Health insurance policies often have a clause that allows for subrogation. In other words, if you recover from a third party for damages that include medical bills paid for by the health insurance company they are entitled to a lien to get back the money paid in medical benefits. Typically, the lien amount is negotiable. However, if you have a report that shows the slip and fall accident is not the reason for the medical charges I suggest you forward that report to the adjuster for consideration. Also, ask the adjuster for the medical records they rely upon for their determination that the charges they seek to be reimbursed for related to the slip and fall. Once you have the information they rely upon you can make an informed decision regarding payment back to the insurance company.Ask a similar question
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