Legal Question in Credit and Debt Law in New Jersey

BC/BS PPO refused to pay for referred services

Plan book from former work stipulates 100% coverage for Physical therapy with no-co pay on one page, with co-pay on another.

Conflicting information. I requested therapist call regarding co-pay before beginning therapy.

Nine visits to therapist no co-pay charged at that time.

BC/BS PPO sends statements, refusing to pay about $150.00

In therapy charges. $90.00 in copay charges added.

I resubmit claim form then forget about it.

Three years later law suit from collection agency.

Went to court. Judge demanded I sue BC/BS and he would

Hear the case again in January jointly.

The total bill is under $300.00 including court filing fees.

I don�t want 7 years of bad credit for this, nor loose my job for time out.

Collection agency refuses to negotiate. Can I file a motion to Dismiss? Am I obligated to sue BC/BS?

How do I do this?


Asked on 12/11/01, 12:33 pm

1 Answer from Attorneys
Glen Chulsky Law Office of Glen H. Chulsky

Re: BC/BS PPO refused to pay for referred services

I would be happy to offer you a no cost consultation. I would like to review the collection agency's actions to see if they violated your rights. It appears that you have to move quickly as your court date is in January. You can reach me at 908-213-0600 Glen Chulsky.

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Answered on 12/11/01, 7:46 pm


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