I plan to use the city of hope supreme court ruling against them but I need them to back off from our patient.
When you say that bottom line at this particular point that the patient owes the money, what is the patient supposed to do, since they turned the money over to the provider, and no longer has it?
QuoteWhen you say that bottom line at this particular point that the patient owes the money, what is the patient supposed to do, since they turned the money over to the provider, and no longer has it? Well again.. ERISA states this is the patient's claim. I hate to sound like a downer..but it's the patients's responsibility. They had charges with a NON par provider, there is NO contract with the provider and the plan to go with.. this really is a patient appeal.
HN's collection agency is attacking the facility directly which will hurt the business's credit rating.
About a month after filing the claim the insurance company paid out the full amount of our claim. Now 3 years later I get a call from a Collection agency demanding over 40k in reimbursement given HN does not pay a dime for our out of network facility. They claim we received 3 notices, first notice a month after payment and the other two every other month.
QuoteHN's collection agency is attacking the facility directly which will hurt the business's credit rating.Ok, but I was under the assumption from your original post that the patient was being pursued for collection? How does this affect the facility? I think I'm a bit confused because in another post you mention BC coming to you for reimbursement? QuoteAbout a month after filing the claim the insurance company paid out the full amount of our claim. Now 3 years later I get a call from a Collection agency demanding over 40k in reimbursement given HN does not pay a dime for our out of network facility. They claim we received 3 notices, first notice a month after payment and the other two every other month. Can you clarify:Claim was out of network, went to BC? BCBS in many states do not have to honor AOB for non contracted providers.Who was sent the full payment of the claim? Facility or patient?I think that's why I'm confused.. not sure I understand who paid and who owes.