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The doctor's office will not fill out the reason (diagnosis)

Customer Question
The doctor's office will...

The doctor's office will not fill out the reason (diagnosis) for a blood test. The insurance has called numerous times and the doctor's office does not return the calls.

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

GA

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

Just the normal insurance papers. I have no idea who to file with or report to.

Submitted: 11 months ago.Category: Legal
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Answered in 9 minutes by:
9/19/2017
Lawyer: socrateaser, Lawyer replied 11 months ago
socrateaser
socrateaser, Lawyer
Category: Legal
Satisfied Customers: 40,166
Experience: Retired
Verified

Hello,

If the doctor's office won't properly inform your insurer, so as to obtain benefits, then you have no obligation to pay the bill beyond that which your insurer would have paid. Tell the office, in writing that if the physician wants to get paid, he needs to fill out the claim -- otherwise, the doctor will receive no payment, because your financial responsibility begins only where the insurer's responsibility ends.

I hope I've answered your question. Please let me know if you require further clarification. And, please provide a positive feedback rating for my answer (click 3, 4 or 5 stars) -- otherwise, Justanswer retains your entire payment, and I receive nothing for my efforts in your behalf. Note: If you cannot find the rating button on your webpage, please just type in your rating in a response to this note, and customer service will apply the rating for you.

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DISCLAIMER: Answers from Experts on JustAnswer are not substitutes for the advice of an attorney. JustAnswer is a public forum and questions and responses are not private or confidential or protected by the attorney-client privilege. The Expert above is not your attorney, and the response above is not legal advice. You should not read this response to propose specific action or address specific circumstances, but only to give you a sense of general principles of law that might affect the situation you describe. Application of these general principles to particular circumstances must be done by a lawyer who has spoken with you in confidence, learned all relevant information, and explored various options. Before acting on these general principles, you should hire a lawyer licensed to practice law in the jurisdiction to which your question pertains.

The responses above are from individual Experts, not JustAnswer. The site and services are provided “as is”. To view the verified credential of an Expert, click on the “Verified” symbol in the Expert’s profile. This site is not for emergency questions which should be directed immediately by telephone or in-person to qualified professionals. Please carefully read the Terms of Service (last updated February 8, 2012).

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