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Jessica Ann Nicole

3 years ago

A provider has the choice whether or not to bill M...

A provider has the choice whether or not to bill Medi-cal. If they bill the patient that s going against the Medicaid policies. My mother has Medicare as primary and her secondary is medi-cal regardless if her Medicare paid 80% medi-cal needs to pay the remaining portion you CAN T bill the patient. My mom had a lapse of coverage with her medical which was fixed by a case worker and now shows the date of service is covered. We communicated this to Holy cross as well, but the customer service from this company was horrible the first person I spoke to was Ms. Robinson which lol hung up on me then called back and then let s talk about Kennith who told me well maybe medical should pay for it you do understand $9K was paid by primary ummm I don t care what was paid by primary the fact is my mother is covered 80/20 which is 100%
I work in the medical field as a collector.

If your reading this know how your plan works and how much is covered by your insurance.
We contacted Holy Cross again and the guy was able to find the notes where the self-pay department showed my mom s coverage was updated by medi-cal they pulled this from the debt collector and escalated this to a lead.

If I can give 0 stars I would.

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