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    tyewayj's Avatar
    tyewayj Posts: 4, Reputation: 1
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    #1

    Jan 30, 2013, 01:38 PM
    I was involved in a car accident and I was hit in the rear. I have Tricare insurance
    I was involved in a car accident and I was hit in the rear. I have Tricare insurance and when I went to the hospital I explain that they needed to bill Famer's. Well the question I have is my insurance company paid the bill and Farmer's insurance went in and paid what I was bill. Do I have a legal leg to stand on when my insurance company paid the hospital and the hospital had a bill remaining of 3,000.00 that my insurance company said was written off by the hospital can I make Farmer's go in and pay the remaining balance to the hospital?
    tyewayj's Avatar
    tyewayj Posts: 4, Reputation: 1
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    #2

    Jan 30, 2013, 01:39 PM
    I was involved in a car accident and I was hit in the rear. I have Tricare insurance and when I went to the hospital I explain that they needed to bill Famer's. Well the question I have is my insurance company paid the bill and Farmer's insurance went in and paid what I was bill. Do I have a legal leg to stand on when my insurance company paid the hospital and the hospital had a bill remaining of 3,000.00 that my insurance company said was written off by the hospital can I make Farmer's go in and pay the remaining balance to the hospital?
    dontknownuthin's Avatar
    dontknownuthin Posts: 2,910, Reputation: 751
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    #3

    Jan 30, 2013, 01:45 PM
    When you are involved in an auto accident, you provide them your auto insurance information and advise the hospital and all the other parties who bill you for the accident (you can get several bills for one emergency room visit) that it was related to an auto accident.

    If some bills were paid by your health insurance company, the health insurance company should be reimbursed by the auto insurance company.

    If the accident was another party's fault, your auto insurance company will go after the other party's auto insurance company for payment of all of the bills.

    If you are billed for copays, call whomever sent the bill and provide them your auto insurance information and clarify that it was an auto insurance claim and not a medical insurance claim.

    You should not have to pay copays on auto accident related medical claims. If the wrong party has been billed, either have your auto insurance agent straighten it out, or call each billing party and correct their information so they can reimburse your medical insurance and bill your auto insurance.
    tyewayj's Avatar
    tyewayj Posts: 4, Reputation: 1
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    #4

    Jan 30, 2013, 01:58 PM
    Quote Originally Posted by dontknownuthin View Post
    When you are involved in an auto accident, you provide them your auto insurance information and advise the hospital and all the other parties who bill you for the accident (you can get several bills for one emergency room visit) that it was related to an auto accident.

    If some bills were paid by your health insurance company, the health insurance company should be reimbursed by the auto insurance company.

    If the accident was another party's fault, your auto insurance company will go after the other party's auto insurance company for payment of all of the bills.

    If you are billed for copays, call whomever sent the bill and provide them your auto insurance information and clarify that it was an auto insurance claim and not a medical insurance claim.

    You should not have to pay copays on auto accident related medical claims. If the wrong party has been billed, either have your auto insurance agent straighten it out, or call each billing party and correct their information so they can reimburse your medical insurance and bill your auto insurance.
    Thanks for the reply. Okay let me see if you can get the understanding as I am still trying to understand. When the accident occurred I got out of the truck the individual that hit me in the rear look at the back of my truck gave me his insurance information and left. I called the police and they stated that since no party was injuried to take each others information and I told the officer on the phone that the party inviovled gave me their information and left. I then inturned called my insurance company who ask if the vehicle was still driveable and take it to the repair shop in which I did. While at the repair shop the agent stated to let the other insurance pay for the damage in which I did mind you I was still inshock from being rear ended. When I got home I was in pain so the next day I went to the ER told them to bill Farmer's but instead they bill my provider TriCare. TriCare got the bill and paid it and inturn billed me what I had to paid and forward those bills to Farmer's. After going back and forth with my insurance and Farmer's. Farmer's reimburse(which Tricare has not seen the money yet) but the funds they reimburse was the cost that Tricare paid but what about the 4675.75 that is still due on the those bills. My insurance company stated that with them being bill and whatever the remainer amount is the hospital writes it off. You got to be kidding me so in other words since my insurance company went in and took care of portion of the bill the remaining portion is written off andf Farmer's basically only came out of pocket for 600.00. So will the hospital come back in and bill me for the remaining balance.
    JudyKayTee's Avatar
    JudyKayTee Posts: 46,503, Reputation: 4600
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    #5

    Feb 2, 2013, 12:38 PM
    Where? YOUR auto insurance covers YOUR medical bills if you are in a no-fault State.

    In a no-fault State the other dirver's insurance NEVER pays your medical bills.
    tyewayj's Avatar
    tyewayj Posts: 4, Reputation: 1
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    #6

    Feb 5, 2013, 08:43 AM
    I live in Texas and let me explain further. I found out that TriCare went in and paid the bill where there was a reduction to them and in turn Farmer's insurance is suppose to go back in and pay TriCare back.
    So it all boils down to Farmer's insurance got away from paying over $4685.00 to only paying $ 682.00. At, first I thought it was insurance fraud and another lawyer said Farmer's can do that so I just left it alone.
    JudyKayTee's Avatar
    JudyKayTee Posts: 46,503, Reputation: 4600
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    #7

    Feb 5, 2013, 08:49 AM
    Why are you concerned with what anyone has to pay for your medical treatment as long as you don't have to pay for it?

    What am I missing?

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