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Caller's Name:CHRISTINE
Callback #:978-922-3080 EXT 362
UMID:H58181229
TAX ID:462540965
Reference #:690734583612

Issue/Concern: Caller is calling about Claim status.

DOS: 08/01/2014
Charge Amt: $43574.44
Claim #:555010646

Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: claim logged// claim info given//claim si pended//

Were G and A rights given? No.
31
############################


Caller's Name:CHRISTINE
Callback #:978-922-3080 EXT 362
UMID:H58181229
TAX ID:462540965
Reference #:690734583612

Issue/Concern: Caller is calling about Claim status.

DOS: 09/01/2014
Charge Amt: $43574.44
Claim #:555010647

Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: claim logged// claim info given//claim si pended//

Were G and A rights given? No.
32
############################

Caller's Name:joy
Callback #: 817-795-6500
UMID:h55748844
TAX ID:741109643
Reference #:

Issue/Concern: Caller is calling about Claim status.

DOS: 04/18/2014
Charge Amt: $71807.00


Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: transfer to HumanaOne: 800-833-6917
Were G and A rights given? No.
33
############################

Caller's Name:lindsay
Callback #:480-245-6288 ext 353
UMID:H59452962
TAX ID:731636831
Reference #:132678295212

Issue/Concern: Caller is calling about Claim status.
appeal- 11/10/2014
DOS: 08/11/2014
Charge Amt: $7546.00
Claim #:08/11/2014

Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: claim logged// claim info given//

Were G and A rights given? No.
34
############################

Caller's Name:lori
Callback #:502-459-9681
UMID:h09542890
TAX ID:452966131
Reference #:988430205912

Issue/Concern: Caller is calling about op pt benefits

97001
97110
97112
97116

Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: $10 copay// moop logged// auth is required thru orthonet//
Were G and A rights given? No.
35
############################

Caller's Name:tony
Callback #:410-625-1502 ext 289
UMID:H49256611
TAX ID:260172169
Reference #:886507000613

Issue/Concern: Caller is calling about Claim status.

DOS: 09/01/2014
Charge Amt: $15831.89
Claim #:030003861
records- 01/06/2014
Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: claim logged// claim info given// checked cis pro and no allowed amt// prov still disputing//
12:15 PM 1/6/2015 call got disconnected//
Were G and A rights given? No.
36
############################

Caller's Name:darlene
Callback #:478-633-2918
UMID:H50139519
TAX ID:582149128
Reference #:468200541813

Issue/Concern: Caller is calling about eligibility and benefits for op surgery - oph- fac and if auth is required//

93458

Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken:$260 copay// moop logged// auth is required// elig logged//

Were G and A rights given? No.
37
############################

Caller's Name:victoria
Callback #: 360-729-1546
UMID:H55406287
TAX ID:910564987
Reference #:284612102513

Issue/Concern: Caller is calling about Claim status.

DOS: 10/06/2014
Charge Amt: $12092.00
Claim #:022472688
ref #: 764696581211
Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: claim logged// claim info given// provider wants a stop payment on check #: 009730151 $9077.03 10/24/2014 still outstanding//

Were G and A rights given? No.

38- STOP PAYMENT
############################

Caller's Name:victoria
Callback #: 360-729-1546
UMID: H55619057
TAX ID: 910565889
Reference #:284612102513

Issue/Concern: Caller is calling about Claim status.

DOS: 11/11/2014
Charge Amt: $20679.78
Claim #:037918413

Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: claim logged// claim info given//FAX CLAIM SUMMARY 360-442-6818 ATTN TO victoria

Were G and A rights given? No.
39
############################

Caller's Name:victoria
Callback #: 360-729-1546
UMID:H51414262
TAX ID: 910565889
Reference #:284612102513

Issue/Concern: Caller is calling about Claim status.

DOS: 10/07/2013
Charge Amt: $27236.15
Claim #:878879536

Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: claim logged// claim info given//FAX CLAIM SUMMARY 360-442-6818 ATTN TO victoria


Were G and A rights given? No.
40
############################

Caller's Name:dorrieca
Callback #:515-633-3815
UMID:H42091667
TAX ID:420680448
Reference #:930582485813

Issue/Concern: Caller is calling about Claim status.

DOS: 10/13/2014

Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: Attn. to Humana Correspondence Office P.O Box 14601 Lexington, KY 40512-4601.


Were G and A rights given? No.
41
############################

Caller's Name:lindsay
Callback #:912-495-7445
UMID:H53587010
TAX ID:582194871
Reference #:817262460114

Issue/Concern: Caller is calling about auth for sleep study// 95811

Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: auth is not required//
Were G and A rights given? No.
42
############################

Caller's Name:anthony
Callback #:866-239-0829
UMID:H56714772
TAX ID:205168253
Reference #:537869560614

Issue/Concern: Caller is calling about Claim status.

DOS: 09/26/2014
Charge Amt: $957.00
Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: claim not on file//logged elig//Attn. to Humana Claims Office P.O Box 14601 Lexington, KY 40512-4601.// timley filing given//

Were G and A rights given? No.
43
############################

Caller's Name:anthony
Callback #:866-239-0829
UMID: h02925395
TAX ID:205168253
Reference #:537869560614

Issue/Concern: Caller is calling about Claim status.

DOS: 10/04/2014
Charge Amt: $1276.00

Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: claim not on file//logged elig

Were G and A rights given? No.
44
############################

Caller's Name:anthony
Callback #:866-239-0829
UMID: h06548515
TAX ID:205168253
Reference #:537869560614

Issue/Concern: Caller is calling about Claim status.

DOS: 09/02/2014
Charge Amt: $2788.00

Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: claim not on file//logged elig

Were G and A rights given? No.
45
############################

Caller's Name:samantha
Callback #:5074341846
UMID:H50869546
TAX ID:411404075
Reference #:753666432314

Issue/Concern: Caller is calling about Claim status.

DOS: 07/28/2014
Charge Amt: $2040.80
Claim #:997841566
medical records- 11/ 26/2014
Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: claim logged// claim info given// med records received last 12/03/2014- still in pocess//

Were G and A rights given? No.
46
############################

Caller's Name:kristine
Callback #:864-454-9630
UMID:H51477345
TAX ID:576007863
Reference #:041175542814

Issue/Concern: Caller is calling about Claim status.

DOS: 11/05/2014
Charge Amt: $430.50
Claim #:035267794

Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: claim logged// claim info given//|P - TREATMENT FOR CONDITIONS WHICH ARE NOT COVERED ACCORDING TO THE STANDARDS OF THE ORIGINAL MEDICARE PLAN, ARE NOT COVERED UNDER YOUR MEDICARE ADVANTAGE PLAN.

Were G and A rights given? No.
47
############################

Caller's Name:kristine
Callback #:864-454-9630
UMID:H51477345
TAX ID:576007863
Reference #:041175542814

Issue/Concern: Caller is calling about Claim status.

DOS: 11/05/2014
Charge Amt: $225.80
Claim #:035246413

Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: claim logged// claim info given//

Were G and A rights given? No.
48
############################

Caller's Name:christine
Callback #:404-351-7546
UMID:H42812978
TAX ID:581846036
Reference #:077880443414

Issue/Concern: Caller is calling about benefits- office surgery// prof charges//

17311
13131


Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: $40 copay// moop logged// auth and referral not required//

Were G and A rights given? No.
49
############################

Caller's Name:kay
Callback #:215-57-5578
UMID:H40371419
TAX ID:231743865
Reference #:639374054214

Issue/Concern: Caller is calling about Claim status.

DOS: 07/22/2014
Charge Amt: $39.00
Claim #:005957926

Expected Outcome:To provide accurate information.

Systems used: GCP

Actions Taken: claim logged// claim info given//0T< - THIS APPEARS TO BE A DUPLICATE OF A CHARGE PREVIOUSLY CONSIDERED.

Were G and A rights given? No.
50
     
 
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