By Woodrow Wilcox
On December 13, 2018, the widow of one of our clients brought a medical bill and other papers to our office for me to review. The widow received a bill for $353 from a local hospital. She questioned the legitimacy of the bill.
I reviewed the matter and wrote a letter to the hospital to protect the widow from this bill. With some editing to protect the privacy of our client and the widow, here is the letter that I sent to the hospital.
Dear Representative, The widow of our client brought to our firm a bill from your firm for our review. The bill seeks a balance of $353 on Account Number XXXXXXX for services allegedly rendered on 01/16/18. I compared your bill to our client with the Medicare Summary Notice about this claim. Also, the widow informed me of some important facts on this matter.
I believe that your bill is false. Medicare ruled that the claim you filed was for routine care and not covered. (See footnote T in the MSN.) The widow explained that her late husband was in your hospital for five days and was discharged on January 18. If that is so, then it would be impossible for your firm to render the services alleged in your bill on January 16.
Will you refile the claim with appropriate corrections, or do I need to assist the widow to file an appeal and embarrass your firm by attaching a copy of this letter to the appeal?
All the help that I gave the widow was FREE OF CHARGE. Our agency is proud of our reputation for “going the extra mile” in such matters. If you want an insurance agency that has high standards for customer service, why not try ours?
Written on December 13, 2018 by Woodrow Wilcox