Notes

Recev 07/06/2023...08/03/2023. allowed 800 deduct 700 co 35.. payment for 65 was issued 08/03/ by single virtual credit card cashed 08/20..claim process on out of network.

Fax 8162573254

Dianna ref#230913001423
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07/13/23 processed 07/24/203
270.97 by virtual credit card single payment and it has not been cashed.
token C001941910

ref230913001539
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Invoice - 1716593
Debbie
07/28/2023..08/28/2023.. service was not provided as per our designated contacted provider referri nf provider is OON or we are OON? NETWORK PROVIDER AETNA FOLLOW?- FEDRAL
SUNMED MED IS OON
name-debbin
ref#230913002541
8162573256
ref#230913001913

Called GEHA - ASA @(800)821-6136 S/w Debbin, rep said the claim was received on 07/28/2023 and denied on 08/258/2023 as the service was not provided as per our designated contacted provider. The Sunmed facility is OON. So task created.

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Invoice - 1732764
Called GEHA/UHC CHC PLUS @(800)821-6136 S/w Bonnie, rep said the claim was sent to the incorrect network and it need to be send on the corrector network and address is Po box 981707 El PASO Texas 79998 payer id 06603. Call ref#230913002871

claim was received 08/31/2023 closed out 08/21/2023 claim was not sent to correct network and need to e send on correct network.
Po box 981707 El PASO Texas 79998 payr id 06603

Name- Bonnie
ref#230913002871
(need contact number)
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ref#2000335925870
Invoice - 1526942
Called HUMANA @(866)427-7478 S/w Chanel, rep said recoupment was done on 09/03/2023 as the member was under impatient patient facility from 09/06/2022-12/07/2023. So writ off task created under task id#2263543 Call ref#2000335925870

2263543


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1598931
Called HUMANA @(866)427-7478 S/w Chanel, rep said recoupment was done on 09/03/2023 as the member was under impatient patient facility from 01/24/2023-02/07/2023. So writ off task created.


facility name Western reserve
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Invoice - 1662115

Called HUMANA @(866)427-7478 S/w Chanel, rep said the claim was recouped on 09/01/2023 as the patient was hospice from 04/24/2023-07/31/2023. So writ off task created under task id#2263560. Call ref#2000335925870
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Invoice - 1598760
recouped on 09/09/2023 as this charge is considered to be included in impatient from
Called HUMANA @(866)427-7478 S/w Cris, rep said the claim was recouped on 09-06-2023 as the member was under impatient patient facility from 01/08/2023-02/03/2023.
So writ off task created.
recouped charge is to be included in-service in last
820230740179163.
--
rec 02/15/23..09-06-2023

recouped on

charge included in service or procedure..
impatient 01/08/2023-02/03/2023
name- Cris
2000335998430
**********************************************
Invoice - 1673012

recouped on
08/29/2023 pro 096/2/2023...
Medicare is responsible for hospice payment... from 05/07-08/31/2023

Called HUMANA @(866)427-7478 S/w Cris l, rep said the claim was recouped on 09/06/2023 as the patient was hospice from 05/07/2023-08/31/2023. So writ off task created under task id#. Call ref#2000335998430

*********************************

Invoice - 1619064

rec 03-15-2023
recoupment 09-06-2023

Called HUMANA @(866)427-7478 S/w Cris l, rep said the claim was recouped 09-06-2023 as the member was under impatient patient facility from 02/19/2023-03/10/2023. So write off task created. Under task iD#.. call ref#2000335998430


impatient from
02/19/2023..03/10/2023
*****************************************
Invoice - 1685402
recouped on 09/02/2023
Medicare hospice from 04/24/2023-07/31/2023
name- Tasha
Called HUMANA @(866)427-7478 S/w Tasha, rep said the claim was recouped 09/02/2023 as the patient was hospice from 04/24/2023-07/31/2023. As per directives write off task created. Under task iD#.. call ref#
2000336018587

***************************************
Invoice - 1531369
recoupment 07/13/2023

Called HUMANA @(866)427-7478 S/w Tasha, rep said the claim was recouped on 07/13/2023 as approved Auth is required for the pro code E2402. Further check in pt. documents there is no approved for this code. So task created. Call ref#2000336018587


we need approved auth for this service and there is no authorization
task created

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Invoice - 1477449

denied on
during the dos patent was not active medical plan that was effect 03/01/2023 term 08/01/2022
****************************************
Invoice - 1729920

Called TRICARE WEST TX @(844)866-9378 S/w Adam rep said the claim is paid, told rep as per RS sheet claim is under paid, we have received $239.99 and according to RS sheet allowed amount is $294.13.So Rep advised if the claim is under paid as per updated sheet then sent the dispute via fax#8448692812. Call ref#ref#Adam09132023
fax#8448692812
name Adam
ref#Adam09132023