Insurance Claim Billing Dispute

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Summary

Incorrect billing by a provider in Texas can be resolved by contacting them directly. If unresolved, file a complaint with the Texas Department of Insurance. Seek legal counsel if necessary.

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Help with medical bill which should be covered by insurance
Hello Nathan, I'd be glad to help. In which state do you reside? This will help me provide you with the most relevant information.
Tx
Hello Nathan, insurance laws vary by state. In Texas:
- Insurance companies must pay 'usual, customary, and reasonable' costs.
- They must respond to a claim within 15 days.
- Denial requires a clear and specific reason.
If these aren't met, you may file a complaint with Texas Department of Insurance.
Business provider not filed correctly
Hello Nathan, in Texas:
- Incorrect billing by a provider can be resolved by contacting them directly.
- If there's no resolution, you may file a complaint with Texas Department of Insurance.
- You can also seek legal counsel if necessary.
Please confirm if you need any more information.