My mother has a medicare/HMO. She is over 80 years old. She received services from a home health care provider. The provider either didn't submit claims on a timely manner or with proper documentation requested by the HMO. Now after almost 2years the Healthcare provider is requesting her to pay over $4000.00. The HMO claims she is not liable and the HMO is willing to pay if the claims are filed properly.
What can I do? I saw that the Healthcare has 45 cases filed in courts and judgments been made in their favor.
1 Answer from Attorneys
An attorney that is verse in health care billing matters should review the bill, along with your policy to make sure that it is a covered benefit. Assuming it is, there may be some remedy to the situation. I have worked in the health care industry for over 13 years.
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