Some automobile insurance companies and health insurers may be having problems with coordinating benefits payments in South Dakota, officials say.
The South Dakota Division of Insurance plans to hold a public hearing on automobile medical payment coordination Feb. 4 in Pierre, S.D.
The hearing will address complaints involving consumers who seek medical care as a result of automobile collisions.
A consumer's health insurer may share responsibility with the insurers providing automobile medical payments coverage for the drivers involved for paying for the care, and for deciding which parties must pay before and after the others.
"The division of insurance has received complaints from a number of sources indicating that the benefits between automobile medical payments coverage and health insurance have not paid appropriately under the terms of the policies," Merle Scheiber, the South Dakota insurance director, says in the hearing notice.
Some complaints seem to be the result of issues such as medical providers' claim filing and billing practices and insureds' failures to file claim documents as well as insurer coordination failures, Scheiber says.
But other complaints have involved health insurers and automobile medical payments insurers, Scheiber says.
Scheiber says he wants to get informaton about claims practices and regulatory changes that could improve coordination of multi-insurer claims.
© Arc, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to TMSalesOperations@arc-network.com. For more information visit Asset & Logo Licensing.