this post was submitted on 25 Jan 2024
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What are my options when my provider sends me a bill without submitting a claim with my med insurance, and is ignoring my repeated requests to submit the claim and send me a revised bill post-settlement? How do I prove that I do not owe the billed amount, and I do not owe them anything until they claim it through my insurance first?

Unfortunately, I did encounter something very similar with a previous provider - and I naively decided to wait and watch when their "billing desk" was busy ignoring my requests to submit the claim first - just to get to the day when they sent it to collections. Dealing with collections is another nightmare, and while it went in my favor at that time, I promptly left that provider and switched to another.

So I want to be cautious here this time, because although the "billing desk" of my provider might be a bunch of inefficient a-holes, I don't want to deal with collections again.

Would welcome any insights ! Thanks !

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[–] DerisionConsulting@lemmy.ca 4 points 9 months ago

I am not an American, but you may be able to submit it to your insurance yourself. Where I live, teeth are joking called "luxury bones" because dental isn't covered for everyone by the government. Some dentists/orthodontists just don't submit things to insurance, and we need to do it ourselves, though the vast majority of the offices do submit, because people will avoid those that don't if they can.