By Woodrow Wilcox
On April 2, 2018, I wrote a letter to a medical billing firm about a bill that it had sent to one of our senior citizen clients. The client lives in Crown Point, Indiana.
The Illinois billing firm sent a bill to our client for $219.24 for services that were allegedly rendered on 05/15/2013. Previously, I had written to the firm and told it that the client’s Medicare supplement insurance company never got any such claim from Medicare. I asked that essential claim information be sent directly to the insurance company.
But, also, I helped our client to request from Medicare any information about such a claim. On April 2, 2018, I got Medicare’s response. NO SUCH CLAIM WAS EVER FILED.
Medical service firms that are contracted with Medicare have a time limit for filing claims with Medicare. If the claim is not filed within the time limit, the firm is not supposed to bill the senior citizen. But, some firms that fail to file within the time limits do send bills to seniors. That is wrong because it is against the rules. So, I sent a letter to the firm to tell them that Medicare reported the claim never was filed and to stop billing our client for the $219.24.
In the past, I have caught medical billing firms cashing checks from insurance companies but not crediting the payments to the senior citizen patients’ accounts. Then, the billing firms would send a bill to the senior citizen patient for the same amount of money that the insurance company had just paid. The billing firms were “shaking down” senior citizens for money that was not owed. I brought that to the attention of some public officials.
All the help that I give to our senior citizen clients in such medical bill matters is FREE OF CHARGE. This insurance agency “goes the extra mile” for our clients. If your insurance agent or agency does not give this high level of service, maybe you should switch to a firm that does.
Written on April 2, 2018 by Woodrow Wilcox