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Williams v. AAA Michigan3/5/2002
health care providers when he accepted their services and that consequently he incurred the full amounts charged. Plaintiff's claim does not persuade us, however, because plaintiff overlooks the significance of "liable," which means " esponsible or answerable in law; legally obligated." Black's Law Dictionary, supra at 927. The satisfaction of plaintiff's medical bills by BCBSM [Blue Cross & Blue Shield] through payment of less than the amounts charged by the providers relieved plaintiff of any responsibility or legal obligation to pay the providers further amounts exceeding those proffered by BCBSM and accepted by plaintiff's health care providers. Because plaintiff bears no liability for the full medical service amounts initially charged by his health care providers, he has not incurred these full charges. [Bombalski, supra at 542-543 (emphasis in original).]
In this case, plaintiff seems to acknowledge that he owes no outstanding amounts to MFBH for the services it provided, and that pursuant to its contractual agreement with Blue Cross & Blue Shield, MFBH accepted the reimbursement amounts that Blue Cross & Blue Shield offered as payment in full for the services that MFBH provided. Consequently, plaintiff did not incur the full amounts billed by MFBH, and is not further entitled to recover from defendant the difference between the full amounts that MFBH billed for its services and the lesser amounts that it accepted from Blue Cross & Blue Shield as payment in full. Bombalski, supra at 543. We conclude that the trial court properly calculated the amount of uncoordinated no fault benefits to which plaintiff was entitled.
Affirmed.
Hilda R. Gage
Kathleen Jansen
Peter D. O'Connell
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