Eagle Tours, Inc.

This letter is in response to the Complaint filed with your organization bearing [redacted]. Rawlings contracts with the Complainant’s previous health insurer to provide data mining and claims recovery services. As part of its work for that insurer, Rawlings’ seeks to recover payments which were...

made by its client after an individual’s coverage with that insurer has ended. The records of the Complainants previous insurer reflect that a prescription was filled for her on /24/14 which was after her coverage with that insurer had terminated. Her previous insurer, which is Rawlings’ client, was billed by the pharmacy and paid for that prescription.
By letter dated /115, Rawlings mailed a letter to the Complainant advising of the overpayment and outlining methods by which it could be handled. These included contacting the pharmacy to correct the billing and submitting the claim to the new insurer. We have no record of a response to this letter. Thus, another letter was mailed on or about /8/15. This appears to be the letter referenced in the Complaint. The address utilized on these 2 letters was provided to Rawlings by her previous insurer. (We understand from the Complaint that this is not a current address.)
We have closed this audit and will not seek any repayment from the Complainant. We regret any inconvenience this matter has caused the Complainant. .
[redacted] General Counsel to The Rawlings Group ###-###-####
[redacted]