Lawmakers and lawyers working for fairness in Indiana
Since the Hospital Lien Statute was amended in 2013, a number of changes have gone into effect that may benefit you if you have a claim for personal injuries and compensation for damages caused by a car, motorcycle or trucking accident. I will discuss the change benefitting the citizens of Indiana called “No Balance Billing.”
Hospitals typically contract with specific Insurance providers to accept their plans. When a patient has health insurance with a hospital approved contracting provider, the treating hospital is bound to honor that contract by accepting the patient’s insurance and billing their services at mutually agreed upon “reasonable fees”. Reasonable fees are predetermined between the hospital and the insurance provider. Anything not considered “reasonable” by the private health insurer is contractually adjusted or written off by the hospital and the patient is only responsible for their deductible, their percentage split or their co-pay.
Prior to July 1, 2013, some hospitals would accept the injured patient’s private health insurance—allowing the insurance provider to pay their contracted amount—and attach a lien to the injured party’s legal claim for the remaining charges. To make matters worse, if the hospital lien could not be satisfied by the plaintiff’s legal claim, the remaining unpaid balance could follow the claimant after judgment or settlement was made.
The original legislation was never meant to hurt accident victims
The original intent of the hospital lien statute served to compensate the hospitals providing treatment for injured victims. Today, as hospitals treat more and more indigent and uninsureds, hospitals are seeking financial compensation that will cover the skyrocketing costs of the medical care our hospitals provide, albeit, the issues outlined above have progressively caused problems for personal injury attorneys seeking justice and wholeness for their injured clients.
New legislation benefits persons injured in a crash
Under the new provisions of the Indiana Hospital Lien Statute [IC 32-33-4-3(b)(5)], the hospital must make reasonable effort to pursue private insurance claims in cooperation with the patient. A lien perfected by the hospital within 90 days of patient discharge must first be reduced by the amount of any benefits to which the patient is entitled under the terms of any contract, health plan, or medical insurance. Most importantly, the lien must reflect credits for payments made by the insurance provider, contractual adjustments and write-offs.
Experienced lawyers helping injured victims
If you have been injured or know someone who has been injured as a result of someone’s negligence, call Indianapolis, IN auto accident attorney, Charlie Ward, for a free consultation at (317) 639-9501. Ward & Ward Law Firm has over 80 years of combined experience in personal injury and wrongful death claims including injuries resulting from auto, motorcycle and trucking accidents.
By Charlie Ward