Legal Question in Consumer Law in Texas
On October 30th my neurologist office called and told me they had insurance approval for my visit the next day and that I only had to pay my copay. The next day they charged me the copay and my insurance company has verified they did in fact request benefits on the 30th. Now they want me to pay $1300 because they made a mistake. Do I have to pay this? I would have never gone if I had to pay more than my copay. Also, I agreed to the copay and that is what they charged me so isn't that an agreement.
1 Answer from Attorneys
Not unusual...but it won't happen with Medicare/Obamacare....but profit motivation changes often..unfortunately without seeing policy/letters..once can't opine...but it could be bad faith..as to insurer..and if sued by medical provider, counter suit against insurer
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