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Considered one of my suppliers acquired a telephone name at this time from a person who represented himself as somebody who needed to launch a examine to her for companies she had offered to a affected person, however he simply wanted to fax her a paper to signal. She bought the paper and did not perceive what it was, so she faxed it over to me, Thank GOD!
I have been seeing this over the past 12 months or so. A 3rd occasion firm is available in and will get claims from an insurance coverage service. Then they contact the medical supplier and attempt to get them to signal an settlement which mainly claims that if they comply with settle for a lowered payment, they may get reimbursed faster! What a crock!
To start with, it does not appear authorized that these third occasion corporations can get hold of these claims from the insurance coverage service. I might assume that it breaks some sort of confidentiality. And second of all, an insurance coverage service is suppose to course of a declare inside 45 days of receipt of the declare. If the declare is only for pretty widespread companies, and all the knowledge on the declare is correct, the declare ought to be paid in a well timed method anyway. And apart from, I’ve discovered that by the point they contact the supplier and attempt to get them to signal the contract after which lastly pay the declare, the identical period of time has handed that it might usually take for the declare to be processed by the initially service.
Apart from, why ought to the supplier take a minimize in pay? The most recent one I acquired was a 26% discount from the accepted quantity. And the motivation is one thing that’s suppose to occur anyway? Well timed fee for the companies? Does not actually make any sense to me!
I at all times advise my suppliers to only say NO! Don’t agree to scale back your payment. We name the unique insurance coverage service and inquire as to why the declare is not paid but. And we name and/or fax the third occasion firm to advise them that the supplier is NOT going to take part of their recreation.
So should you’ve ever been contacted by considered one of these third occasion corporations requesting that you simply settle for a lowered payment and you do not really feel like paying anyone who has nothing in any respect to do with the service you offered, then inform them thanks however no thanks! In spite of everything, you’re already compelled to just accept the payment that the insurance coverage service feels is affordable for the service you’re offering. Why do you have to take one other minimize in pay!
Once we submit claims electronically, which most claims go electronically nowadays, over 90% are paid inside 2 weeks. That mainly makes this provide a “take a minimize in pay so we can pay you in the identical period of time” provide. Does not sound like a deal to me!
