LogFAQs > #885836572

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Topicthis claimant is 500lbs and has broken 4 chairs in my insured's hair salon
Jen0125
09/01/17 10:34:36 AM
#103:


We could submit this claim to the Special investigative unit but whether they actually want to accept it with the indicators we submit is up to them. It's just unbelievable. Did he think we wouldn't he able to see he just submitted a claim for an auto accident? I mean I guess he did. But it's just nuts.

I knew his mechanism of injury made no sense. He must not have auto insurance. I wonder if the auto claim was filed by the other party and he was at fault so their insurance extended no benefits so he figured he'd try to get something from this stupid chair breaking this time. He told me he doesn't have health insurance and that's why it was so crucial he have this claim filed asap. I told him that these claims aren't able to be direct billed like health insurance claims so he'd still need to pay out of pocket for any treatment received and he got very pissed.
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