Fay A. Posted May 2, 2004 Share Posted May 2, 2004 Thursday was a glorious day...I think it was the Good Lord's way of lifting me up so I could handle what was heading my way. I think I know why my eyelid tumor was not sent to pathology. I believe this to be the case, anyway: See, the billing department at one of the cancer centers I visited last year hires people who 1. Don't appear to have any experience in the field of accounts receivable. 2. Don't appear to have any experience in the field of medical billing. 3. Don't appear to comprehend the English Language, verbally or in writing, very well. 4. Don't seem to be able to make the distinction between an accounting clerk and a collector. About 2 months ago this group filled out a form and resubmitted a claim to my insurance for an office visit in June of 2003... and one of the questions on the form is whether or not I have other health insurance (which I do not). My insurance becomes the second payer if I have other health coverage. This group checked the box that says I have other coverage...this was entered into the system at my insurance company upon receipt, and the consequence of this screw-up is that every claim that has been submitted since the erroneous info went into the system has been denied payment. Not just the one from the medical group that sent in the wrong info...but every single claim. And there have been many claims...a lot I don't usually ever hear about. In addition, all the previously PAID claims from June 2003 on are now being refigured based on the erroneous info and those medical providers are being asked to return that which they have been paid. The providers are telling me that when they try to resubmit the claims they are being denied as a duplicate of prior processed service. I had no idea this was happening until my primary care manager's office called me to give me a heads up that HIS bills were being denied. He's the one who authorizes all my care! How can they deny HIS claims. I'm not crying. Now I'm pissed. It's going to take hours and hours, not to mention the expense, to deal with this. All because that one medical group hires people who don't know what the heck they are doing. I think I'm going to send THEM a bill for my time and costs. Quote Link to comment Share on other sites More sharing options...
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