Some insurance companies decline to accept invoices that are sent more than six months after the consultation or surgical episode.
Fair enough.
They should have been invoiced.
BUT…
A statement was received today from a certain insurance company containing an entry reclaiming £620 paid to an MHM client in December 2018. Whilst that was before MHM started managing the client’s medical invoicing, a phone call to the insurance company was made anyway.
All part of the service. 20 minutes later the insurance company concerned confirmed the payment of £620 had NOT in fact been made to the client in December 2018!
In other words, they were totally wrong to deduct money from the MHM client. The insurance company is paying back to the MHM client the £620 at the end of May 2019.
We’ve just saved the client £620.
Hang on a second. This particular insurance company does indeed decline invoices over six months old. Yet it makes deductions from an MHM client going back not months but years. And the deduction was wrong anyway.
Moral of the story?
ALWAYS check the payment remittances from an insurance company. 99% are correct but that last 1% can be worth hundreds of £s!
How many of you have had this happen to you?
More importantly how many of you realize it has happened?
pete@medicalhealthcaremanagement.co.uk
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