Q: Here’s one I’ve never seen before. No, it’s not a bill that I didn’t pay when due.I’ve just received a first bill for anesthesia for an endoscopy — done in 2011.
It says that the insurance company paid $896 in March 2012, and that I owe another $224. I don’t even know who my insurance company was in 2011!
We’re pulling boxes to see if we can find old insurance statements. And if I owe it, of course I’ll pay it. But, really? An initial bill seven years after the treatment?
T.B., Cortland
A: I thought getting bills from MetroHealth six months to a year after the date of service was bad. Seven years? Wow.
Initially, I was hoping I could tell you that this would fall outside the statute of limitations, which is six years for many kinds of bills in Ohio.
But that generally wouldn’t apply to most medical bills, according to Dan Tierney, spokesman for the Ohio attorney general’s office.
If the bill is from a private doctor’s practice or a private hospital, Tierney said, there’s a good chance you would have signed something or agreed to something in the terms of service, so there would be no statute of limitations.
And if the bill is from a public hospital, such as one affiliated with a university, then the statute of limitations for collecting a debt would be 40 years, Tierney said.
None of this means you should just whip out your checkbook and fork over $224 without questioning it. You need to see the insurance company’s explanation of benefits for this date of service. That will determine whether you truly owe anything.
Healthcare providers send bills all of the time that try to charge for more than the consumer is contractually obligated to pay. You only owe the amount that the insurance company says you owe after it has determined the allowed charges and the amount of any deductible or co-insurance you owe.
I’d recommend contacting the provider and asking what health insurance company paid the $896. Then I’d recommend contacting that insurance company for the explanation of benefits for that date of service with that provider. Don’t feel pressured to resolve this in a few weeks or even a few months.
First, medical debts can’t hurt your credit score the same way they could previously. As of last year, the three major credit bureaus must wait 180 days before adding an unpaid medical bill to your credit file, where it can lower your credit score. This gives consumers time to get questions answered or work out a payment plan for large bills. In the past, medical providers often sent bills to collection agencies quickly, before a consumer could dispute the charges, wait for the claim to be processed or resolve issues with their insurance company.
Second, it took this provider seven years to send you a bill. Clearly, they weren’t in a big hurry to get their money. They can just chill out and wait awhile so you can figure out whether you truly owe this.
Murray is The Plain Dealer’s personal finance writer. Because of the volume of requests, she cannot help everyone who contacts her.
To reach her: moneymatters@plaind.com
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On Twitter: @teresamurray
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