Who would be responsible for payment? ?
My provider did not submit the claim on time. so the insurance company is not paying.
- NevermindLv 42 months ago
Insurance companies always try to get out of paying its clients claims making up lies and reasons for not wanting to pay. That's why people are always taking them to court. That's the only way, you are going to have to force them to pay.
- 2 months ago
Everyone would be responsible for payment
- JackolanternLv 72 months ago
Call your insurance company and ask, "WHAT THE HELL!"
- roderick_youngLv 72 months ago
It sounds like the provider submitted a claim, just not "on time?" I've never heard of a deadline for submitting a claim. So far, the claim is simply not approved, not denied. I would wait until the provider gets a response from the insurance company. Even if the insurance doesn't pay a dime, there may be a negotiated price which is lower, or the price may be applied to your deductible.
On the other hand, if the provider never filed in the first place, and doesn't plan to, then get an Explanation of Benefits document from them. You will need to pay the provider directly, then file for reimbursement with the insurance company.
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- Obi Wan KnievelLv 72 months ago
Go home, learn how to ask a coherent question, come back and try again.
- Anonymous2 months ago
Never heard of that before. Need more info as others have stated. Let's not get lazy with our pokey fingers, eh?
- MayLv 62 months ago
Payment for what? "Provider" for what?Payment to who?Payment for what?"Claim" for what?Insurance company is not paying who for what?
- StephenWeinsteinLv 72 months ago
You would. Providers are not required to submit claims. They may, if they wish, as a favor to you. They are not paid for submitting them. You are responsible for making sure that claims are submitted on time, or submitting them on time yourself, and for payment if they are not submitted on time for any reason.
- regeruggedLv 72 months ago
If you are in the US, file a complaint with your state's Insurance Department.
- yLv 72 months ago
The fine print says you are ultimately responsible for payment. So that means you, and you alone, are responsible regardless of what the insurance company has done, or not done.