Quote:
Originally Posted by Rathji
Your company (and you) are paying them for a service and they are refusing to provide it. It really is that simple.
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i hardly think that the insurance company is refusing to pay for a service.
my guess is that this has something to do with reasonable and customary limits - this means that the insurance company will only pay for a claims based on what they believe the service should cost compared to what was actually charged.
in anycase, with your spouse and you both being covered under policies administered by the same insurer the whole COB issue should be easier.
also sounds like your plan may have some limits on it that perhaps your wife's plan does not.