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[quote=Anonymous]I threw out my back a few months ago. Dr ordered an MRI.  When I got to the radiology center they told me insurance hadn’t approved it yet (they did not call to tell me, so I didnt know), and I could self-pay or go home and wait several weeks for another appointment.  I was miserable and didn’t want to wait, so they had me sign a waiver releasing them from the responsibility of pursuing the insurance claim, but clearly told me I could submit it myself.

I’ve now submitted it 4 times.  The insurance company has thrown out every reason under the sun that they wont pay - it wasn’t approved (my dr called their peer reviewer and I have an approval notice and number); that I didn’t submit the right paperwork (I resubmitted the same docs and highlighted relevant information); that I signed away my right to pursue the claim (I have a copy of the waiver and I am a lawyer - I did no such thing, I only released the radiology clinic from the obligation to pursue); and now that it’s out of network (also clearly not true).

I’m ready to take legal action - any advice on the next step?  Are there lawyers or non-profits that do this?  Should I threaten to take them to small claims court?

The honest truth is I can afford the $500 I paid, but I’m outraged enough at this treatment to be willing to invest some time in getting my money back, because they are so obviously in the wrong.  [/quote]

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