By Woodrow Wilcox
On October 12, 2017, I researched a medical bill problem for a senior citizen from Gary, Indiana. The bill was from a hospital in Texas for $1,525.
Our client went to Texas to visit his son. He needed medical services while on the visit.
The bill was from a collection firm on behalf of the hospital. In my research of the bill, I learned that neither the insurance company nor Medicare ever got a claim from the hospital for services to our client.
A hospital that is contracted with Medicare must file the claim of a senior on Medicare with Medicare FIRST. Only after Medicare reviewed and ruled on the claim can a medical service provider then bill the patient for the balance. That was not done in this case and I caught it.
To help our client, I sent a letter to the collection firm and informed them that the bill was bad because its client, the hospital, had not complied with Medicare rules. I recited the evidence that I had to prove the hospital failed to do the right thing. I asked the collector to stop trying to collect on the bad bill and tell its hospital client to take back the bill and file the claim with Medicare.
I believe that my efforts will save our client from Gary $1,525. All the help that I gave this client was FREE OF CHARGE. This insurance agency is proud of its reputation for “going the extra mile” for our clients. If your insurance agent or agency would not help you if you had a similar medical billing problem, maybe you should switch to an insurance agency that does “go the extra mile” for clients.