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Can my orthodontia provider legally take my claim payment?


Can a doctor make you pay for something you didn't explicitly agree to pay for?Dental/Medical Bill advice - insurance sent charges that provider did not disclosePre-existing issue (medical)Is it legal for “in-network” dentist to send me a bill when insurance company denied claim?can I submit a new insurance claim on roof damage after unpaid claim unrepairedCan a company receive a payment and never provide the paid service?Can previous homeowner file a claim for hidden damage on their old property?Can a debt collector legally demand payment and threaten a credit score effect without validation of the debt until requested?Life insurance and declining medical treatmentInsurance company didnt transfer car out of my name













0















I am currently getting Invisalign treatment through an Orthodontia Provider in California. I paid for the treatment up front at $3,000. I was told by the provider that it was unlikely that insurance would cover any of this. A few months into the treatment, I checked with my insurance and discovered that they do cover this.



When I called my provider, I was told that they would file the claim and it would take 6-8 weeks for me to receive a check. 7 weeks later I called my insurance and discovered that they had the payment sent to them and it was electronically deposited immediately (7 weeks ago)! When I called my provider and asked why it would take 6-8 weeks for me to receive a check, they said "Management has to approve it". This honestly sounds very sketchy to me and I'm worried I will never receive my claim payment.



So two questions:



1) Why would an Orthodontia provider want to receive this payment at all in the first place? I was thinking maybe tax reasons.



2) If they never end up sending me the claim refund, do I have any legal power to fight against this? I have all of the original receipts and an EOP report.









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    0















    I am currently getting Invisalign treatment through an Orthodontia Provider in California. I paid for the treatment up front at $3,000. I was told by the provider that it was unlikely that insurance would cover any of this. A few months into the treatment, I checked with my insurance and discovered that they do cover this.



    When I called my provider, I was told that they would file the claim and it would take 6-8 weeks for me to receive a check. 7 weeks later I called my insurance and discovered that they had the payment sent to them and it was electronically deposited immediately (7 weeks ago)! When I called my provider and asked why it would take 6-8 weeks for me to receive a check, they said "Management has to approve it". This honestly sounds very sketchy to me and I'm worried I will never receive my claim payment.



    So two questions:



    1) Why would an Orthodontia provider want to receive this payment at all in the first place? I was thinking maybe tax reasons.



    2) If they never end up sending me the claim refund, do I have any legal power to fight against this? I have all of the original receipts and an EOP report.









    share







    New contributor




    Charlton Provatas is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
    Check out our Code of Conduct.






















      0












      0








      0








      I am currently getting Invisalign treatment through an Orthodontia Provider in California. I paid for the treatment up front at $3,000. I was told by the provider that it was unlikely that insurance would cover any of this. A few months into the treatment, I checked with my insurance and discovered that they do cover this.



      When I called my provider, I was told that they would file the claim and it would take 6-8 weeks for me to receive a check. 7 weeks later I called my insurance and discovered that they had the payment sent to them and it was electronically deposited immediately (7 weeks ago)! When I called my provider and asked why it would take 6-8 weeks for me to receive a check, they said "Management has to approve it". This honestly sounds very sketchy to me and I'm worried I will never receive my claim payment.



      So two questions:



      1) Why would an Orthodontia provider want to receive this payment at all in the first place? I was thinking maybe tax reasons.



      2) If they never end up sending me the claim refund, do I have any legal power to fight against this? I have all of the original receipts and an EOP report.









      share







      New contributor




      Charlton Provatas is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
      Check out our Code of Conduct.












      I am currently getting Invisalign treatment through an Orthodontia Provider in California. I paid for the treatment up front at $3,000. I was told by the provider that it was unlikely that insurance would cover any of this. A few months into the treatment, I checked with my insurance and discovered that they do cover this.



      When I called my provider, I was told that they would file the claim and it would take 6-8 weeks for me to receive a check. 7 weeks later I called my insurance and discovered that they had the payment sent to them and it was electronically deposited immediately (7 weeks ago)! When I called my provider and asked why it would take 6-8 weeks for me to receive a check, they said "Management has to approve it". This honestly sounds very sketchy to me and I'm worried I will never receive my claim payment.



      So two questions:



      1) Why would an Orthodontia provider want to receive this payment at all in the first place? I was thinking maybe tax reasons.



      2) If they never end up sending me the claim refund, do I have any legal power to fight against this? I have all of the original receipts and an EOP report.







      contract-law insurance medical





      share







      New contributor




      Charlton Provatas is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
      Check out our Code of Conduct.










      share







      New contributor




      Charlton Provatas is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
      Check out our Code of Conduct.








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      share






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      Charlton Provatas is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
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      asked 5 mins ago









      Charlton ProvatasCharlton Provatas

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      New contributor




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      New contributor





      Charlton Provatas is a new contributor to this site. Take care in asking for clarification, commenting, and answering.
      Check out our Code of Conduct.






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