AboutTricia Expertise Has your medical insurance company denied your claim and refuses to pay? Have
you received a pre-authorization and still your insurance company
refuses to pay? How can you get your insurance company to reverse a
denied claim? How do you get a provider to waive your copayment if you
are financially unable to pay? Can a provider sue you for a unpaid bill and
will they? Can a provider send me to a collection agency for a medical bill?
If my insurance company does not pay, am I responsible? If you have these questions or others on why your insurance company is not paying your bills, I can help. I can give you "tricks of the trade" to get your insurance company to pay.
I have limited knowledge on Medicare and Medicaid and that is not my expertise. Each state is very different regarding Medicare and Medicaid so you need to review their website when you have questions. So please no Medicare or Medicaid questions!!
Experience In the medical field for over 20 years spending majority of time in the collections aspect.
Question Hi, My mom had Medicare as her primary and AARP as
secondary.. she passed away 6months ago.. and we are still
sitting on the bills . first questions is do I send it
to medicare first then aarp covers the difference and
when i send it to medicare do i fill out a claim form..
Also what is the time limit to have them processed.
Thank you
Answer Hi Adele!
Usually the providers bill Medicare directly since they require a NPI # in order to pay.
So what I would do is to send the bills back to the provider or Dr's office with a note stating that your mother died 6 months ago and ask that they bill Medicare and AARP. Send them copies of both cards if you can, make it easier for them to bill them. If you do not have the cards, write all the information down so they can bill both carriers.
Unsure why the bills were not sent to Medicare initially since before providers or Dr's bill a patient they should always bill any insurance carriers.
I think the span for Medicare is about a year.......they base it on the DOS of the billing and go to the end of the next year.
