Life Home Care

Review: I have a cpap medical machine which requires periodic supplies such as a mask and tubing. I obtain my supplies through my health insurance plan UPMC and they refer me to the above business. I ordered my supplies early this year and paid the bill that was sent to me for 130.67 for medical supplies. then on 10/10/13 I received another bill from them for an additional 60.96. no explanation ust that I customer [redacted] need to pay this amount for invoice. [redacted]. I called the 800 number but received no response and just left a message that they would have to prove how I owe them this money almost 9 months later.Desired Settlement: stop billing someone 9 months after they paid the bill that was presented for the full amount.

Business

Response:

The supplies for date of service 2/25/13 were submitted to the insurance company on two different

invoices for amounts $130.67 and $60.96. The first invoice for $130.67 for supplies ([redacted]

[redacted]) was submitted to the insurance company 2/26/13 and a response was received from the

insurance company (UPMC Healthplan) that the balance was applied to the patient’s deductible. The

patient made the payment for the balance of that invoice for $130.67.

The second invoice for the remaining supply ([redacted]) in the amount of $60.96 that is in question was

submitted to the insurance company on 8/19/13. [redacted], dba Life Home Care was notified by

the insurance company on 10/10/13 that the claim was processed towards the patient’s deductible and

the patient is responsible for $60.96.

The reason the patient did not receive a bill for the second invoice until 10/10/13 is because there was

additional documentation that was needed from the physician. The insurance guideline’s permits

providers to submit claims within a year from the date of service. We were well within that year.

A conversation took place with the patient and the insurance company on 11/1/13. The insurance

company ([redacted]) confirmed that the billing and patient’s responsibility was correct.

The customer is responsible for the amount of $60.96 that is due.

Thank you,

Billing Center Quality Supervisor