2016 I visit a Dignity Health Medical Foundation doctor, 2 months after this visit I received a letter from Dignity stating that I might be covered by multiple insurance companies. I am asked to contact my insurance carrier directly to update my coordination of benefits status. After taking with Medicare I call Dignity and inform them that the issue with Medicare has been fixed. I am told by Dignity they will resubmit the claims. This same month I receive a bill from Dignity, a month later I receive a bill and a month after this I get another bill. Each time I call and the last time in Dec 2016 I am told by Dignity they will resubmit the claims.
March 2018, I received three different bills from Dignity Health Medical Foundation; these bills are the same bills I was sent back in 2016. I call Dignity and again they tell me they had resubmitted these claims to Medicare and they had been denied.
March 2018 I call Medicare and we talk about the multiple bills and conversations I have had with Dignity Health Medical Foundation. We talk about the multiple bills and the first submittal by Dignity. We talk about my conversation with Dignity back in Dec 2016 and them telling me that they had resubmitted the claims. I ask the Medicare rep if Dignity every resubmitted these claims, I am told by Medicare "Dignity did not resubmit these claims". Medicare tells me that if Dignity had resubmitted these claims they would have been "PAID".
Medicare wants to know why Dignity Health Medical Foundation waited 15 months to resend out these bills.
After multiple conversations with Dignity Health Medical Foundation and them not being honest with me, I seek help with this matter. When we call Dignity Health Medical Foundation, we asked if they had resubmitted claims. Dignity tells us they did "resubmit the claims". At this time we tell Dignity that Medicare has said "Dignity Health Medical Foundation did not resubmit the claims". This person now talks with a Supervisor; this person comes back on line and tells us that the Supervisor said "Dignity Health Medical Foundation does not have to resubmit these claims".
If Dignity Health Medical Foundation would have been honest up front and told me that they will not be resubmitting these claims I could have made an appeal with Medicare. According to Medicare "THEY WOULD HAVE BEEN PAID".
Why is Dignity Health Medical Foundation holding me responsible for the poor communication on your part telling me you had resubmitted the claims and you did not?