Virginia Letter of Dispute - Complete Balance

Category:
State:
Multi-State
Control #:
US-MC-0003
Format:
Word; 
Rich Text
Instant download

Description

This form is to be used when a collection company is demanding full payment from you and you disagree with the balance. Use this form as your first letter of dispute.

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FAQ

Virginia's new balance billing law, effective January 1, 2021, protects consumers from getting billed by an out-of-network health care provider for emergency services at a hospital or for certain non-emergency services during a scheduled procedure at an in-network hospital or other health care facility.

Is Balance-Billing Legal? Unless there is an agreement to not balance bill or state law specifically prohibits the practice (which are quite rare), medical providers may bill patients for any amounts not paid by insurance.

Improper Billing of Duals Improper billing (also sometimes referred to as balance billing) occurs when doctors, hospitals, or other providers charge beneficiaries with both Medicaid and Medicare for co-pays, co-insurance, or deductibles.

Balance billing in Maryland is permissible if it is not limited by law or contract. But when medical providers agree to accept reimbursement from government health plans, there are often restrictions on the ability of the medical provider to balance bill.

The bill sets the medical debt statute of limitations at three years, unless it is for a payment plan that allows hospitals or health care providers more time to collect the debt. 03/04/2022 A.M.

Contact the provider or facility and tell them you believe you've been wrongly billed. Request that your bill be lowered. After contacting the medical provider, you can also contact your insurance company for assistance.

Steps to Fight Against Balance BillingReview the Bill. Billing departments in hospitals and doctor offices handle countless insurance claims on a daily basis.Ask for an Itemized Billing Statement.Document Everything.Communicate with Care Providers.File an Appeal with Insurance Company.

More info

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Virginia Letter of Dispute - Complete Balance