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Linda
Brandwin, R.N.
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Linda
Brandwin
is a registered nurse and a medical billing
and claims specialist. For the past 10 years
she has worked directly with insurance companies
to give advice and guidance to the health care
consumer.
Readers may send email
or write Linda Brandwin at 5500 Single Oak Hill
Ct., Woodbridge, VA 22192.
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Hospitals
have an obligation to bill in a timely fashion
Oct 21, 2004
Q:
Two
and a half years ago I was hospitalized over night because
of an auto accident. The hospital bill was approximately
$2000.
I
had insurance at that time. I have never received a
bill for hospitalization before last week. I assumed
the hospital had billed and collected from the insurance
company that I had at the time. Out of the blue last
week I received a bill from the hospital for the $2000.
I
have a different insurance company now. Since it has
been almost three years, am I legally obligated to pay
this bill? Thank you for helping me.
A:
Call
the hospital and speak to the billing department. Simply
ask them why there is a two and a half year delay of
your bill. Find out if they billed the correct insurance
company and what the response of that insurance company
was. It is possible that your automobile insurance company
should have been billed instead of your health insurance
company. Depending on the hospital's answer, you may
also want to verify coverage with both your previous
health insurance company and with your automobile insurance
company. I do not know which insurance company was responsible
for your hospital claim. You need this information.
I
do not know what the law in Mississippi is. You may
want to call your insurance quality board and the attorney
general's office to find out if there is a time limit
for your financial liability regarding this bill. The
hospital has an obligation to bill you in a timely fashion.
The turn around time for a medical claim to be submitted,
processed and paid by the insurance company is approximately
45 days. The hospital should have followed-up on this
claim shortly after that. Timely billing is not three
years after a hospitalization.
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