Medicare Can "Drop the Ball" Occasionally

We recently helped a client discover that the reason her Medicare supplement insurance company was not paying the balance of her claims from doctors and hospitals was because MEDICARE WAS NOT SENDING THE CLAIMS TO HER INSURANCE COMPANY. 

At the first meeting, we reviewed all the bills that were not getting paid.  Fifteen bills had not been paid for services on over a dozen dates.  She had unpaid bills totaling $1,763.59 and her insurance company had not paid anything.

While with the client, we phoned Medicare to have copies of Medicare’s documentation of the claims sent to her.  When she received them, we had a second meeting.  Together, we phoned her insurance company to learn why it had not paid on any of these claims.  IT REPORTED THAT IT NEVER GOT THE CLAIMS FROM MEDICARE.

We then made copies of the Medicare documents and sent them to her insurance company.  This resulted in the insurance company paying what Medicare didn't pay.  If we didn't work with her on this issue, her insurance company never would have known that there was a claim to pay and the collection agencies would have hounded her unmercifully.  This problem was not caused by her or her insurance company.  The problem was caused by Medicare.​​​​​​​