germangirl631
Platinum
Reged: 04/04/08
Posts: 1338
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If she wants a reimbursement, she should provide the insurance explanation of benefits to you. That shows you exactly what they did and didn't reimburse. The Dr bill is not the thing to go by. If she won't provide that explanation of benefits, don't pay. My flex spending plan won't reimburse me without it.
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chatter box
Platinum
Reged: 11/09/07
Posts: 1309
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I know how frustrating it is. You might talk to the insurance company again and be nice very nice. Let them know that you have a court oder and ask to talk to someone in there legal department if you have to. They may not be able to still help but at least you tried that angle. The only other thing you can do is get a lawer and have them ask for the insurance forms. I forget what they are called but he will know. My X owes me thousands and it has taken a long time to figure out how she has been getting away with it.
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alizzie007
New
Reged: 04/29/08
Posts: 15
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We also have a similar problem... my SS's mother was given a packet of information with all of his medical insurance cards, EOB's etc. She went a year and a half and then claimed that it was never given to her. *sigh* We're worried because we both were there when it was given, but it wasn't sent certified or anything.
Insurance stuff is really sticky. We have to pay our "allotted proportion" of medical stuff but always keep all of our receipts and we will not pay anything unless we see all of her documentation and can verify it with SS's medical provider.
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"I am not afraid. I was born to do this..."
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KGrow
Platinum
Reged: 01/27/06
Posts: 3153
Loc: Colorado
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"It's not as simple as just seeing the paperwork. She only produces what she wants, we have no idea if she is lying or not. My husband tried to talk to the insurance company but they would not talk to him even though the divorce papers state he has rights to all information about his child."
She's the one requesting reimbursement. If she refuses to provide adequate documentation, you refuse to reimburse. It's not complicated at all.
Keep insurance companies and providers out of the middle of it. He has a right to medical information about his children. He does not have a right to billing information. That information has to come through her, the policy holder.
Edited by KGrow (06/24/08 01:10 AM)
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gigi
Platinum
Reged: 11/06/06
Posts: 5178
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Check with teh laws. Somewhere (I think it's FEDERAL law, but I might be confused again) it says that both parents have the absolute right to have everything. If you are trying to do this on your husband's behalf, the insurers might not let you... but otherwise, have him send them a copy of the law that requires them to give him this information. Or simply don't pay until she gives him a release of infomration form for him to get all this information from them so that he can be assured that what she's chargign him for is fair and that she's actually paid it. And if she has not paid it herself, he should be paying the insurer or doctor directly.
We watched ChatterBox go through something like this not too long ago and it just sounds like a real mess... do what you can to see tha tit doesn't get that far as to create such a mess that will be as impossible to get out of. Good luck.
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gigi
Platinum
Reged: 11/06/06
Posts: 5178
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Ah... I didn't see KGrow's response... he's right... it's the medical information you're entitled to... not necessarily the insurance information. If you're concerned about the reimbursement, getting her to give a release of information form might be the way to resolve that one... Geez what a scary mess this could be. I'm glad as heck that my stepkids are physically healthy.
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