Payments > Insurance Payments

PI non-payment

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AdvancedSpine:
In florida If the patient signed an assignment of benefits when she registered with your office, you can turn it over to an attorney to place a demand and collect it from the insurance company.  This is a no-fault state so, I am not sure how your PIs work where you are but this always works for me.

PMRNC:
The insurance carrier has the claims, they are holding up for information from the patient, so no demand letter is going to work demanding it from the insurance company, the carrier of course has done their diligence by "pending" the claim and have a right to hold until they have all the info they need for a claim decision. Her best recourse is collections via the patient because there technically is NO case since she A) opened it herself B) failed to respond to requests and C) did not follow dr orders.

DMK:
The happy ending is that nagging the attorney's office 5 or 6 times worked.  I got my check on Monday!!!!!  I had my letter to the patient, copies of her signed agreement to pay, copy of the EOB showing the claim pending information from the patient, all ready to go, stamped and addressed.  The mail man picked it up when he dropped my mail and there was the check! So I nabbed him and got the letter back!

I am SO glad I didn't have to start that nasty collection process.  My faith in humanity is restored!  Well, this lady at least. :P

PMRNC:
Good Deal! Did carrier pay or was check from patient?

DMK:
The insurance company paid, so the patient must have FINALLY called them.  I'm so grateful I can't even tell you!

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