In today's mail was an EOB (explanation of benefits) statement from my secondary healthcare provider, mentioning a claim by a medical supplier for goods/services I never requested or received, totally fake. Statement shows secondary provider denied the claim, but somebody accepted and partially paid, and I may be responsible for $10K+.
WTF? I call secondary provider to advise them the claim is fake ass. Provider asks me if I've undergone any surgery on my leg(s) during the mentoned period, I say no. Provider explains "we denied the claim, but it looks like Medicare paid-to the tune of $11K; you need to call Medicare ASAP! " Now I'm PISSED!
Call Medicare and explain to the CSR, who also inquires about surgery on my leg(s); again I deny, claiming fake assery. Turns out the claim was a medical goods supplier, the claim was for specialized dressings to be used post surgery; charged initially in July and duplicated in August, and "yes, we paid the claim" . CSR took my statement regarding claim being as fake as a 3 dollar bill and transfers call to Claims Dept. That CSR verifies the information, and tags my file in case they try to claim again, etc. "Thank you, you've been very helpful, etc." , call terminated.
Next step is wait to see if supplier tries to bill me for difference. If they do, that's potentially 3 offenses, the first two of which can be construed as Federal felonies. If I do see a bill from these fukks, then it's on like Donkey Kong!
Edited by pjbear05, 06 October 2021 - 03:53 PM.