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Billed for Medical Equipment, Bill Was Not Paid by Insurance Due to Provider's Error

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  • 07-11-2011, 11:35 PM
    UNHAPPYLADY
    Billed for Medical Equipment, Bill Was Not Paid by Insurance Due to Provider's Error
    My question involves collection proceedings in the State of: MISSISSIPPI

    My son had major reconstructive surgery in feb 2007 on his knee. He was provided with an iceman machine to use for 6mo to a year. (We are in Mississippi and the iceman company is in PA.) The machine was filed to my insurance as a rental and denied. The rental charge was 1400.00 for machine and 150.00 for hose and pad.
    ( The machine can be purchased from a DME provider for about $200.00!) Since this was a school athletics accident, the school ins picked up at 100% anything that my ins did not cover in full. About a year later the company called for me to return the machine and said they had filed an appeal to my insurance co..and that they still had not filed the school insurance because they were waiting on the primary. She told me that the school ins. may say it was past the filing limits at this point. and they would have to accept that. She also asked me to forward to her 112.00 that was sent to me for the pad. I sent the machine and the 112.00 in june 2008. Today i recvd a letter demanding for me to provide them w/ copies of all EOBs for these charges with my insurance as they don't have them on file now & also the 1400.00?? Is this legal??? 4 1/2 years later? How would you handle this? Should I see an attorney?
  • 07-12-2011, 09:08 PM
    Mr. Knowitall
    Re: Billed for Medical Equipment, Bill Was Not Paid by Insurance Due to Provider's Er
    It's possible that they changed billing personnel or services and that the new person is not aware of what happened. Have you tried contacting them to explain how the issue arose, and that it was resolved in 2008? If so, how did they respond?
  • 07-12-2011, 10:32 PM
    UNHAPPYLADY
    Re: Billed for Medical Equipment, Bill Was Not Paid by Insurance Due to Provider's Er
    I did talk to them today. The same lady is there that I spoke to in 2008. She remembered talking to me but said she had been waiting all this time on the appeal that she had filed in 2008.??? and that she had just talked to my insurance and found out that the appeal was answered in dec 2008 but due to HIPPAA reg they would not tell her anything. They denied the appeal but I faxed the EOB that I pulled from the website and she said she would try to file it with the school insurance but that will be a lost cause 4 years later. I work in medical field and there is only about a 1 year window most times to file. Anyway, she said she did not want to have to collect it from me so she hoped the school insurance would pay something. I am just sick to think that after all this time they will try to collect from me when we were not supposed to be responsible for 1 penny. Just a major headache and I am not really sure how to handle it. I know in our office, our attorney can collect anything up to 3 years from date of payment due date. Anything older is uncollectable. I just wasn't sure which statute this would follow since I live in Mississippi but the DME company is in Pennsylvania.
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