Health Insurance Colorado Springs, Colorado CO

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Reader’s Question:

A co-worker of mine in Colorado Springs, Colorado CO is having the worst time. Her health insurance carrier has not paid for a claim she had one year ago and now she has people calling her home. As we have the same health insurance plan, I am worried this might happen to me too, so what should I do?

Lily

Colorado Springs, CO

Without the specifics of the dispute for this case though, I will rely on experience for this kind of issue. Non-payment of legitimate health care expenses is serious and rare case in Colorado. In this case, I am assuming your co-worker has a legitimate health claim as described in your group policy. If that is so with her case, well it is definitely not too late.

Most health insurance payment issues are just a matter of communication betweent he policyholder and the insurer. Maybe your co-worker needs to gather the facts. She might need to speak with the provider who has not received payment and gain an understanding of the dispute. At that point, your friend should contact her health insurance agent in Colorado Springs, Colorado CO to request assistance. Either the agent or your friend should then contact the claims manager of the health insurance provider concerned.

If case is valid and she des not receive satisfactory response, the sate insurance department of Colorado should be notified. Health insurance issues are regulated by the state insurance department in all 50 states. But the insurance departmetn will still ask if all the steps has been undertaken by your co worker before her case would escalate.

If those steps do not lead to resolution an attorney in Colorado Springs, Colorado CO who specializes in health insurance should be consulted, which is a rare case. Remember that health insurance issues are usually the result of poor communication and to make it an easier the process, better establish a good communication practice with your insurer.

Tags: health insurance, health insurance claims, insurance disputes