Friday, December 16, 2005

Case of the Week: 12/16/05

County: Randolph
Age: 62

This client contacted us when he received a bill from a health care provider that was 2 years old. The bill was for $1496. He recieved a summary from Medicare explaining the claim was made too late and he was only responsible for 20% of what Medicare would have paid had the claim been made properly. Working with a SHINE conselor, we were able to obtain a letter from CMS confirming that had the claim been submitted on time our client would have only been responsible for $110.22. Furthermore, the letter reiterated that my client is only responsible for the $110.22 eventhough Medicare never made a payment.


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