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Is there really any recourse to collections of invalid billing?

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Anonymous
Not applicable

Is there really any recourse to collections of invalid billing?

In March of 2005, I went to the doctor twice. Subsequently, I got at least 8 invoices from a medical lab for test services on those two dates. I paid my deductibles, copays, etc. Two of the lab invoices were submitted 3 times to the insurance company, who refused payment as they were duplicates for which the lab had already been paid.

 

To this date, the two invoices (total of $228) are listed on my CR as two collections (the only two on my report). I spent hours on the phone with Ins. co. and Lab acc. rec. to no avail. Yes, I disputed them and each has under comments "Consumer disputes this account information, Medical". Big deal. They are still there. Even if I paid them, it wouldn't improve my score. I have been damaged.

 

To add insult to injury, through "contractual agreements" the Ins. Co. paid only half of the billed price (on most invoices) though I was expected to pay in full. Further, I suspect the Lab sold the collections for 10 cents on the dollar to the collection agency (who cares not that the invoices are invalid). What can be done?  

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2 REPLIES 2
fused
Moderator Emeritus

Re: Is there really any recourse to collections of invalid billing?

Google medical collections or the HIPAA process.
Message 2 of 3
MattH
Senior Contributor

Re: Is there really any recourse to collections of invalid billing?


@Anonymous wrote:

In March of 2005, I went to the doctor twice. Subsequently, I got at least 8 invoices from a medical lab for test services on those two dates. I paid my deductibles, copays, etc. Two of the lab invoices were submitted 3 times to the insurance company, who refused payment as they were duplicates for which the lab had already been paid.

 

To this date, the two invoices (total of $228) are listed on my CR as two collections (the only two on my report). I spent hours on the phone with Ins. co. and Lab acc. rec. to no avail. Yes, I disputed them and each has under comments "Consumer disputes this account information, Medical". Big deal. They are still there. Even if I paid them, it wouldn't improve my score. I have been damaged.

 

To add insult to injury, through "contractual agreements" the Ins. Co. paid only half of the billed price (on most invoices) though I was expected to pay in full. Further, I suspect the Lab sold the collections for 10 cents on the dollar to the collection agency (who cares not that the invoices are invalid). What can be done?  


You don't say which State, but in cases like this that can be very important because the laws about whether and how a medical provider may attempt to collect fees that exceed what the insurance company deems "reasonable and customary" vary wildly in different States.

 

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