Medical Billing Letters to Patients with a Medicare Hmo
by This is a letter to a patient who has a Medicare HMO. This is a letter to a patient that has a Medicare HMO claim that was filed electronically through N.E.I.C. This is a letter to a patient with an HMO stating that their medical claim was filed.
This is a letter to a patient who has a Medicare HMO.
Account # MA 8674
INCLUDE YOUR ACCOUNT # ON ALL CORRESPONDENCE
Jill Bennett, M.D. PC 08/02/2010
P.O. BOX 2759
Islip, NY 11751
800-828-2837 / 631-158-6030 Phone Hrs: Mon-Fri 10 AM To 1 PM
Richard/Marion Hall
35 Dover Lane
Bay Shore, NY 11706
For anesthesia or related services at Good Samaritan Medical Center
1000 Montauk Highway, West Islip, NY 11795
To Marion Hall On 07/06/2010 Amount $1,615.00
Payments received to date $1,502.40
Balance Due $112.60
A claim has been filed to your Medicare HMO.
Payment from your carrier will be accepted as payment in full provided it is processed in accordance with the Medicare guidelines.
If you have no indication in the next two weeks that this claim has been processed by your carrier please contact them concerning payment.
This is a letter to a patient that has a Medicare HMO claim that was filed electronically through N.E.I.C.
Account # MA 8674
INCLUDE YOUR ACCOUNT # ON ALL CORRESPONDENCE
Jill Bennett, M.D. PC 08/02/2010
P.O. BOX 2759
Islip, NY 11751
800-828-2837 / 631-158-6030 Phone Hrs: Mon-Fri 10 AM To 1 PM
Richard/Marion Hall
35 Dover Lane
Bay Shore, NY 11706
For anesthesia or related services at Good Samaritan Medical Center
1000 Montauk Highway, West Islip, NY 11795
To Marion Hall On 07/06/2010 Amount $1,615.00
Payments received to date $1,502.40
Balance Due $112.60
A claim has been submitted electronically to your Medicare HMO.
If within the next three weeks you have no indication that this claim has been processed for payment, please contact your insurance carrier to inquire about the delay.
Provided the necessary authorizations for services were obtained and the carrier pays in accordance with Medicare guidelines. Their payment will be accepted as payment in full.
This is a letter to a patient with an HMO stating that their medical claim was filed.
Account # MA 8674
INCLUDE YOUR ACCOUNT # ON ALL CORRESPONDENCE
Jill Bennett, M.D. PC 08/02/2010
P.O. BOX 2759
Islip, NY 11751
800-828-2837 / 631-158-6030 Phone Hrs: Mon-Fri 10 AM To 1 PM
Richard/Marion Hall
35 Dover Lane
Bay Shore, NY 11706
For anesthesia or related services at Good Samaritan Medical Center
1000 Montauk Highway, West Islip, NY 11795
To Marion Hall On 07/06/2010 Amount $1,615.00
Payments received to date $1,502.40
Balance Due $112.60
We do not participate in your insurance plan.
As a courtesy, a claim has been filed for you – however, you will not be responsible for any portion not covered by your carrier.
We expect you to assist our office by following up on your claim if payment is not received timely.
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