Form FIS2358 Surprise Medical Billing Request for Binding Arbitration - Michigan

What Is Form FIS2358?

This is a legal form that was released by the Michigan Department of Insurance and Financial Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is FIS2358?
A: FIS2358 is a form used in Michigan for requesting binding arbitration related to surprise medical billing.

Q: What is surprise medical billing?
A: Surprise medical billing refers to unexpected charges for medical services received from out-of-network healthcare providers.

Q: What is binding arbitration?
A: Binding arbitration is a process where a neutral third party makes a decision on a dispute, and both parties must agree to accept and abide by that decision.

Q: Why would someone use Form FIS2358?
A: Form FIS2358 is used to request binding arbitration in disputes over surprise medical billing in Michigan, where negotiations with the healthcare provider's insurance company have failed.

Q: Who can use Form FIS2358?
A: Any patient in Michigan who has received surprise medical billing from an out-of-network provider can use Form FIS2358 to request binding arbitration.

Q: Is there a fee for filing Form FIS2358?
A: No, there is no fee for filing Form FIS2358 for requesting binding arbitration in Michigan.

Q: What happens after submitting Form FIS2358?
A: After submitting Form FIS2358, the arbitration process will begin, and both parties will be required to provide relevant documents and information to support their case.

Q: Can I represent myself in binding arbitration using Form FIS2358?
A: Yes, you have the right to represent yourself in binding arbitration using Form FIS2358 or you can choose to have legal representation.