Our patient's auto insurance carrier denied medical claims we submitted that were over 45 days past the date of service. We are in NY state. I've been unable to find information regarding the legality of this limit.
What is your opinion, please? Are they correct? Is there anything we can do to get this bill paid? Thank you.
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ANSWER for "Timely Filing of PI Claim in New York State...":
Peggi (Albany, NY):
We too were unable to find any NY State laws governing the time period for the filing of medical claims by medical facilities with auto insurance carriers.
What is more likely is the insurance company has its own rules and policies governing the filing of claims. If the insurance company has its own rules and policies governing the filing of claims you will in all likelihood be bound by those rules and policies.
Your best bet would be to request a copy of their rules and policies and see if there is a form of appeal for such claims. If so follow up.
The above is general information. Laws change frequently, and across jurisdictions. You should get a personalized case evaluation from an attorney licensed in your state. Find a local attorney to give you a free case review here, or call (888) 647-2490.
The accuracy of information provided on this site is not guaranteed. It is generic information for informal purposes only. It is NOT formal legal advice. Your use of this site does NOT create an attorney-client relationship. Before relying on any information found in this site you should consult with a licensed attorney in your state. If you are currently represented by an attorney, you should strictly abide by his/her counsel.