Having just been advised that a local chiropractor failed to bill a patient’s health insurance, despite the fact that it provided coverage with NO DEDUCTIBLE to the injured Fairfax County school employee, I found the following case report of especial interest.
According to the news report, the patient of a chiropractor filed suit against the doctor and his business, alleging she was forced to pay him extra money after he stopped billing her insurance company for treatment after she was involved in an automobile accident. The complaint filed in the County Circuit Court alleged:
"Upon entering his office after the accident, [the plaintiff] presented Defendant again with her health insurance information and specifically requested that it be billed for care and treatment." Initially, the chiropractor was billing the health insurer. However, in order to make more money, he stopped sending statements to the insurance company and put a lien (an "IOU") on the woman’s personal injury claim.
The plaintiff had no idea the chiropractor had stopped billing her insurer. As a result, she was forced to pay his full bill without any reduction, according to the complaint. In addition, the insurance company may not pay her bills because all claims must be filed within a certain time period. The chiropractor did not file the bills within that time limit. The plaintiff in this case says she was not the first person affected by the chiropractor’s refusal to bill insurance companies. She claims he "has engaged in this conduct on a regular basis." In the two-count suit, the injured victim is seeking an accounting from the chiropractor of her claim of efforts to bill her health carrier and an accounting of all other cases in which other people have been treated in the same manner. She is also asking for a refund of money she lost through his failure to timely bill her health insurance and a refund of money for his failure to bill her health insurance at the contracted rate.