I am being sued by a former Dental Office. I had a DHMO at the time.?

Everytime prior to services, I had to pay a coinsurance amount in full prior to service. About 6 months ater the office realized that the had the wrong formula for my coinsurance amount and backbilled me for the remainder. I contacted the HMO, they stated of the bills that they are backbilling me for that one claim never was sent in and another I am not responsible at all because of the contracted amount between the HMO and the dentist.





I do owe the coinsurance amounts that they figured wrong initially. Because this is years ago, I only have one bill showing $0. A copy of there submission history that shows late submission and that one claim was submitted. No one will provide me copies of anything. The office will not because they were in error. The office manager was told to not even return my phone calls by their legal department.





My concern is lack of paper. I know they will have to prove it. I do not mind paying the remainder. What can I do?

I am being sued by a former Dental Office. I had a DHMO at the time.?
Get all that information in writing from the insurance company and take with you to court. If they take you court. They may drop it all now since they are in the wrong.
Reply:Send of copy of your post directly to the attorney. As a matter of fact, write the attorney's office constantly as your dental office will be billed by the attorney every time they are legally required to read your mail (it's called running the clock). I used to do this all the time . . . it's completely legal and satisfying. Seriously, send this post to the attorney saying that you know you owe some money but their client has failed to produce "proof of debt." Send it registered mail, the attorney's office will have thirty days to respond . . . if they do not they have forfeited their right to collect the debt.
Reply:yes writing is your proof. if you dont have it you can submit that they refused to give you the information. so save all letters you wrote to them (email, written, even phone records). this shows you tried to get the bills and information - sometimes just showing you tried is enough evidence to prove that the other party is doing something wrong and trying to trick you.





if they messed up on a bill, and you payed it, and they cashed it, then that means they accepted the payment in-full, case closed.





you could trick them and send in a part of the remainder you owe, and write on the back of the check "payed in full for... services". if they cash it then that means they accepted the amount, and they can not sue you for more...





good luck