Eavenson chiropractor patient questions about insurance billing

The patient of a chiropractor has filed against the doctor and his company, alleging it was forced to pay money after you have stopped billing its insurer.

Melinda said she Wilborn Dr Mark Eavenson to Multi-specialist care for treatment after being involved in a car accident in December 23, 2004.

Wilborn went to Eavenson because he was a network of his group health carrier, Cigna, according to the complaint filed April 20 in St. Clair County Circuit Court.

"On entering his office after the accident, [Wilborn] The defendant has moved with his health insurance information and Cigna has specifically requested that Cigna will be charged for care and treatment," says the lawsuit.

Initially, the bill was Eavenson Cigna. However, in order to make more money, he stopped sending statements to the insurance company and to put a link on Wilborn's claim of injury, she said.

An equitable doctrine in Illinois called "Fund Doctrine" mandates insurance payments made on behalf of an insured as a result of an automobile accident is reduced by one third. Because of the doctrine, Eavenson made more money by refusing to bill the insurance company, according to the complaint.

"This is making health insurance pay for care and treatment with defendant, the plaintiff would have significant benefits of the defendant in this balance would be reset after the payment were made by the health care provider and the health care provider would be reimbursed on 2/3rds of which paid less than its proportional share of costs at the conclusion of the Plaintiff's claim of injury, "says the lawsuit.

Wilborn said she had no idea Eavenson had stopped billing its insurer. Accordingly, she was forced to pay its full bill without any reduction, according to the complaint. In addition, the insurance company May not pay its bills because all claims must be filed within a certain time.

Wilborn said she was not the first person by refusing to Eavenson bill insurance companies. She says that he "has engaged in such conduct on a regular basis."

In the two heads together, Wilborn is looking for accounting Eavenson its efforts to demand his bill of health carriers and an accounting of all other cases in which other people were treated in the same way. It is also to claim a refund of the money, she lost no time Eavenson Cigna bill and a refund of the money for its inability to Cigna bill at the rate of the contract. (source)