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I went to the Dr.'s office for a physical in August of 08. My insurance company was sent a bill for $404.

 

The bill was re-configured and the insurance company paid $254. Yes the Dr. was in the network. On Jan 17,.2008 (yesterday) I receive a bill from the Dr. for $154 for the Aug visit. They are threatening collections.

 

I am going to tell them that once they accepted the payment from the insurance company, they accepted full payment. It is against State statues to try and get more money from me. I had no deductibles, co-pay or coinsurance.

 

If they say they will turn me over to collections should I pay and sue in SCC or what?

 

Hold Harmless Clauses – Contracts between providers and managed care plans must contain a “hold harmless†clause prohibiting participating providers from seeking reimbursement from patients for money owed to participating providers by the plan. This prohibition does not apply to copays, deductibles, or coinsurance. (Section 10-16-705(3), C.R.S.)

 

Any advice on this would be a wonderful thing.

 

Thanks Board

 

Dave


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