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S.O.S. – Speaking of Seniors- He finds client was billed twice for medical services

Written by Woodrow Wilcox. Posted in Uncategorized

Published on May 02, 2018 with No Comments

On April 20, 2018, a client and his wife visited my office and brought papers related to a medical bill with a balance.  They wanted my help.

I reviewed the papers and copied what I needed to help them with the medical bill problem.  We made some phone calls together with the client granting me permission to speak and question on his behalf.  I asked questions and “crunched” numbers.  Here is what the chief problem was: the doctor filed a claim with Medicare for the same service on the same day through two medical billing firms.  In other words, the doctor filed claims to get paid twice for the same service.  And, I caught him doing that.

This messed up our client’s claims because his insurance policy would pay the deductible for him only once.  It had no obligation to pay either a partial or total deductible twice.  So, a balance owed by the client was showing up on a recent bill.  Again, the cause of the problem was the doctor filing the claim twice through two different billing services.

To help our client, I wrote a letter explaining this and citing the evidence.  The letter was directed at both billing services, both firms associated with the doctor, a hospital that wanted more money from our client, and the money recovery department of our client’s Medicare supplement insurance company.

In my over 15 years of helping seniors with Medicare related medical bill problems, this was the first time that I saw such an unprofessional billing from a doctor.

The help that I gave this client was fre of charge.  I will continue to help this client without charge until this matter is resolved.  This insurance agency really does “go the extra mile” to help our clients in such matters.

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About Woodrow Wilcox

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All opinions, conclusions or recommendations expressed are those of the author and do not necessarily reflect the views of The Chronicle.  Woodrow Wilcox is the senior medical bill case worker at Senior Care Insurance Services in Merrillville, Indiana.  Wilcox has helped the clients of that agency save over one million dollars by finding and correcting medical bill errors that were caused by mistakes in the Medicare system.  For other articles by Wilcox, visit publishing websites including www.dakotavoice.com and www.americanclarion.com.

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