Questions & answers · Health insurance
Health insurance claim questions
225 short answers. Each one quotes the official rule it is based on, with the date we checked it. Information only — not legal advice.
Texas (25)
- An ambulance company billed me after my emergency room trip, and my plan says the company is out of network. Do I owe that bill?Who pays · Texas
- An ambulance company billed me after my emergency trip, and my HMO says the company is non-network. Do I owe that bill?Who pays · Texas
- Do I need a lawyer for my health insurance claim for an illness or injury, and is this bad faith?Lawyer / bad faith · Texas
- How do I file a health insurance claim for a prescription, and what documents do I need?How to file · Texas
- How do I get an outside review or file a state complaint about my health insurance claim for a surgery?Complaint / outside review · Texas
- I have an HMO, I paid the bill myself, and I want the plan to pay me back. What clocks does it have to keep?How to file · Texas
- I have an HMO. The clinic filed my claim late and the plan would not pay. Can the clinic bill me?Who pays · Texas
- I have health insurance in Texas and got a surprise out-of-network bill. Am I protected?Other · Texas
- I paid the doctor myself and want my plan to pay me back. How do I file it, and how fast must the insurer answer?How to file · Texas
- I went to an emergency room that is not in my HMO network. The hospital and the ER doctor billed me. What does my HMO owe, and what do I owe?Who pays · Texas
- Is a health care sharing ministry insurance, and what can I do if it does not pay my bill?Denied · Texas
- My coverage is an HMO, and it says it never got my doctor's claim. What does Texas law say about the date a claim is received?Slow or stuck · Texas
- My doctor filed the claim late, my HMO refused it, and now the office is billing me. Do I have to pay that?Who pays · Texas
- My doctor is leaving my plan's network in the middle of my treatment. Can I keep the in-network rate?Who pays · Texas
- My Explanation of Benefits says the claim was denied but that I owe $0. What does that mean, and what should I check?Denied · Texas
- My health insurance paid too little for an illness or injury — how do I get a fair amount?Paid too little · Texas
- My health insurer denied my appeal. Who regulates my plan, and where do I complain?Complaint / outside review · Texas
- My health plan already paid, and now the money is being taken back. What are my rights?After payment · Texas
- My HMO is dropping my doctor while I am still in treatment. Can I keep seeing them at the plan rate?Who pays · Texas
- My HMO sent me to a network hospital, but the anesthesiologist was non-network and billed me. Do I owe it?Who pays · Texas
- My plan says it never received my doctor's claim, and the office says it sent it. What dates can I ask for?Slow or stuck · Texas
- My surgery was at an in-network hospital, but the anesthesiologist was out of network and sent me a separate bill. Do I owe it?Who pays · Texas
- Question about my health insurance claim for an illness or injuryHow to file · Texas
- What is the deadline to file a health insurance claim for this?Deadlines · Texas
- Who pays for an illness or injury — will my health insurance cover it?Who pays · Texas