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Supreme Court of Ohio

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Does Law Require Medical Provider to Bill Services Solely to Patient's Health Care Insurer Despite Other Coverage?

When Accident Victim Also Has Medical Payments Coverage in Auto Insurance Policy

Virginia King v. ProMedica Health System, Inc., et al., Case no. 2010-1236

6th District Court of Appeals (Lucas County)

ISSUE: Under Ohio's insurance laws, when a health care provider or facility provides services to a patient that are covered under a contract between the provider and the patient's health insurance company, may the provider decline to bill the patient's medical insurance company and instead seek compensation for its services from the medical payments coverage in the patient's auto insurance policy?

00:00:48	Douglas R. Cole for Promedica Health System, Inc., et al.
00:15:43	John T. Murray for Virginia King
00:33:05	Summation: Douglas R. Cole for Promedica Health System, Inc., et al.