Lawyer question | TigerDroppings.com

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RedStickBR
LSU Fan
Member since Sep 2009
10020 posts

Lawyer question


I only post this here because I'm still slightly scared of the OT.

I have a friend who keeps receiving bills from United Healthcare for someone who has the same first name as his child, but who is not his child. Apparently, the company has his child confused for someone else. And apparently, this someone else is quite sick, as these bills are both large and constant. This friend has brought it to the attention of UH and it was supposed to be handled, yet the bills keep coming and his credit is now being damaged because, obviously, he refuses to pay them. The bills even literally have the wrong last name on them (but the same first name, likely the root of the confusion).

Does this call for an attorney, given he's had no luck taking it up with the company? What kind of attorney should he contact?







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ell_13
USA Fan
Alex Box
Member since Apr 2013
21846 posts
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re: Lawyer question


Not sure how it hurts his credit if it's not his full name. Seens like he needs to be more persistent with UH. How did they get his address? He has UH? Maybe someone stole his SS# in which case he has a bigger battle on his hands.





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RedStickBR
LSU Fan
Member since Sep 2009
10020 posts

re: Lawyer question


quote:

Not sure how it hurts his credit if it's not his full name.


Because UH keeps billing his policy, instead of the right person's policy, and he refuses to pay those bills.

The kink here is with the insurer. Yet he's tried to have the issue resolved to no avail. I don't think there's any identity theft involved.

And, yes, he does have UH.



This post was edited on 4/9 at 6:46 am


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HailToTheChiz
Auburn Fan
Behold, SKYWHALE!
Member since Aug 2010
7493 posts

re: Lawyer question


Tell uh that he will sue them





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GeeOH
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Louisiana
Member since Dec 2013
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re: Lawyer question


The problem isn't the name it's that they put one digit wrong in the policy # while claiming.
When my son was born, I waited forever to see the rob from the hospital (he was in icu for a day). His bills would have been seperate from wife's after he was born.
Hospital started sending me bills for some random deductible amount $1500) but I had a zero deductible policy (OT baller)
Long story short, it was a correct claim, on the wrong policy #, so they thought the amount due was my responsibility as reported by the ins go's computer on the wrong policy #
Human error is gonna be the end result.



This post was edited on 4/9 at 8:35 am


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LSUFanHouston
LSU Fan
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Member since Jul 2009
820 posts

re: Lawyer question


Few questions:

1) Are you sure he is getting the bills from the insurance company, and NOT from the hospital/medical provider? I can't remember ever getting a bill for service from an insurance company. However, I have gotten them from docs/hospitals for deductibles and co-insurance.

2) When you say his credit is being damaged, I assume there is an open collection on his credit report? Again, who is the person posting the open collection... the insurance company or the hospital/medical provider?

The entity posting the collection would need your friend's full legal name and SSN. If the bill is truly not his, I don't understand how the hospital would have that information. And again, I don't understand how/why the insurer would be collecting payment. Thus, I don't know why the insurer would be putting a collection on his credit report.

If it is the hospital causing the problems, and they are reporting a collection, I'd give the hospital one phone call to get it corrected, and then I'd have an attorney friend write a nice threatening letter to the hospital/provider.






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RedStickBR
LSU Fan
Member since Sep 2009
10020 posts

re: Lawyer question


After circling back with him, it appears the issues lie with the insurance company. He initially said he was being "billed," but by that I believe he means claims were being processed against his policy.

From what you guys have said, it sounds like he needs to get more aggressive with the insurance company to get things cleared up. Maybe speaking to the first person who picks up the phone won't suffice ...






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LSUFanHouston
LSU Fan
NOLA
Member since Jul 2009
820 posts

re: Lawyer question


quote:

After circling back with him, it appears the issues lie with the insurance company. He initially said he was being "billed," but by that I believe he means claims were being processed against his policy.


Now that is a lot more understandable.

How does he get his insurance? Is it through employment? Obamacare? An agent?

If it is employer coverage, I'd also suggest he contact his HR people, who in turn can contact the servicing agent on the policy. Have the agent make some calls. This is something that probably can't be fixed at the phone customer service level. Especially if the initial mistake was made by the medical provider.

If it's an individual policy sold by an agent, contact the agent.



This post was edited on 4/9 at 11:12 am


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RedStickBR
LSU Fan
Member since Sep 2009
10020 posts

re: Lawyer question


It's an employer-based policy. I'll have him contact his HR person. Thanks for the help.





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