u/gardengirl99

Can a provider bill a patient if they filed a claim incorrectly?

I received a bill for the entire visit amount 16 months after my visit with a participating provider. Apparently they filed the claim very wrong, because my insurance has no record of them filing a claim at all. I provided correct information so they could re-file. I see no evidence of this new claim on the insurance website/app. Regardless, they didn’t re-file until after a year had passed, so they failed to file in a timely manner, thus it’s rejected. As far as I’m concerned, that’s their fault, and I’m am not responsible for those charges. If they had contacted me earlier, I could’ve given them more information so they could get paid, or they could’ve asked me to pay and I could’ve filed for reimbursement. But it’s too late unless the insurance company grants an appeal. These are for charges from September 2024! I’ve spoken to someone in the provider’s billing department twice now. How much time are they going to expend for $200? 🙄

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u/gardengirl99 — 3 hours ago