How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Infolawyer Your Own Question
Infolawyer
Infolawyer, Lawyer
Category: Consumer Protection Law
Satisfied Customers: 6607
Experience:  Licensed attorney helping individuals and businesses.
11313492
Type Your Consumer Protection Law Question Here...
Infolawyer is online now
A new question is answered every 9 seconds

On 4/11/2015 I began experiencing stroke-like symptoms and

Customer Question

On 4/11/2015 I began experiencing stroke-like symptoms and my wife took me to the ER. They ran a bunch of tests MRI CT etc. The medical claim for that visit was approved.
On 4/15/2015 I began experiencing the same symptoms and they ran more tests MRI CT etc and my claim was denied stating it was medically unnecessary.
I have gone through the Blue Cross Blue Shield internal and external appeal process. The first two internal appeals upheld the decision of denied and the external appeal also held up a decision of denied. The reason in all three cases stated medically unnecessary. BCBS is not being consistent. What legal action can I take against the hospital or the insurance company?
Submitted: 10 months ago.
Category: Consumer Protection Law
Expert:  Alex J. Esq. replied 10 months ago.

Hello. My name is***** am a US licensed attorney and I will be happy to answer your question.
I am sorry to hear about this unfortunate situation.
Please note, I cannot comment on your specific situation, as this services is only limited to general information and for any legal advice / legal service you should contact your local attorney.

What is the amount of unpaid medical bills?

Customer: replied 9 months ago.
The claim was for over 17K but since the claim was denied the hospital cut the bill in half so it's about 9K. The first claim they approved was for about 25K and my responsiblity for that claim was about 6K. I'm confident I would owe less than 5K on the second claim if it was paid / approved by BCBS.

Related Consumer Protection Law Questions