01-06-2013 08:20 PM
Does anyone know if medicredit is a debt purchaser or if they just collect for OC ? I have a bill on CR that I thought insurance paid for my daughter when she was diagnosed with diabetes (almost 3 yrs ago) should I attempt to email GW to hosp?? Or what should I do? This was the E.R. Hosp we were there about 2 hours then she was taken by ambulance to the childrens hosp where we stayed for 4 days, childrens hosp advocates handles all billing stuff (as we were uninsured (first time ever and lo and behold an extreme emergency) all bills were covered by california childrens services, I did receive one call from hosp and told them billing info and never got a call back so I thought everything was fine. I'd bet the insurance wouldn't cover it now sincthis been so. Long... Any advice? The bill is not small therefore pif is unattainable.
01-06-2013 09:13 PM
If you gave them the proper insurance information and the facility failed to bill it properly, the facility cannot legally collect the debt. They are held to timely filing standards and if they fail to do so they lose out on payment (usually one year). I would call them and advise them of this fact, stating that it is their fault that they did not file the claim within the time frame permitted. Did they correctly process any bills from any part of that hospital stay through the Cali health program (this would prove that at least one dept had the info)? If you provided them the correct information, they are out the money. If you failed to provide this information to them, then you could be liable. However, sometimes the hospital can file late if there is new information (they would need to provide documentation explaining the late filing). I would call them and talk it over, and make sure you tell them that you will be notifying the state insurance commissioner that they are not following the law (only take this route if you are SURE you gave them the information and they insist you are liable). If they are adamant that you did not tell them, you could offer to pay for the bill if they agree to pull it from collections. Get it in writing first.
01-09-2013 08:33 PM
Ok so,I called hospital had them pull up old account to read notes, they have in notes that I called and told them my daughter was on state medical and in the notes said they couldn't find her in medical system, she says they retried then sent me notice and then says that I called again and confirmed she was covered for medical. So I called medical insurance office the case worker said all other payments were paid at that time there were was no lapse in coverage. I am going to ask for a form to allow them to reaubmit the bill, but idk if it'll work. So I called medicredit, the lady was relatively nice, she pulled up account and has in her notes as that I notified hospital medical insurance coverage. She said I was called by hospital and told since they couldn't find insurance in system that I agreed to cash pay. I said no mamm in your notes it states I told you there was insurance coverage.
So question is,,, what the heck do I do if I can't get insurance to pay a bill that is a couple years old? The CA lady said they will continue to hold me responsible if the insurance doesn't pay. Which IMHO her notes prove I made every effort to notify them of her insurance coverage, and it was there negligence in billing department.
i know this sounds more of me rambling thoughts.. But any suggestions?
01-09-2013 10:14 PM
I had a similar situation where the insurance filed it incorrectly, failed to answer questions for verification for insurance and I even had the insurance try to call their office. They never returned any calls. I sucked it up, used my fsa left over money for the year and paid, then disputed and it was deleted.
Had 2 medicredit that also mysteriously dissapeared from my report after a year.
01-09-2013 10:34 PM
pisses me off its a 5500 bill .. I can't pay that right now, especially just because they sucked in the billing department, the other 40k in bills were paid by all the other drs and the ambulance and the other hosp but then.This one acts like I just didn't want to have it paid... Lol that makes a ton of sense!!! Freaking people.....
01-11-2013 10:44 AM
YAY.. talked to the insurance manager today, They are allowing hospital to resubmit the bill ! Once that is done Medicredit says they will withdraw from CR as she had medical coverage. ... Oddly Medicredit was way nicer than hospital (who I had to request itemized bill from due to hippa rules) youd think it would have been opposite.. Im Hoping/praying once this is paid and deleted that I get a nice bump in score as this is only recent (2 years old) CA the others I have are over 4/ 5 y/o CO's
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