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Healthcare Provider Billing Requirements

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goaded

Member
What is the name of your state? IN

Are there any guidelines/laws in place that dictate how long a healthcare provider has to bill you?
 


I AM ALWAYS LIABLE

Senior Member
goaded said:
What is the name of your state? IN

Are there any guidelines/laws in place that dictate how long a healthcare provider has to bill you?


My response:

The debt must be paid within 10 years. If not, the Statute of Limitations will expire on the written debt.

IAAL
 

goaded

Member
IC 34-11-2-9
Sec. 9. An action upon promissory notes, bills of exchange, or other written contracts for the payment of money executed after August 31, 1982, must be commenced within six (6) years after the cause of action accrues.

The SOL is 6yrs in Indiana ...

BUT thats not my question - I wanted to know if healthcare providers are required to submit timely billings?
 

I AM ALWAYS LIABLE

Senior Member
goaded said:
IC 34-11-2-9
Sec. 9. An action upon promissory notes, bills of exchange, or other written contracts for the payment of money executed after August 31, 1982, must be commenced within six (6) years after the cause of action accrues.

The SOL is 6yrs in Indiana ...

BUT thats not my question - I wanted to know if healthcare providers are required to submit timely billings?


My response:

Sorry, but you're quoting the Statute of Limitations on "Open Accounts"; e.g., credit cards, homeowner's lines of credit, etc.

That has nothing to do with the payment of a medical debt, or any other "executed contract" which is a "closed account", and that limitations period is 10 years.

As long as the billing is sent within the 10 years, it's "timely".

IAAL
 

goaded

Member
An action upon promissory notes, bills of exchange, or other written contracts ...

... it clearly states which types of accounts it affects.

Relevant Indiana Code - SOL -

http://www.in.gov/legislative/ic/code/title34/ar11/ch2.html

Thanks, but again I am interested in Billing Requirements specifically. And no I dont agree that sending a bill the day before the action sol expires would be considered timely nor would any judge!
 

ablessin

Member
Medical Filing

Your healthcare provider has a contract (probably) with your insurance carrier - if they "par" they have a contract that states HOW LONG they get to file a claim.
Some HMO's are 90 days after date of service. If the provider didn't bill timely, call your carrier - in some cases, the patient is NOT liable for anything more than what the copay would have been. The provider has to write off the rest.
 

goaded

Member
WOW - that would be nice! Not that I dont want to pay what I am responsible for, but damn 1 1/2 yrs later isnt reasonable. I will contact the insurance company and find out ... thanks.
 

MellowCat

Member
ablessin said:
Your healthcare provider has a contract (probably) with your insurance carrier - if they "par" they have a contract that states HOW LONG they get to file a claim.
Some HMO's are 90 days after date of service. If the provider didn't bill timely, call your carrier - in some cases, the patient is NOT liable for anything more than what the copay would have been. The provider has to write off the rest.



This scenario would be worth investigating, but keep in mind: This only applies to whether the provider failed to file a CLAIM to the insurance carrier in a timely manner; it has nothing to do with a time-limit on sending a BILL to the patient. If the doctor filed a claim in a timely manner, he/she can bill you (I *think* it's 7 years in my state) after the services are rendered.
 

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