Hospital Billing Fraud

True Scenario:
Go to Physician
He is employed by the hospital you work for.
Your insurance is through that hospital, your employer.
The physician has signed a contract with and is a preferred provider for your insurance- as your PCP.
You have a health condition that requires you to receive the pneumonia vaccination every 5 years.

You go to Dr.s office and they tell you the vaccine is not covered by your insurance. The cost will be $120.

You decide to go home and verify (5yrs ago it was covered same doc/same insurance)
The insurance company says it is covered.

You call the physicians office. You get the Tech. They say that “it is covered but they don’t pay me enough to do the shot. So we don’t use the insurance on that. You must pay the $120.”
Now another patient, with medicare, gets same shot- his insurance is filed. He pays nothing.

They (office manager) say they have the right to do that on items that would not make a profit.

Um- I thought thats why we had insurance?

health care billing

Hi, I had many credit cards, medical bills, and utility bills opened in my name and social security number. After these thieves opened the accounts and got what they wanted, they started sending the bills to me! My once good credit is now in shambles. I have filled police reports, called the companies, and contacted the credit bureaus to dispute the items as fraud. BUT, I keep getting the bills, and the credit bureaus are saying that these are “validated” as mine!!! I just want them off my credit report. I have sent out police reports, I have sent all the information that everyone has asked for, and no one is taking anything off my credit report. Please help me, the credit bureaus will no longer let me dispute any of these false items and I’m getting desperate. Thanks

medical billing management

Years ago in my youth… I went to a vocational school designed to teach the trade of Medical Assistance. Well I was passing and doing well until the last class, Medical Billing. The Medical Billing teacher quit and the school was unable to hire another teacher.

After making payments directly to the school I foolishly took out a student loan for the remaining $3400 and put a $400 cash payment down. Well after I took out the loan along with several other students the school closed down without notice!

I was out of the money, education and still responsible for paying back the loan even though I didn’t have atransfer transfer with transcripts for another school.

The original loan holder never came after me. I asked for a loan forgiveness considering what the school did and I believed they granted it. The original loan holder sold the debt to a collection agency and now ten years later the creditor is after me for over $4000! After contacting the state and Washington DC I found out the school never existed. The $4000 isn’t enough for a lawyer to fight. The department of education will not get involved because this was never listed as a school loan. After receiving a verification from the collection agency I saw the original contract was made under a retail loan installment with the school’s name on it. No one person’s name is legible on the contract and I have no one to complain to about a non-existant school or business (it was never registered). When I contacted the big credit agencies they verified the loan on my credit once they saw the original retail loan installment contract.

This was a fraud altogether! I have no other outstanding bills and yes I later enrolled in college and I’m almost finished paying off my Sallie Mae loan. However, I can’t get this removed or get the collection agency off my back. If I’d finished the school or dropped out I would pay it back but they closed without notice one morning out of the blue.

Any directions on how I can fight this? Where else can I try?
Thank you.. I welcome all answers!
The original debt began July 2000 so I’m just shy of 10 years.

medical billing school

My boyfriends exwife has been using his health care insurance that she had when married…the divorce from two years age says she was to maintain her own insurance…she has since the divorce remarried and still uses his health plan for 136 claims within the last two years…is this fraud on her part??? and if it is what kind of “punishment” would be given if any???THANKS!!!

medical billing association

I have been divorced from my exwife for 2 years now. During the course of our marriage, she racked up a very extensive amount of medical bills. During the divorce, the judge ordered her to pay her own medical bills that were incurred.. and that I wasn’t liable for any of the charges.

I just found out that she had medical bills sent to collections “in my name” back in January of 2006. From 01/2006 to 02 of 2008 (2 years) she failed to pay on the charges that were in collections. Just recently she began making payment toward the bill.

Here’s the deal:
I was UN-knowingly sent to collections over 2 years ago. She failed to pay the bills when she knew they exhisted. She also failed to tell me that they were on my credit.. and that my rating was being decreased the entire time. On top of that, she unlawfully changed my address with them, so that the bill would route to her home.
She has recked my credit.

Any advice on what can be done

medical billing association