ABC v. 8675309
I represented a medical provider who had their bills denied without explanation from the insurance company. In response to my demand letter, the insurance company responded with an affidavit from the 24-year-old patient where she stated that she was paid $800 to get into an accident. Obviously, the insurance company was correct in denying this claim and, they should have gone further against the clinic instead of just denying the bills.
I bring it up to point out the old saying “three may keep a secret when two of them are dead.” The affidavit is below.
DISCLAIMER
This is based on a real court case that was previously filed against a medical provider/doctor. The case number has been partially redacted and names have been changed to protect the Defendants’ names. This example is posted to help educate others on the laws and potential pitfalls. This posting is not intended to embarrass or defame anyone. I have limited the information and simplified some of the facts in the lawsuit to reflect key points and make a complicated case easier to understand. This “example” is directly from a complaint filed by an insurance company; therefore, I am using the facts THEY presented. There are always two sides to a story so please understand this is just one side of the story. This information was found through records available to the public.