u/Diadoradoo

▲ 6 r/HealthInsurance+1 crossposts

Insurance agent mistake and recourse - BCBSNC

My brother passed a few months ago. He had good insurance that he got through Healthcare Marketplace and used a local agent for his provider, BCBS. He was located in NC.
He has a few lingering bills for his chemo treatments from May 2025, never submitted for payment. He was told his insurance had lapsed at that time. We are talking about $20k still hanging out from them.
At that time, I could see my brother discussing these bills with his agent through text messages. She switched his plan and it lapsed. She appealed and they denied it. Along the way, my brother would text her pics of the high invoices and she said do not pay them, that’s all wrong. Well, their discussions ended because he got more ill and she dropped the ball. Here we are now with this outstanding debt and the agent is being squirrely about giving me a straight answer.
I just found out that the timeframe to dispute or resubmit this claim from last May will expire in a few days. Then what?
Does anyone know how I should attack this? Do I need to get a lawyer? TIA.

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u/Diadoradoo — 7 days ago