Q:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 We had an auto accident patient start care. When I called the patient\u2019s auto insurance agent, he was down right rude and told me I couldn\u2019t file with the patient\u2019s auto insurance \u201cmed pay\u201d, but to send the bill to the other driver\u2019s insurance. Now what do I do?<\/p>\n
A:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Your clinic is in Wisconsin, but most states have similar laws to theirs. Under state statute Ins 6.11, Section (3) Unfair Claims Settlement Practices, Subsection (a) 9, the agent has no right to tell you this. Per statute, the following is an unfair practice and says: \u201cExcept as may be otherwise provided in the policy contract, the failure to offer settlement under applicable first party coverage on the basis that responsibility for payment should be assumed by other persons or insurers\u201d. We have a great form that you can have the patient sign that directs the agent to follow the law. And by the way, per the same statute, if the agent refuses : \u201cThe commission of any acts listed \u2026 shall subject the person to revocation of license to transact insurance in this state.\u201d<\/p>\n
Click here for the form.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" Q:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 We had an auto accident patient start care. When I called the patient\u2019s auto insurance agent, he was down right rude and told me I couldn\u2019t file with the patient\u2019s auto insurance \u201cmed pay\u201d, but to send the bill … Continue reading