On 6/15/12 when [redacted] presented for MRI, [redacted] states that on May 11, 2012, he was a passenger in a car that was involved In an accident. Patient provided the following insurance information at the time of registration that the MRI was to be billed:Progressive Ins. PO Box 512926 Los...
Angeles, CA 99051 Claim # [redacted]Attention: [redacted] - Phone: [redacted] x [redacted]Progressive Ins. had paid [redacted] Montgomery directly on 9/12/2012 In the amount of $7821.00, check #203312713, the full amount of the MRI charges. Payment was confirmed with Progressive on 2/01/2016.On 10/10/2012 - a request was received from [redacted] that health insurance be billed for [redacted]. The Health Insurance provided was a medicaid product with Network Health Plan (Managed Health Services) which has a timely filing deadline of 90 days to submit for payment considerations, This was the first that New London Hospital was contacted that [redacted] had Health Insurance coverage. Health Insurance was billed as a courtesy and a timely filing denial was received on 10/31/2012.Our collection department waited a number of months for a reply from [redacted] and Progressive on who may be submitting a payment for the MRI services. After no payment or denial for payment was received three statements were sent requesting payment. Statements were sent (on 2/3/15, 3/8/15 and 4/9/15.On 2/13/15 - [redacted]'s Wife called asking why insurance was not billed. Our collection departments advised that we would need to have [redacted] call our collection department to discuss outstanding bill. As of 5/4/2015 no contact from [redacted] was received and the account was referred to our collection agency, Credit Systems of Fox Valley.Phone call was made to health insurance (Network Health Plan) and to Credit Systems on 2/1/16 that [redacted] had received a check for the full amount of services provided. Network Health Plan has up-dated [redacted]'s profile that payment was made directly to patient. Network Health Plan is a Medicaid product and is payor of last resort. Credit Systems has up-dated [redacted]'s file that payment was made to patient and patient is responsible to make payment arrangements for the outstanding balance of $7821.00.Sincerely,[redacted]Patient Accounting Manager
On 6/15/12 when [redacted] presented for MRI, [redacted] states that on May 11, 2012, he was a passenger in a car that was involved In an accident. Patient provided the following insurance information at the time of registration that the MRI was to be billed:Progressive Ins. PO Box 512926 Los...
Angeles, CA 99051 Claim # [redacted]Attention: [redacted] - Phone: [redacted] x [redacted]Progressive Ins. had paid [redacted] Montgomery directly on 9/12/2012 In the amount of $7821.00, check #203312713, the full amount of the MRI charges. Payment was confirmed with Progressive on 2/01/2016.On 10/10/2012 - a request was received from [redacted] that health insurance be billed for [redacted]. The Health Insurance provided was a medicaid product with Network Health Plan (Managed Health Services) which has a timely filing deadline of 90 days to submit for payment considerations, This was the first that New London Hospital was contacted that [redacted] had Health Insurance coverage. Health Insurance was billed as a courtesy and a timely filing denial was received on 10/31/2012.Our collection department waited a number of months for a reply from [redacted] and Progressive on who may be submitting a payment for the MRI services. After no payment or denial for payment was received three statements were sent requesting payment. Statements were sent (on 2/3/15, 3/8/15 and 4/9/15.On 2/13/15 - [redacted]'s Wife called asking why insurance was not billed. Our collection departments advised that we would need to have [redacted] call our collection department to discuss outstanding bill. As of 5/4/2015 no contact from [redacted] was received and the account was referred to our collection agency, Credit Systems of Fox Valley.Phone call was made to health insurance (Network Health Plan) and to Credit Systems on 2/1/16 that [redacted] had received a check for the full amount of services provided. Network Health Plan has up-dated [redacted]'s profile that payment was made directly to patient. Network Health Plan is a Medicaid product and is payor of last resort. Credit Systems has up-dated [redacted]'s file that payment was made to patient and patient is responsible to make payment arrangements for the outstanding balance of $7821.00.Sincerely,[redacted]Patient Accounting Manager