Tricare Humana is attempting to recoup thousands of dollars in claims for a coding error.
September 16, 2024, 10:59 PM
12131
Welcome back.
Q
September 16, 2024, 11:23 PM
ZSMICHAEL
Thanks
September 17, 2024, 06:44 AM
trapper189
I hope the first person you talk to takes ownership of the issue and has the ability, capability, and authority to fix it. I seem to have to talk to three people before I get connected to the fourth person that meets those criteria.
September 17, 2024, 07:12 AM
229DAK
Is this different than the post you created on 9/5?
Contact a patient advocate or DCAO.This message has been edited. Last edited by: 229DAK, September 17, 2024 09:41 AM
_________________________________________________________________________ “A man’s treatment of a dog is no indication of the man’s nature, but his treatment of a cat is. It is the crucial test. None but the humane treat a cat well.” -- Mark Twain, 1902
September 17, 2024, 07:49 AM
blueye
You probably know this already but document names, date and times and what was discussed.
September 17, 2024, 09:45 AM
ZSMICHAEL
You bet. The function on the site allows for statement of the problem and a response for a worker drone. First name only. the earlier post pertains to payment recoupment for claims from 2020. A fellow doc told me that it involves 75 thousand claims so I am not alone, is social media a possibilty to resolve the matter?
September 17, 2024, 09:55 AM
HRK
ZSM good to see you back in the saddle...
One of the biggest problems with HC insurance is the billing systems, you have to be spot on with codes or claims get rejected and have to be resubmitted with both parties pointing fingers at the other.
September 17, 2024, 12:08 PM
Rey HRH
When it comes to healthcare billing, it's all about documentation and records.
I keep track of my EOBs, my claims, invoices, etc. I track how much is my copay for each visit and wait for the invoice. I also keep track of my receipts. Then there's no surprise for me.
"It did not really matter what we expected from life, but rather what life expected from us. We needed to stop asking about the meaning of life, and instead to think of ourselves as those who were being questioned by life – daily and hourly. Our answer must consist not in talk and meditation, but in right action and in right conduct. Life ultimately means taking the responsibility to find the right answer to its problems and to fulfill the tasks which it constantly sets for each individual." Viktor Frankl, Man's Search for Meaning, 1946.
September 17, 2024, 12:11 PM
Pipe Smoker
quote:
Originally posted by ZSMICHAEL: <snip> is social media a possibilty to resolve the matter?
I doubt it very much.
Serious about crackers.
September 17, 2024, 10:17 PM
irreverent
These companies have zero shame. Social media will not help. It’s despicable that they would attempt this after so many years, esp when it was their coding error. Just bs.
__________________________
"Trust, but verify."
September 18, 2024, 08:05 PM
JR78
All I know is my Doc loves TriCare, they pay on time.
______________________________ Men who carry guns for a living do not seek reward outside of the guild. The most cherished gift is a nod from his peers.