dozens of similar cases, he is familiar with the data that is likely to persuade a medical provider that they may have overbilled you or that it would be impossible to pay the amount that is being requested.

Call Your Insurance Attorney First

Whenever you are confronted with medical bills that you cannot pay, contact Your Insurance Attorney. Their ability to negotiate not only with your health care provider, but also with your insurance company, is the best way to save yourself from getting mired in months of frustrating negotiations.

If you or a loved one is ill, then it’s wise to put as much effort as you can into getting better. You may have ongoing medical treatments to attend, and you also want to carry on with your usual activities, like going to work and enjoying meaningful pastimes.

Fighting with your health care provider or your insurance company is the last thing you want to do. Let Your Insurance Attorney act on your behalf so that your family can focus on healing.

You Won't Pay Us a Penny Unless You Win

At Your Insurance Attorney, we never ask our clients for an upfront payment. Instead, we take only the cases that we believe a serious injustice has occurred. We review your evidence and documentation so that we can tell you whether or not it’s worth pursuing an investigation, negotiation and potential litigation.

We’re dedicated to justice, and when we see that an insurance company has made errors or is acting in bad faith, we believe that it is our calling to put right that injustice. 

Call Your Insurance Attorney to find out if you may be able to get your medical bills reduced or induce your insurer to cover more of your bills.


What is a health insurance denial?

A denial is when your health insurance company tells you that it will not cover the costs of your medication or medical treatment. Many health insurance denials may be resolved through the insurance appeals process.

What is an Explanation of Benefits?

An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products you’ve received. The EOB is generated when your medical provider submits a claim for the services you received. The insurance company sends you an EOBs to clarify (i) The cost of the care you received (ii) Any money you saved by visiting in-network providers (iii) Any out-of-pocket medical expenses you’ll be responsible for (iv) any cost sharing under your contract of insurance.

What type of health insurance do I have?

There are four general type of plans (i) marketplace plans (ii) employer plans (iii) self-insured plans (iv) short-term plan.

What happens if my health insurance fails to approve a medication or treatment?

You will have to review your policy and EOB to determine the reason for the denial. If you find an error was made, you may submit an appeal for re-consideration of the decision. There are typically three levels of appeal. The First Level, A second Level and an External Review. If your claims are denied at all levels, legal action is the next step. Employer plans are the only health plans that require an appeal. Unless the health policy says otherwise, an appeal is not mandatory for other health insurance plans.

What is a health insurance appeal?

If your health plan refuses to pay a claim or ends your coverage, you have the right to appeal the decision and have it reviewed by a third party. There are typically three levels of appeal. The First Level, A second Level and an External Review. If your claims are denied at all levels, legal action is the next step.

I have a large bill because my health insurer failed to pay for my medical bill, what next?

If you have an employer plan the next step is filing an appeal. You must be aware of time limits to file an appeal. Failure to file an appeal may bar your claim and any legal action in the future. If you have a short term plan or a marketplace plan, an appeal is not usually mandatory and you can proceed to legal action after 60 days have elapsed from the date the claim was denied.


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