Mark Ritchie
New Member
- Jurisdiction
- California
I have a claim being denied due to discharge against medical advice. The ERISA SPD states the following
Non-Compliance. All charges in connection with treatments or medications incurred due to the patient's non-compliance with or discharge from a hospital or skilled nursing facility against medical advice.
Incurred An expense for a service or supply is incurred on the date the service or supply is furnished.
No matter how I look a at this my reading of this is that charges which are the result of the non-compliance are not covered.
Please advise.
Non-Compliance. All charges in connection with treatments or medications incurred due to the patient's non-compliance with or discharge from a hospital or skilled nursing facility against medical advice.
Incurred An expense for a service or supply is incurred on the date the service or supply is furnished.
No matter how I look a at this my reading of this is that charges which are the result of the non-compliance are not covered.
Please advise.