TRI CARE PRIME PAYMENT DENIAL ANSWER

MS BRITTY HELPED ME WITH THIS SO I'D LIKE TO PASS THE INFO ALONG TO ALL THOSE WHO HAVE THE TRI CARE INSURANCE POLICIES ... THIS MAY BE AFFECTING OTHER INSURANCE PAYMENT PLANS AS WELL, BUT I DON'T KNOW. ON THE INITIAL VISIT WITH YOUR SURGEON ... THE VERY 1st TIME YOU HAVE AN APPOINTMENT WITH HIM/HER AT MUSC, YOUR INSURANCE WILL BE BILLED $30.00. IF IT GETS DENIED, GO TO YOUR PCM's OR REFERRING PHYSICIAN'S INSURANCE DEPT (LIKE, MY PCM WHO IS MY FAMILY DOCTOR REFERRED ME TO DR BYRNE ... SO, I HAD TO GO BACK TO MY REFERRING FAMILY DOCTOR, NOT TO DR BYRNE'S OFFICE) ... TELL THEM THAT THE "FACILITY TAX ID #" HAS TO BE ADDED TO THE BILLING, RE-BILLED & MAILED BACK TO TRI CARE WHERE THEY WILL REPROSSESS IT & PAY IT UNDER THE ORIGINAL AUTHORIZATION #. BE SURE TO NOTIFY MUSC THAT YOU WON'T BE PAYING YOUR $30.00 BILL BUT THAT IT IS BEING RESUBMITTED TO TRI CARE WITH THE ADDED INFO. CHRISTMAS BLESSINGS DAWN & NICK

If I am not mistaken MUSC charges you this just to walk in the door.

IT'S POSSIBLE, MS BRITTY, CAUSE I THINK THIS A STANDARD CHARGE TO EVERYONE. THANKS GIRL, FOR THE INFORMATION CUZ YOU SAVED US $30.00 & RIGHT NOW THAT MAKES AN ENORMOUS DIFFERENCE!!!!!!!! HOW HAS EVERYTHING BEEN GOING FOR YOU & TED? IS HE HOME & WILL HE BE FOR CHRISTMAS? E-MAIL ME WITH THE LATEST NEWS, GIRL. WHAT'S YOUR LATEST "BIG LOSER" STATS? I'M FINALLY COMING UP ON 40 #s ... ONCE THE HEART MEDS STARTED SETTLING DOWN, THE STALL BROKE. MS TOWANA CALLED ME THE OTHER NIGHT TO CHECK UP ON ME, SWEET LADY THAT SHE IS ... &, SHE HAS LOST OVER 50 #s ... THAT'S LIKE HALF A PERSON SHE'S LOST ... WOWOWOWOW!! SHE'S GONNA BE HOT FOR NEW YEARS' IN HER FANCY DRESS & STALITTO HIGH HEALS! SIZZLE!!!!!!!!!!!!!!! HAVE YOU SEEN KATIE? PLEASE TELL HER "HI" FOR NICK & I & THAT WE MISSSSSSSSSSSSSS HER! CHRISTMAS BLESSINGS DAWN & NICK SW 279.80 CW 241.20 LOSS - 38.60 GOAL 125-118

THank you very Much for the information Lady D .. as usual you are a fountain of information. So far other than that lovely situation that I had to deal with that we know had nothing to do with Tricare, I haven't had any issues. I'm glad that you were able to sort yours out asap.

YOU'RE MOST WELCOMED, MS KYLEE ... TRI CARE HAS BEEN FANTASTIC IN MY CASE ... I CAN'T COMPLAIN AT ALL!

My husband had to go to the Tricare office last week to straighten mine out and they told him the same thing. He said it was something that Tricare was allowing MUSC to do now, which I think is crazy. Anyway it took about an hour for him to get it straight but I think it is. The guy from Tricare told my husband to tell me to make sure to tell MUSC that they need to submit both charges with the tax Id for that $30 even for the actual surgery bill. My two cents worth! Theresa

I WAS LUCKY BECAUSE MY PCM HAS ONE LADY, MS PAT, WHO DOES NOTHIING BUT TRI CARE PATIENTS ... SO, SHE HANDLED EVERYTHING FOR ME.