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Hello and thank you for the opportunity to assist you. My name is ***** ***** I'll be glad to help if I can. However, I am unclear about your question. Can you provide a little background information and perhaps clarify the question? Thank you.
Hi again. No problem. Glad you responded.
However, I'm still not positive of the situation. Are you implying that you paid your doctor, and that your doctor is billing your insurance ... i.e., your doctor is being paid twice? And therefore, you would like a refund from your doctor?
So it is a situation where your doctor charged you for the same services that it was already being reimbursed for by your insurance company. In that situation, if the doctor refuses to voluntarily refund the money that you paid, you need to sue the doctor in small claims court. In order to win in small claims court, you'd need to show the judge evidence that the doctor was reimbursed by your insurance company for a specific service, and that you also paid your doctor for that same service ... i.e., show evidence that your doctor was paid twice for the same service.
Fortunately, small claims court is designed for non-attorneys, and the rules of procedure and evidence are relaxed in comparison to other courts. Most likely, your only expense should be the filing fee and service fee. In order to sue in small claim court, you should visit the local court clerk for the proper forms. Then you fill out the forms, file them with the clerk, and ask for the sheriff to serve the summons. After the defendant is served, a trial date will be scheduled.
Does that answer your question? Please let me know if you need clarification, as I am happy to continue helping you until you are satisfied.
That is correct. You must show evidence of double payment, so you will need to show that the insurance paid for the same service that you paid.
You can ask for past dated receipts. But if they don't give them to you, then you can't force it unless you were to subpoena them or request them in a document production request. This is a double edge sword, however, since you can't ask for document production in small claims court. Instead, you'd have to sue in the higher court, which also means you'd need to strictly adhere to the rules of evidence and procedure ... i.e., it's not nearly as friendly for non-lawyers as small claims court.
Just letting you know that I'm signing out for the evening. If you have another follow-up question, feel free to post it and I'll respond tomorrow as soon as I am able.
Hello again. I didn't hear back from you, and you haven't yet rated me, so I'm just checking in to make sure that you don't need more help on this issue.