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Do Insurance Companies Reimburse by Statute?

Our state law mandates that third party payers pay for services rendered that are performed within our scope of practice as defined by the State of Delaware. Often insurance companies ignore this statute, and our profession seems to allow this unlawful activity. What could we do that would effectively enforce the statute that would be practical and inexpensive. (posted by: Annonymous)

4 Responses to “Do Insurance Companies Reimburse by Statute?”

  1. Scott Schreiber says:

    We have attempted to discuss this with the previous insurance comissioner and we “dropped the ball” by not following up like we should. My suggestion is to take legal action. If all the Chiropractors in the state donate a set amount of money to a legal fund, the DCS can fight this in the courts. Other states have done this and won.

  2. Scott Schreiber says:

    One other suggestion—–The insurance company will say that we can do whatever we want but put a cap on it, very similar to blue cross with their $31 cap.

  3. Scott Schreiber says:

    how come no other blogs? We are being cornered into a box being only allowed to perform spinal manipulation. This is not our scope of practice!!! We need to fight this on a local and national level. The insurance companies are in control. We need to take it back!!

  4. This should be easy and inexpensive to fix by simply doing the following:

    1. Provide the services and bill the insurance companies not paying.
    2. Culminate the collection process in the Court of Common Pleas (or other court of jurisdiction) and get a judgment as you would for any legitimate bill.
    3. Execute the judgment thought the sheriff sale of the insurance company’s property as you would do to any shiftless debtor that refused to pay.

    It would not take long to get compliance.

    And think of the news story.

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