It's a snowy day in Phoenix when I get a billing question from a client with a Plan F Med Supp. Just trying to solve it without having to "try" 10 different things.
Here are the details I have so far:
- Client's A&B + Plan F started 4/1/18
- Service date: 4/x/18
The bill states
Primary Insurance: CGS Administrators LLC (immediately, I thought this was the issue - the provider did not bill Medicare. They billed CGS whatever that is. Then looking CGS up online - it looks like they may be some sort of billing contractor with Medicare? Anyone ever heard of them? Is this "Medicare")
Client's name
Client's MCID
Secondary Insurance: None on file
Charge: $210
Medicare OH Payment: $0
Contractual Adjust: -$132
Invoice Balance: $78
Per your insurance this charge was applied to your annual deductible.
(this makes me think that, yes, the bill did get to Medicare, because the claim amount was adjusted and "applied to the deductible.").
So, I called the med supp carrier, and they said that they did not receive the bill. Shouldn't it automatically get there via crossover?
What should my next step be?
- Should the client call the provider and ask them to re-bill Medicare?
- Or should the client call the provider and give them his Med Supp info?
- Or, something else?
Here are the details I have so far:
- Client's A&B + Plan F started 4/1/18
- Service date: 4/x/18
The bill states
Primary Insurance: CGS Administrators LLC (immediately, I thought this was the issue - the provider did not bill Medicare. They billed CGS whatever that is. Then looking CGS up online - it looks like they may be some sort of billing contractor with Medicare? Anyone ever heard of them? Is this "Medicare")
Client's name
Client's MCID
Secondary Insurance: None on file
Charge: $210
Medicare OH Payment: $0
Contractual Adjust: -$132
Invoice Balance: $78
Per your insurance this charge was applied to your annual deductible.
(this makes me think that, yes, the bill did get to Medicare, because the claim amount was adjusted and "applied to the deductible.").
So, I called the med supp carrier, and they said that they did not receive the bill. Shouldn't it automatically get there via crossover?
What should my next step be?
- Should the client call the provider and ask them to re-bill Medicare?
- Or should the client call the provider and give them his Med Supp info?
- Or, something else?