SOS: Speaking of Seniors -Saved Crown Point Woman $511

On May 10, 2016, I helped a client with a medical bill problem by phoning Medicare together from my office. The client is from Crown Point, Indiana.

Once the client gave permission to Medicare for me to speak and question on her behalf, I started questioning why our client was having problems with a medical bill. I had the Medicare representative read to me specific portions of Medicare review of the claim. I learned that the medical firm was wrongfully billing our client for $511 that it already knew Medicare ruled she did not owe to the medical service provider – in this case a clinic.

Here with some edits to protect the privacy of our client is part of the letter that I sent to the medical service provider that sent the false bill.

# # #

In our phone call to Medicare today, I asked the Medicare Claims Representative to read to me the footnotes that Medicare put with the claims for charges of $58 and $453. She reported to me that the footnotes stated that the patient owes nothing for these services because payment for these services was included in another claim ON THE SAME DAY.

So, as of now, OUR CLIENT OWES NOTHING. If you filed the claim incorrectly, which is what I suspect you did, then refile the claim CORRECTLY. But, do not send a bill to our client for $511 when you already know that she does not owe it because the Medicare EOB that you received told you that she does not owe it.

# # #

All the help that I gave this client was FREE OF CHARGE. This insurance agency distinguishes itself by “going the extra mile” for our clients. Does your insurance agency give this high level of service to its senior citizen clients? If not, why not?

ADVERTISEMENT

This article is printed with the permission of the author(s). Opinions expressed herein are the sole responsibility of the article’s author(s), or of the person(s) or organization(s) quoted therein, and do not necessarily represent those of American Clarion or Dakota Voice LLC.

Comment Rules: Please confine comments to salient ones that add to the topic; Profanity is not allowed and will be deleted; Spam, copied statements and other material not comprised of the reader’s own opinion will be deleted.

Similar Posts:

• SOS: Speaking of Seniors – Why No Bill?
• SOS: Speaking of Seniors – Medicare Lost 2 of 3 Bills
• SOS: Speaking of Seniors – Oatmeal and Cream Cheese Cookies
• SOS: Speaking of Seniors – Saving $1,710
• SOS: Speaking of Seniors – Lucky Senior Saved Money

Woodrow Wilcox is the senior medical bill problem solver at Senior Care Insurance Services in Merrillville, Indiana. That is the largest senior citizen oriented insurance agency in the Midwest. For over six years, Woodrow Wilcox has helped senior citizens with medical bill problems with Medicare and VA clinics. He has saved senior citizens over $1 million in wrongful charges. For more health care articles by Wilcox, visit www.medicareproblems.net or www.woodrowwilcox.com. © 2013 Woodrow Wilcox. Re-published here with the permission of the author.

Woodrow Wilcox

View all articles by Woodrow Wilcox