1.) We estimated the insured's co-pay based on information received from [redacted]. A written estimate was given to Mrs. [redacted]r on March 30, 2015 and her daughter's surgery was scheduled for April 17, 2015. We explained that this was an estimated co-pay; we would refund any overpayment on the...
account or bill Mrs. [redacted]r for any unpaid balanced once insurance claims were paid.2.) [redacted] has a non-duplication of benefits clause which means that the secondary policy may not pay for duplicate expenses paid by the primary policy. Our estimate was based on this clause. The insured was given copies of the benefits clause from [redacted]. Both primary and secondary insurance policies were billed.3.) The primary carrier has made two payments in the amount of $100 and $1514.80 leaving a balance on the account of $277.20.4.) We contacted [redacted] and the secondary claim is in process. As soon as we receive payment we will promptly refund the insured for any overpayment on the account.
Revdex.com:
I have reviewed the response made by the business in reference to my concern, and find that this resolution is satisfactory to me
1.) We estimated the insured's co-pay based on information received from [redacted]. A written estimate was given to Mrs. [redacted]r on March 30, 2015 and her daughter's surgery was scheduled for April 17, 2015. We explained that this was an estimated co-pay; we would refund any overpayment on the...
account or bill Mrs. [redacted]r for any unpaid balanced once insurance claims were paid.2.) [redacted] has a non-duplication of benefits clause which means that the secondary policy may not pay for duplicate expenses paid by the primary policy. Our estimate was based on this clause. The insured was given copies of the benefits clause from [redacted]. Both primary and secondary insurance policies were billed.3.) The primary carrier has made two payments in the amount of $100 and $1514.80 leaving a balance on the account of $277.20.4.) We contacted [redacted] and the secondary claim is in process. As soon as we receive payment we will promptly refund the insured for any overpayment on the account.