The problem is, fair or not, medical bills are the *patient's* responsibility: the insurer essentially reimburses them or pays them for you, but is not principally liable on or for them. As a result, the onus or responsibility is on the patient to ensure that everything is covered, that everything is authorized in advance (if preauthorization is necessary), everyone is in-network, etc. If this is not done, it is the patient who is liable for any costs or for any penalties due under the terms of the insurance policy (which is, after all, a contract, and so something to whose terms you are held).
Rate This Answer:
Not Yet Rated
The Answer(s) provided above are for general information only. The attorney providing the answer was not serving as the attorney for the person submitting the question or in any attorney-client relationship with such person. Laws may vary from state to state, and sometimes change. Tiny variations in the facts, or a fact not set forth in a question, often can change a legal outcome or an attorney's conclusion. Although AttorneyPages.com has verified the attorney was admitted to practice law in at least one jurisdiction, he or she may not be authorized to practice law in the jurisdiction referred to in the question, nor is he or she necessarily experienced in the area of the law involved. Unlike the information in the Answer(s) above, upon which you should NOT rely, for personal advice you can rely upon we suggest you go to AttorneyPages.com
and retain an attorney to represent you.