Canada Law

Ask a Canada Law Question, Get an Answer ASAP!

Ask an Expert,
Get an Answer ASAP!

This answer was rated:

Can you tell me how an insurance company would typically…

Hi can you tell...

Hi can you tell me how an insurance company would typically resolve insurance health claims that have been submitted in error?

Lawyer's Assistant: What state are you in? It matters because laws vary by location.

Ontario

Lawyer's Assistant: Has anything been filed or reported?

Filed how? I went to my insurance company when I noticed discrepancies in my claims

Show More
Show Less
Ask Your Own Canada Law Question
Answered in 3 minutes by:
3/11/2018
Debra
Debra, Lawyer
Category: Canada Law
Satisfied Customers: 103,919
Experience: Lawyer
Verified

Hello! My name is Debra (formerly known as Legal Ease). Thank you for your question. I'm reviewing it now, and will post back again shortly.

Ask Your Own Canada Law Question

I am sorry to hear that you sound like you may be in a bit of a difficult situation.

Are you saying you made claims online but now have realized that you erred?

Ask Your Own Canada Law Question
Customer reply replied 1 month ago
correct.

Did you make claims that you do not have receipts for

Ask Your Own Canada Law Question
Customer reply replied 1 month ago
although there are a couple that my naturopath thinks she has some for. i've asked her to look into it for me too.
Customer reply replied 1 month ago
If I am ready and willing to work with the insurance company on this (I called them first) and prepared to pay any money owing would that normally be satisfactory?
Customer reply replied 1 month ago
hello?
Customer reply replied 1 month ago
is someone still there?
Customer reply replied 1 month ago
i never heard back from anyone.

You never heard back because you opted me out. I was in the middle of helping you and you got impatient I suppose. This is not an instant chat and I was helping other customers. When you opted me out you locked me out. Clearly no other expert wanted to step in. They would not when you did this for lack of patience I assume.

I am certainly willing to continue with you if you like but first let me know that you do wish to confirm.

Thanks

Ask Your Own Canada Law Question
Customer reply replied 1 month ago
Hi Debra
I did not know this was the format. Please understand that while you view me as impatient it is just someone on the other end who is worried about her situation and has never used this service before - hence why I was sending messages asking for clarification. When I did not receive any clarifying messages back, I thought we were disconnected.

That is fine. I do understand which is why I am happy to continue.

Is the bot***** *****ne that you put in more claims than you can provide receipts for and then got worried so reported this to the insurance company? If so what exactly did you tell them?

Did you pay them back for the overpayment they made to you?

Ask Your Own Canada Law Question
Customer reply replied 1 month ago
I told them that I wasn’t sure what happened but it appears to be inconsistent. I have offered to pay any overpayment I owe.

What did they say?

How much is the overpayment?

Ask Your Own Canada Law Question
Customer reply replied 1 month ago
They told me they understand some errors can occur. They asked me to send in the dates I am unsure about. I talked to my naturopath and she is looking at her booking history as well. I am not sure how much , a few hundred likely.

I get this question a lot and generally the amount at stake is much more and there are not receipts. It has all been fabricated. And in all cases they get caught and didn't make a report first.

So I honestly don't think you have any concerns. First, you do have a lot of receipt and it looks like you may even get more. As well you came forward on your own and the amount is quite small.

So what I suggest is you simply gather every receipt possible and then figure out the overpayment. Then contact them and say you want them to confirm that your calculation is correct so you can pay them back. When they do confirm the amount pay them the amount immediately. I do think that will be the end.

Please feel free to post back with any follow-up questions you may have. If you don't have any then I hope I have earned a 5 star rating but if you don't feel that I have please don't hesitate to reply back and let me know what more I can do to assist you. Finally, please know that even after you rate me I will be here for you and you can ask follow-up questions if you think of them later on at no further charge of course.

Ask Your Own Canada Law Question
Customer reply replied 1 month ago
Thank you. May I ask you to clarify your first paragraph? It doesn’t make sense to me.
Customer reply replied 1 month ago
I will rate you favourably :)
Customer reply replied 1 month ago
The amount is likely within 700-800 I am thinking. Depends what my naturopath finds because she thinks there are a couple wrong dates. I have either lost /don’t have the receipts or I’ve carelessly submitted incorrectly or too much. Hence why I’m worried.

What I was saying is that this type of question is posted on this site all the time.

But your case is much better than the others I have seen.

In all the other cases there is essentially fraud. Someone makes multiple claims and there are no receipts. And then they get caught. Then they come to the site in a panic. They end up getting charged and losing their job.

But in your case you were just not careful. You didn't submit multiple claims and you are hoping to be able to gather some more receipts. And you reported this to your insurers.

So for these reasons I believe they will believe you and let this go.

Ask Your Own Canada Law Question
Customer reply replied 1 month ago
What if there are multiple ones though? What is the typical amount that they go to lay a criminal charge?

There is no typical amount but as you came forward, do have some receipts and are paying them back the hope is they will let this go.

It if becomes clear there was an attempt at fraud they won't though.

Debra
Debra, Lawyer
Category: Canada Law
Satisfied Customers: 103,919
Experience: Lawyer
Verified
Debra and 87 other Canada Law Specialists are ready to help you
Ask your own question now
Customer reply replied 1 month ago
Ok thank you
Was this answer helpful?
Ask Debra Your Own Question
Debra
Debra
Debra, Lawyer
Category: Canada Law
Satisfied Customers: 103,919
103,919 Satisfied Customers
Experience: Lawyer

Debra is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

Your Expert confirmed everything that I had been told, and didn't want to believe. Thank you for putting my mind at rest.

MonikaCanada

This has been very helpful. I'm glad to see that lawyers and sites like this exist. Thanks for your help.

MikeHalifax, NS

Mr. Kaplun clearly had an exceptional understanding of the issue and was able to explain it concisely. I would recommend JustAnswer to anyone. Great service that lives up to its promises!

Gary B.Edmond, OK

My Expert was fast and seemed to have the answer to my taser question at the tips of her fingers. Communication was excellent. I left feeling confident in her answer.

EricRedwood City, CA

I am very pleased with JustAnswer as a place to go for divorce or criminal law knowledge and insight.

MichaelWichita, KS

PaulMJD helped me with questions I had regarding an urgent legal matter. His answers were excellent.

Three H.Houston, TX

Anne was extremely helpful. Her information put me in the right direction for action that kept me legal, possible saving me a ton of money in the future. Thank you again, Anne!!

ElaineAtlanta, GA

< Previous | Next >

Meet the Experts:

Tom B.

Tom B.

Barrister & Solicitor

2,263 satisfied customers

25 years in practice

LawyerProfessor

LawyerProfessor

Lawyer

836 satisfied customers

Experienced Litigation Lawyer in Ontario since 1999 and NY since 1997

Debra

Debra

Lawyer

103,919 satisfied customers

Lawyer

Jeremie John Martin

Jeremie John Martin

Lawyer

839 satisfied customers

I'm a bilingual attorney for the province of Quebec who goes to Court often for many clients.

Sokkalaw

Sokkalaw

Lawyer

312 satisfied customers

Lawyer in Ontario, Canada

CaptanLaw

CaptanLaw

Lawyer

224 satisfied customers

I'm a criminal defence lawyer, who assists individuals charged with crimes.

Mark A

Mark A

Lawyer

179 satisfied customers

Canadian Lawyer working at a Canada Law Firm

< Previous | Next >

Related Canada Law Questions
I have a question regarding Common Law Marriage in Alberta.
I have a question regarding Common Law Marriage in Alberta. I have been in this relationship for almost 40 years and now I want to end it! He has been physically, emotionally and financial abusive. He… read more
Debra
Debra
Lawyer
103,919 satisfied customers
I need to help me to write an admit and an apology to my
I need to help me to write an admit and an apology to my doctor that i try to harrassed him … read more
Debra
Debra
Lawyer
103,919 satisfied customers
My two boys ages 4 and y got taken away from messy Sunday
My two boys ages 4 and y got taken away from messy Sunday night by my ex husband. We had a verbal agreement so nothing is signed on paper. I have divorce settlement papers but I went I to default with… read more
Debra
Debra
Lawyer
103,919 satisfied customers
If a child lives with his granparents for 14 years and dont
If a child lives with his granparents for 14 years and dont petition for child support. Can after 14 years before the child turns 18 can they demand retro child support when no custody order was made?… read more
Debra
Debra
Lawyer
103,919 satisfied customers
In Ontario how many years can the landlord go back and
In Ontario how many years can the landlord go back and increase rent previously not increased … read more
Debra
Debra
Lawyer
103,919 satisfied customers
Got my brother CAIPS report for student visa refuse and i
got my brother CAIPS report for student visa refuse and i saw on it usa visa refused x3 det......what does this actually mean the (det)...because he was previous refused usa visa at 3 different time b… read more
Expert James
Expert James
Doctoral Degree
11,980 satisfied customers
I have recently purchased a new vehicle and the dealership
I have recently purchased a new vehicle and the dealership has not delivered the truck yet. 4 times they have cited shipping logistics as the problem. I already made my first payment. Do I have any re… read more
Debra
Debra
Lawyer
103,919 satisfied customers
I think I am being sued. someone came to my door with papers
I think I am being sued. someone came to my door with papers asking for me. I said I was not home. … read more
Debra
Debra
Lawyer
103,919 satisfied customers
What is the statute of limitations for insurance fraud under
Hi. What is the statute of limitations for insurance fraud under 5000 … read more
Nate Munk
Nate Munk
JD
3 satisfied customers
I was employed through a temp agency who terminated my
I was employed through a temp agency who terminated my contract near the end of January, but didn't send my Record of Employment to Service Canada until the beginning of April, severely delaying the p… read more
Debra
Debra
Lawyer
103,919 satisfied customers
My fiance wants to take her son with us to visit her brother
my fiance wants to take her son with us to visit her brother and niece, we are from alberta and they live in Saskatoon. He is being very uncooperative about it and says he with bring Provincial and fe… read more
Debra
Debra
Lawyer
103,919 satisfied customers
As to do with a drug charge, december 19 2014 i was charged
december 19 2014 i was charged with trafficking my pain medication. they had the wrong address on search warrant but my lawyer says cause it s a small town it don t matter. he said if it was a big city then it would. my first Lawyer said i had nothing to worry about. he kept taking my money and he refused a preliminary trial. in may 2017 he became judge. so I had to find a new lawyer. my file is 8 inches thick and out of order cause it went through many lawyers hands. i finally found a new one and had to spend more money again. I never had a court appearance yet my first lawyer kept on saying that I didn t have to show up yet. I take my medecine. I have a broken neck Fibromyalgia restless legs symdrome sheman s disease lumbar diccogenic symdrome and cervical degeneric disease. there s is 13 person on my reports but that will not show up in court. all on hear say. I also run a pawn shop out of my house plus I awas the Supervisor at an Ecological centre which I took many items home to sell so yes lots of trafic at my house. … read more
CriminalLawyerTO
CriminalLawyerTO
27 satisfied customers
I am wondering how to Evict a tenant? Alberta. He was the
He was the only one home last weekend when money was stolen from my mother's drawer. He is yelling and become very defensive. He has not paid rent this month and we do not feel safe with him in the house with my disabled sister … read more
Debra
Debra
Lawyer
103,919 satisfied customers
I'm charged 609 dollars a month for one child with one
I'm charged 609 dollars a month for one child with one mother and 523 a month for another child with another woman I make 66000 a year gross income which I take home maybe just over half I can't even … read more
Debra
Debra
Lawyer
103,919 satisfied customers
My ex husband and I were separated for 11 months but living
Hi my ex husband and I were separated for 11 months but living under the same roof , he has now moved out and he has said he will not contest the divorce. Can we get one … read more
Debra
Debra
Lawyer
103,919 satisfied customers
Is it legal to skinny dip in my backyard pool in Manitoba.
Is it legal to skinny dip in my backyard pool in Manitoba. … read more
Debra
Debra
Lawyer
103,919 satisfied customers
What sort of legal recourse or steps can I take to contend
What sort of legal recourse or steps can I take to contend with slander, defamation of character, vicious harassment and threats by a stalker that is causing emotional damage and inability to earn mor… read more
Debra
Debra
Lawyer
103,919 satisfied customers
We are living in an apartment complex and just about all of
we are living in an apartment complex and just about all of the other people have multiple animals , we always pay our rent we never make any trouble and we are being singled out after 11 years to get… read more
Debra
Debra
Lawyer
103,919 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x