| Subject | Date Asked |
|
| claim denied | 11/11/2009 |
Q: My husband, my 9 year old son and I went to check-up in different time between March to June, 09. ...
A: Mei, You need to make sure that the blood work your husband's co-worker is getting is the same. If ...
|
| claim denied | 11/11/2009 |
Q: My husband, my 9 year old son and I went to check-up in different time between March to June, 09. ...
A: Mei, You don't state the reason why Aetna is not paying the entire bill. However, the first place ...
|
| insurance refusal to pay for hip replacement | 10/29/2009 |
Q: I am currently covered by my husbands medical insurance through his pipefitters local union #598. ...
A: Dona, I would have your doctor write a letter of medical necessity (if it's warranted) and have the ...
|
| medicaid | 10/6/2009 |
Q: I am divorced and provide health insurance coverage for my children through my employer. My ex has ...
A: Bryan, If your children are covered under your insurance, then your insurance is primary. Mediaid ...
|
| i need a pcp for my daughter asap | 9/23/2009 |
Q: I need a pcp for my daughter who is 2 years old. She is on medicaid now and i cant find a list of ...
A: Amber, I'm sorry but I can't give you a list or website...but I was wondering if the problem is ...
|
| lap-band surgery | 9/16/2009 |
Q: I would like to find out if medicare and medicaid will cover lap-band surgery if it is deemed ...
A: Sherry, if your doctor can deem this surgery medically necessary, Medicare and Medicaid may cover. ...
|
| mother | 7/27/2009 |
Q: could you explain to me what QMB is and how my mother can get on this to help on her medical ...
A: Marsha, I took the following information right from the CMS (Center for Medicare/Medicaid ...
|
| Transferring Medicaid benefits from VA to CA | 7/26/2009 |
Q: How do I help my son transfer his Medicaid benefits from Virginia to California? Would he need to ...
A: Brian, You will need to contact CA Medicaid, every state's requirements are different. Sometimes, ...
|
| which insurance is primary and secondary | 7/25/2009 |
Q: I have gateway healthplan medicare assured, the Access card and medicare. I'm not sure which is my ...
A: Kelly, I'm not sure what type of plans these are by just their name. However, this is how it ...
|
| Coordination for Benefits for past 5 years. | 7/8/2009 |
Q: My daughter, age 27, is disabled. Her Dad carries her on his Federal BC/BS policy and she has ...
A: Betsy, Depending on the state, the limitations to be able to go back are different. Most states ...
|
| Collection money from medicare pts | 6/25/2009 |
Q: When a patient comes in for a visit, is it illegal to collect the coinsurance or deductable for that ...
A: Terri, Assuming that you are an in-network provider, you may not collect any of the patient's ...
|
| Medical Records | 6/23/2009 |
Q: How long must a physicians office keep records on site for patients. that have not been seen. We ...
A: The charts don't have to be kept in house, however, the charts must be easily accessible in the ...
|
| double coverage | 6/8/2009 |
Q: Is it necessary to take a write off from both the primary and secondary insurance companies, or just ...
A: If you take the write off of the biggest, you are in essence also taking the write off of the ...
|
| double coverage | 6/8/2009 |
Q: Is it necessary to take a write off from both the primary and secondary insurance companies, or just ...
A: Andria, I'm assuming by write-off you mean a contractual allowance, the difference between what was ...
|
| office visit | 6/4/2009 |
Q: Yes i would like to know if medicare will pay for a patient to come in the office just to pick up a ...
A: Robien, a patient picking up a script does not constitute a billable service that you're providing. ...
|
| insurance | 6/4/2009 |
Q: i have hip through my job.I had gastric bypass two years ago and would like to know if there is any ...
A: Krystal, Not every employer purchases the same type of medical insurance, therefore coverage ...
|
| insurance write-offs | 5/27/2009 |
Q: I have a claim for dental implants for $5310.00. These were needed due to a birth defect so they ...
A: Tracey, If the provider is participating with your insurance, they should accept the amount that ...
|
| tummy tucks for medical reason | 5/19/2009 |
Q: i have been told by 3 doctors i need a tummy tuck due to the many bad yeast infections,rashes ...
A: Audrey, If a doctor is not willing to write a letter of medical necessity to your insurance ...
|
| medicaid prescription coverage | 5/15/2009 |
Q: My little brother is a medicaid recipient because he was born with meningitis of the brain, does ...
A: Renai: Unfortunately I'm unable to answer this question. I advise you to contact the Medicaid ...
|
| How to write to HMO Medicaid | 5/14/2009 |
Q: My doctor knew ahead of time I was going to see her to get a referral to see a Chiropractor, ...
A: Glad to hear that you are feeling better. You can certainly write an appeal to the Medicaid HMO and ...
|
| what surgerys are covered? | 5/8/2009 |
Q: my name is cynthia im under going treatment for chronic pain due to degenerated spine diseaes ...
A: Within Medicaid, there are several programs that cover and not cover certain procedures. My ...
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