During the past 20 years and after many back-and-forth litigation’s issues between insurance company and the medical infrastructure, I have spent hours and days rewriting my PAID insurance allowances, coverage, etc. to no avail.
All because the medical infrastructure did not fill out the claim EOB correctly.
Until I learned to threaten the insurance companies in question the same way as they threatened me with ‘reporting me to the credit bureau’ They were using ‘knowingly or unknowingly’ false statements to threaten me but my response to them was stating their fraudulent accusations with a copy of the same to the Federal Health Insurance Department for their violation of my contract.
In many instances the response from the insurance company had been:
“sorry but your doctor’s office did not fill out the claim correctly and it has to be refiled”
Also many doctors offices would not receive the payment for their rendered services due to the long process by the insurance companies.
In reference to this slow payment process the insurance companies explain to me that their billing was being processed by a third party.
This ‘third party’ entities take up to three months to pay the agreed amount to the health provider.
Therefore many health providers do not accept certain insurances anymore