overpaying uncovered medical.

[happyinorbit]

I'll try to be concise.

Former husband took child to urgent care on 11/1. He recieved one invoice for $145.00 before insurance adjustment of 95.00. Expected insurance adjustment was clearly stated on invoice, co pay for this service through my insurance is 50.00. Former husband paid invoice in amount of 50.00. An adjusted invoice was sent to former spouse with insurance adjustment and a balance due of 50.00....but not payments posted. Just an adjustment from insurance payment. Former spouse sent in payment of 50.00.
During this time, I took children in for eye exams and glasses. Total invoice was $208.00. Former spouse made reimbursement to me for his portion of the eye exam bill minus what I owe him for urgent care. It is my opinion that he is not to deduct what I owe, but rather to pay me off my invoices and that I pay him off his invoices. Secondly, he deducted 50.00 as my portion and not 25.00. He says that it is my responsibility to cover half. I say, it is my responsibility to cover half of uncovered expenses. (our uncoverd expenses are shared 50/50). I believe his overpayment / inability to read an invoice/inability to make a call to address an overcharge is not my issue. What do you think?

 

[justmom611]

It is my opinion that he is not to deduct what I owe, but rather to pay me off my invoices and that I pay him off his invoices. Secondly, he deducted 50.00 as my portion and not 25.00. He says that it is my responsibility to cover half. I say, it is my responsibility to cover half of uncovered expenses. (our uncoverd expenses are shared 50/50). I believe his overpayment / inability to read an invoice/inability to make a call to address an overcharge is not my issue. What do you think?

This isn't a legal answer, only my opinion. Honestly (not trying to be mean at all)...at least the guy is making an effort. Maybe he can't read the invoice correctly but he's taking the kids to medical appointments and he's (attempting) to reimburse you for his half when you do. If he makes a deduction in error, you should just talk to him about it. Does it really make a difference if he pays off an invoice or makes a deduction for what you owe him?

 

[SingleMom67]

I'll try to be concise.

Former husband took child to urgent care on 11/1. He recieved one invoice for $145.00 before insurance adjustment of 95.00. Expected insurance adjustment was clearly stated on invoice, co pay for this service through my insurance is 50.00. Former husband paid invoice in amount of 50.00. An adjusted invoice was sent to former spouse with insurance adjustment and a balance due of 50.00....but not payments posted. Just an adjustment from insurance payment. Former spouse sent in payment of 50.00.
During this time, I took children in for eye exams and glasses. Total invoice was $208.00. Former spouse made reimbursement to me for his portion of the eye exam bill minus what I owe him for urgent care. It is my opinion that he is not to deduct what I owe, but rather to pay me off my invoices and that I pay him off his invoices. Secondly, he deducted 50.00 as my portion and not 25.00. He says that it is my responsibility to cover half. I say, it is my responsibility to cover half of uncovered expenses. (our uncoverd expenses are shared 50/50). I believe his overpayment / inability to read an invoice/inability to make a call to address an overcharge is not my issue. What do you think?

Sorry, I'm confused. Your ex paid the $50.00 co-pay twice?

 

[Whyte Noise]

I'm confused too, but I'll try.

Former husband took child to urgent care on 11/1. He recieved one invoice for $145.00 before insurance adjustment of 95.00. Expected insurance adjustment was clearly stated on invoice, co pay for this service through my insurance is 50.00. OK, so each of you owe $25 of the co-pay Former husband paid invoice in amount of 50.00. OK, which was the co-pay amount An adjusted invoice was sent to former spouse with insurance adjustment and a balance due of 50.00....but not payments posted. Just an adjustment from insurance payment. Former spouse sent in payment of 50.00 So, he paid the $50, and you owe him $25 of this as well.
During this time, I took children in for eye exams and glasses. Total invoice was $208.00. Former spouse made reimbursement to me for his portion of the eye exam bill minus what I owe him for urgent care. It is my opinion that he is not to deduct what I owe, but rather to pay me off my invoices and that I pay him off his invoices. Secondly, he deducted 50.00 as my portion and not 25.00. He says that it is my responsibility to cover half. I say, it is my responsibility to cover half of uncovered expenses. (our uncoverd expenses are shared 50/50). I believe his overpayment / inability to read an invoice/inability to make a call to address an overcharge is not my issue. What do you think?

According to what you posted, you do owe him $50. He paid the $50 co-pay (which is considered part of uncovered expenses) you owed him $25 from that. Then, the actual bill had a balance owing (after co-pay and insurance adjustment) of $50 and he paid that which means you owe him $25 for that also. 25 + 25 = 50.

Does it really matter, in the grand scheme of things, if he deducted what you owed him form what he sent you? You'd rather him send you the full $104, and you turn right around and send him $50 of it back? Since he deducted your urgent care portion off of his eye exam portion, it sounds like he paid his court ordered obligation to you, before you paid yours to him, on treatments that you both had invoices for. Is that correct?

 

[happyinorbit]

According to what you posted, you do owe him $50. He paid the $50 co-pay (which is considered part of uncovered expenses) you owed him $25 from that. Then, the actual bill had a balance owing (after co-pay and insurance adjustment) of $50 and he paid that which means you owe him $25 for that also. 25 + 25 = 50.
He did not pay the co-pay at the time of services. He was invoiced for it. the first invoice did not have the 95.00 adjustment yet, but stated a 95.00 payment from insurance was expected. He recieved the second invoice with the 95.00 adjustment which left a balance of 50.00....the co-pay.

Since he deducted your urgent care portion off of his eye exam portion, it sounds like he paid his court ordered obligation to you, before you paid yours to him, on treatments that you both had invoices for. Is that correct?
Not exactly. I have been asking him to pay his portion for awhile now and presented reciepts at the time of services. I did agree he could deduct the amount of 25.00 which I owed him from his payment to me. He has been holding these reciepts since November and just handed them to me two nights ago. He decided that since he overpayed that we was going to deduct more from me to cover his overpayment...and the $25.00 if it really mattered to me I could call the insurance company and get the whole thing straightened out. Since I disagree with his method I chose to send him a 25.00 check for what I owe so that I could isolate the two reimbursement issues.

 

[happyinorbit]

Sorry, I'm confused. Your ex paid the $50.00 co-pay twice?

That is exactly correct. However, he did it because he didnt understand the invoice.

 

[happyinorbit]

This isn't a legal answer, only my opinion. Honestly (not trying to be mean at all)...at least the guy is making an effort. Maybe he can't read the invoice correctly but he's taking the kids to medical appointments and he's (attempting) to reimburse you for his half when you do. If he makes a deduction in error, you should just talk to him about it. Does it really make a difference if he pays off an invoice or makes a deduction for what you owe him?

I appreciate your opinion, and not understanding the person I am dealing with I can understand your p.o.v. Let me clarify.
1. He never takes the kids to dr or dental appointments. Never. This was an urgent situation that arose while I was out of town.
2. I did talk to him about it and he told me it was my problem.
3. He is a practicing attorney, albiet not a very bright one. However, If I can read the invoice, he should have any problem reading it either.
4. He is the kind of guy that believes everything is everyone elses problem and that he never makes mistakes.
5. he believes i am an idiot.

 

[notstupid]

in my bf's case, just call your lawyer and have them clarify it for you if it is in fact in your court papers about the whole medical reimbursement. Sounds like someone is making things more difficult than they really have to be.