Insurance Claim Dispute Resolution

Summary

If you are facing a dispute with your insurance company over a hospital bill, consider reviewing your insurance policy to understand payment terms and negotiation clauses. Gather all communication records with the insurance company and hospital. Contact the Georgia Department of Insurance for guidance. Consulting with a legal professional might also be beneficial.

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Sam Benefield
Hi Sam! What legal issue are you dealing with today?
in * I had an self employed insurance company for me and my son. He was admitted to the hospital and the bill was 140k. I submitted paperwork to insurance company and they send me a check for $58k saying they have a signed negotiation with the hospital. The hospital says they do not negotiate so i do not cash the check. I sent letters, emails and faxes about this to the insurance company with no response. so I do not cash the check. They now send me a sheet to sign saying they will resend the check. I have paid on the bill and the hospital forgave 112k now the insurance company said they wont send me the check if i dont have a bill. what can i do?
That sounds like a complex situation. You might consider taking the following steps:
- Review your insurance policy to understand the terms of payment and negotiation.
- Gather all communication records with the insurance company and hospital.
- Consider contacting the Georgia Department of Insurance for guidance.
- Consulting with a legal professional might also be beneficial.
If you want, I can connect you with local lawyers who may assist you further. Would you like that?