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Re: dukesking post# 411294

Monday, 06/26/2023 6:24:21 PM

Monday, June 26, 2023 6:24:21 PM

Post# of 425635
Thanks Duke, appreciate all you do for the board. Such a hodgepodge it puzzles me why or how all these coverage decisions are made at all these insurers.

I just had a situation not related to V that forced me to make a call to Medicare. I got an EOB from BCBS this past weekend and they had a $7K charge for which they denied payment. I did not recognize the charge so I called them today. They said that it looked like Medicare fraud as the charge first went there and then sent on to my secondary insurance BCBS. So I then called Medicare. The charge was for some durable medical equipment - a catheter. I told them I did not ever come within 100 feet of a catheter and so they will start an investigation. Bad thing was that Medicare actually paid out over $5K on the claim so not sure why they forwarded the entire $7K on to BCBS. I am just wondering and concerned as to how they got my Medicare card number.
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