Juan - The Facts
Juan says that he was stabbed and went to the emergency room in 2014. He was eligible to have his bill paid under the Crime Victims Fund. Juan says he got a bill in the mail from the emergency room and took it to his case manager who said she’d take care of it. Juan says he didn’t know anything about the bill until he got served from the sheriff’s department on July 31, 2019.
However, the records show the following:
Juan was seen in the emergency room for stab wounds on October 14, 2014. He said he had insurance with Blue Cross who denied payment because Juan was not insured. On December 26, 2014, Juan called the health care provider saying he had applied for the Crime Victims Fund and asked the health care provider to rebill Blue Cross who denied payment again because they said Juan was not insured. The health care provider billed the Crime Victims Fund who denied payment because Juan had said he had Blue Cross insurance that would be primary coverage and pay before the Crime Victims Fund.
In June 2016, the health care provider sent the account to the collector who sent him four collection notices from June 2016 through August 2016. These collection notices were sent to the same address where Juan says he received the health care provider’s bill.
On July 17, 2017, Juan called the health care provider, verified his name, social security number, and stated that the bill was due to a car accident involving his brother, Christian, who was actually the patient seen and not him. The health care provider reviewed the medical records and determined that the stab wounds that he was treated for were not related to a car accident. The health care provider determined that Juan would need to produce documentation confirming he was not the patient.
The collector sent Juan three more collection notices between July 2017 and May 2019. These collection notices were sent to the same address where Juan says he received the health care provider’s bill.
On July 31, 2019, Juan was served with a lawsuit. The next day, Juan called the collector saying that he got served papers last night but that the bill is not his. He said the bill belonged to his little brother. The collector referred Juan to its attorneys. Juan immediately called the attorneys for the collector and said that he was not responsible for the bill because his little brother had gotten in a car wreck and had used Juan’s identification and insurance. Juan then had his attorney call the attorneys for the collector. Juan’s attorney said that Juan’s younger brother didn’t have a driver’s license and used Juan’s insurance for medical bills arising from a car accident.
On August 2, 2019, Juan and the County Prosecutor called the health care provider who told them the Crime Victims fund denied payment because they never got proof that Juan was not insured with Blue Cross who was primary. Juan and the County Prosecutor told the health care provider to resubmit to Crime Victims for payment.
Eventually, Juan took the steps necessary with the Crime Victims Fund to pay his account in full but only after he got sued. Juan said the attorney’s fees were higher than the medical bill. However, the medical bill was $1,011 and the attorney’s fees sought were $513.73. Juan also said the attorneys were the problem and would not listen to the situation. Juan was not being truthful about the situation because he was falsely claiming that medical bills belonged to his brother from a car accident.