Settlement in the works, hospital billing question

Message Author
ampm-bookmark
delicious-small Add to del.icio.us
yahoomyweb-small Add to YahooMyWeb
simpy-small Add to Simpy
blinklist-small Add to BlinkList
PostPosted: Mon May 16, 2011 8:14 pm   Post subject: Settlement in the works, hospital billing question  

** I accidentally posted this in the auto insurance forum, but I feel it would be better suited here.**

I was in an accident but there was a dispute as to who was at fault. I went through my car insurance and paid my deductible to pay my claim. Everything has been fine in regard to that.

My problem comes in that my lawyer's firm decided to keep pursuing the other driver and now they have offered me a settlement. While my lawsuit was up in the air when I submitted my auto claim, there was an outstanding hospital bill that was due. My PIP was exhausted at that point. I contacted my health insurer to see if they would pay the balance. I was honest about the lawsuit and at the time, the other insurance company would not pay a dime. My health insurance paid the bill for me. Obviously, insurance companies do not pay the full amount, but I have received no bill from the hospital in six months since my health insurance paid them.

Now that a settlement is being reached, I realize that I owe my health insurer the for the costs that they paid. However, do I still owe the hospital the balance of the bill if they have already agreed to a payment from my insurance company?
xax
New member
Leave a quick message


Joined: 16 May 2011
Posts: 1


1.23 Dollars($)

PostPosted: Wed May 18, 2011 7:19 am   Post subject:   

Quote:
However, do I still owe the hospital the balance of the bill if they have already agreed to a payment from my insurance company?


No. When the hospital accepts payment from the insurance company in a negotiated claim, they give up the right to collect more than that amount. If they had not accepted a payment, then they would be entitled to full compensation. But you do owe your insurance company 100% of what they paid on your behalf, as you acknowledge.

_________________
CA-licensed P&C Broker-Agent and Life Agent. CA Insurance Lic #0596197. Now investigating insurance company abuses, and providing litigation support and expert witness services. Send me your questions, and I'll send you my answers.
MaxHerr
Moderator
Leave a quick message

MaxHerr
Joined: 29 Nov 2009
Posts: 4618
Highets Points
Location: Pomona CA
208.83 Dollars($)

Quick Reply
Your Name
Subject
Message body
All times are GMT
Page 1 of 1


Get Free Insurance Quote
*State:
*Insurance type:

Ask Community Experts

flash plugin

Quick Links
Must See
Community
Insurance on Facebook
Hot topics in forums

Latest in blogs



Page loaded in 0.227 seconds.