Author Topic: Need advice regarding corrected claim to BCBS - need to fix before end of year  (Read 1537 times)

debfini

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To all - I am in a real bind and have put this off for a month to handle until I can "cool" off! Provider (LPC) put through day sheets for July and listed this client as present.  So I submitted the claim and we were paid.  About mid September I get a call from the client saying she was out of town in July and never saw this provider that month!!!  So I figured I would need to send in a corrected claim with a letter explaining and attach a check for the reimbursement.  BTW, the provider is no longer taking insurance as this is only 1 of the MANY problems I have had to straighten out for her.

The longer I thought about this and after researching this forum (which is a Godsend IMHO), I am not sure how to handle this.  I am going to make a copy of the EOB, attach a check and fill out a corrected claim?  How do you fill out a corrected claim when these dates need to backed out?

Any advice would be greatly appreciated!

Sincerely,

Debbie Gilbert
(703) 729-6320 :-\

rdmoore2003

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ARE YOU A BILLING SERVICE OR IN HOUSE?
Regina

PMRNC

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There is no corrected claim, therefore a letter, a check and copy of the EOB they paid claim on is all that is needed. make sure to request they send you a copy of the documentation they received it.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

debfini

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Yes - I am a billing service (just myself) and thank you Linda for the reply - that is how I will handle!!!

Sincerely,

Debbie

kristin

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If I could add one suggestion...my BCBS carrier has a specific form on their website for voluntary refunds. They require that form be filled out and sent in with the refund check. You may want to check your BCBS website and see if they have something similar.