PCI BRIEF ARGUES FOR MICH. MEDICAL BILL REVIEW:

October 11, 2004

A Michigan court of appeals was correct in its determination that no–fault insurers have the right to review medical bills, and to pay lesser amounts if they deem any procedures to be unreasonable or unnecessary, the Property Casualty Insurers Association of America argued in an amicus brief filed with the Michigan Supreme Court requesting that they uphold the appellate court’s position. A Supreme court reversal would give medical providers “carte blanche to charge whatever fees they want,” said PCI Counsel Robert Hurns in a statement. “The negative impact on Michigan insurers and consumers would be severe.” The original case involved the Advocacy Organization for Patients & Providers, which filed suit against Michigan–based Auto Club Insurance Association, claiming that they could charge whatever fee they deem appropriate as long as they charge each of their uninsured patients the same fee. “State law unequivocally mandates insurers to review medical bills,” Hurns said. “The specific intent of the law is to contain no–fault insurance premiums.”