Can a Tennessee hospital refuse to bill your insurance company and bill you instead?
Can a Tennessee hospital refuse to bill your insurance company and bill you instead?
A Tennessee hospital refused to bill my insurance company and attached a lien to my settlement for the full amount of the bill. They would have got a discount rate if they billed the insurance company.
Answer: If the hospital is not a member of the insurers network, they are billing you since they don’t want the discount rate, they want the full payment. You are expected in turn to submit the claim to your insurance company.
Assuming you went out-of-network, it is likely that you will only be covered for 60 to 70% of the bill and expected to pay the difference.
However, if the hospital is in your insurers network, you need to complain to your insurer. This is deemed balance billing and is usually against the contract and/or state law.
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