I had a dental work (implants) done last year, my former health
insurance paid a portion of it and I paid the rest. Afterwards the
insurance company send me a check for $2000+ as a benefit under my
secondary coverage. Now they are trying to collect this amount back
claiming that it was a mistake. I don't have a primary coverage
anymore from this insurer (Blue Cross) and I live in a different state
now. They keep sending me notifications and threatening to involve a
collection company. Anyone has an advise what to do in my situation?
Thanks.

I had a dental work (implants) done last year, my former health
insurance paid a portion of it and I paid the rest. Afterwards the
insurance company send me a check for $2000+ as a benefit under my
secondary coverage. Now they are trying to collect this amount back
claiming that it was a mistake. I don't have a primary coverage
anymore from this insurer (Blue Cross) and I live in a different state
now. They keep sending me notifications and threatening to involve a
collection company. Anyone has an advise what to do in my situation?
Thanks.

tm4lf@yahoo.com wrote:
I had a dental work (implants) done last year, my former health
insurance paid a portion of it and I paid the rest. Afterwards the
insurance company send me a check for $2000+ as a benefit under my
secondary coverage. Now they are trying to collect this amount back
claiming that it was a mistake. I don't have a primary coverage
anymore from this insurer (Blue Cross) and I live in a different state
now. They keep sending me notifications and threatening to involve a
collection company. Anyone has an advise what to do in my situation?
Thanks.



Well, were you eligible for secondary insurance benefits as of the date
of service?
If you believe you were eligible, you might wish to contact the state
insurance department where the treatment was rendered. If they can't
help, it's a legal matter. You should consider how involved you wish to
get with the insurance company, considering the legal fees may be high.

Steve

On Thu, 22 Mar 2007 21:37:46 GMT, Mark & Steven Bornfeld <bornfeldmung@dentaltwins.com> wrote:

tm4lf@yahoo.com wrote:
I had a dental work (implants) done last year, my former health
insurance paid a portion of it and I paid the rest. Afterwards the
insurance company send me a check for $2000+ as a benefit under my
secondary coverage. Now they are trying to collect this amount back
claiming that it was a mistake. I don't have a primary coverage
anymore from this insurer (Blue Cross) and I live in a different state
now. They keep sending me notifications and threatening to involve a
collection company. Anyone has an advise what to do in my situation?
Thanks.


Well, were you eligible for secondary insurance benefits as of the date
of service?
If you believe you were eligible, you might wish to contact the state
insurance department where the treatment was rendered. If they can't
help, it's a legal matter. You should consider how involved you wish to
get with the insurance company, considering the legal fees may be high.

Steve

Do ya think the money's already spent ? <rhetorical

From a business point of view (without contracts to the respective
companies), honestly submitted claims that the insco overpays *DO NOT*
need to be refunded.

You are not responsible for an insco's mistakes for overpayment.

In fact the response to give the insco is to get the overpayment
from the patient. They are the person who received the benefit.

Steve

You know, I've gotten insurance overpayments from time to time.
I've promptly returned them, then sometimes months later get dunned to
return a check I already have. I have to keep records of the return
to keep me out of trouble. No good deed goes unpunished.

Steve

From a business point of view (without contracts to the respective
companies), honestly submitted claims that the insco overpays *DO NOT*
need to be refunded.

You are not responsible for an insco's mistakes for overpayment.

In fact the response to give the insco is to get the overpayment
from the patient. They are the person who received the benefit.

Steve



Just to be clear--it had been a payment made to me. That was bad
enough--had they paid the patient I can't imagine they could try to
enlist me as their collection agent.

Steve

OK, I do a molar endo and crown on #14. Total fee is $1,800.
The estimated insurance benefit is $1,000. The treatment is
finished and the insco sends me a check for $1,250. The patient's
account balance is adjusted appropriately and gets $250 either as
a refund for overpayment or credit against other charges.

Six months later the insco sends me a note saying they made a
mistake and want *ME* to refund the $250 to them and collect the
balance from the patient if I so chose.

Oh no they don't! They made the mistake. If they want that $250
back, they can go to the patient and get it from them! I did not
benefit from their mistake. The patient did. I will not try to
collect for them.

Inscos have tried this game with me on more than one occasion,
and I simply refuse to play.

Don't get me started, or I'll call Wubba<G>.

Steve

From a business point of view (without contracts to the respective
companies), honestly submitted claims that the insco overpays *DO NOT*
need to be refunded.

You are not responsible for an insco's mistakes for overpayment.

In fact the response to give the insco is to get the overpayment
from the patient. They are the person who received the benefit.

Steve



Just to be clear--it had been a payment made to me. That was bad
enough--had they paid the patient I can't imagine they could try to
enlist me as their collection agent.

Steve

OK, I do a molar endo and crown on #14. Total fee is $1,800.
The estimated insurance benefit is $1,000. The treatment is
finished and the insco sends me a check for $1,250. The patient's
account balance is adjusted appropriately and gets $250 either as
a refund for overpayment or credit against other charges.

Six months later the insco sends me a note saying they made a
mistake and want *ME* to refund the $250 to them and collect the
balance from the patient if I so chose.

Oh no they don't! They made the mistake. If they want that $250
back, they can go to the patient and get it from them! I did not
benefit from their mistake. The patient did. I will not try to
collect for them.

Inscos have tried this game with me on more than one occasion,
and I simply refuse to play.

Don't get me started, or I'll call Wubba<G>.

Steve

From a business point of view (without contracts to the respective
companies), honestly submitted claims that the insco overpays *DO NOT*
need to be refunded.

You are not responsible for an insco's mistakes for overpayment.

In fact the response to give the insco is to get the overpayment
from the patient. They are the person who received the benefit.

Steve



Just to be clear--it had been a payment made to me. That was bad
enough--had they paid the patient I can't imagine they could try to
enlist me as their collection agent.

Steve

OK, I do a molar endo and crown on #14. Total fee is $1,800.
The estimated insurance benefit is $1,000. The treatment is
finished and the insco sends me a check for $1,250. The patient's
account balance is adjusted appropriately and gets $250 either as
a refund for overpayment or credit against other charges.

Six months later the insco sends me a note saying they made a
mistake and want *ME* to refund the $250 to them and collect the
balance from the patient if I so chose.

Oh no they don't! They made the mistake. If they want that $250
back, they can go to the patient and get it from them! I did not
benefit from their mistake. The patient did. I will not try to
collect for them.

Inscos have tried this game with me on more than one occasion,
and I simply refuse to play.

Don't get me started, or I'll call Wubba<G>.

Steve

From a business point of view (without contracts to the respective
companies), honestly submitted claims that the insco overpays *DO NOT*
need to be refunded.

You are not responsible for an insco's mistakes for overpayment.

In fact the response to give the insco is to get the overpayment
from the patient. They are the person who received the benefit.

Steve



Just to be clear--it had been a payment made to me. That was bad
enough--had they paid the patient I can't imagine they could try to
enlist me as their collection agent.

Steve

can of WA...

Newbie wrote:
And you know that I will be there promptly with a super sized
can of WA...

That's what I'm talkin' 'bout.

Steve