Affordable Care Act circumvented when patient dies, spouse greaving

in #affordable6 years ago

Bank of America May 26th 2018
Attn: Billing Inquiries
PO Box 982234
El Paso, TX 79998-2234

SUBJECT: Claim ID: 86588810: Billed to Tammy Lee McGee (DECEASED)
Initiation date: 04/27/2018
Merchants name: Monmouth Medical, Riverview Medical, LCA LabCorp, Care Centric Inc

Bank of America: the deceased (Tammy Lee McGee - passed 10 April 2018), MEDICAL AFFORDABLE CARE ACT RELATED claims to account ending in 2017 ARE INPROPER PROCEDURE DUE TO THE FEDERAL AFFORDABLE CARE ACT REQUIRING FEDERALLY MANDATED INSURANCE TO ADJUST THE BILL CENTRALLY AS TO NOT EXCEED OUT OF POCKET MINIMUM. THE ONLY AUTHORIZED ENTITY ENTITLED TO BILL THE DECEASED OR ANY OTHER PERSON IN THE UNITED STATES IS THE FEDERAL INSURER WHO IN THIS CASE IS:

HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
FEDERAL EMPLOYEE PROGRAM
P.O. BOX 656
NEWARK, NJ 07101
PHONE 800-624-3078 Web: http://www.fepblue.org

DECEASED FEBBLU ACCOUNT NUMBER: 0886055826I17347483

Additionally, any bills whatsoever made to the deceased account exceed the deceased Affordable Care Act’s Out Of Pocket Minimum of $5,000.00

If Bank of America enforces these claims, it is aiding and abetting third party medical vendors circumvent procedures established by the Federal Affordable Care act and is acting as a collection agency.
We ask Bank of America to cease and desist in acting as a collection agency for Care Centrix Inc, Monmouth Medical, Riverview Medical, and LCA LabCorp.

Individual medical vendors are not able to ascertain when the billed party has met or exceeded the out of pocket minimum – in this case: $5,000. To date, the deceased bills have totaled $86,729.80 that is $81,729.80 over the deceased total out of pocket minimum established by Federal Affordable Care Act rule of law.

BANK OF AMERICA – PLEASE NOTE THAT THE DECEASED ACCOUNT HOLDER OF THE ACCOUNT ENDING in 2504 FEDERAL INSURANCE PROVIDER IS CONTACTING ALL MEDICAL VENDORS DIRECTLY TO ADDRESS CHARGES SUBMITTED BY: Monmouth Medical / Riverview Medical / LCA Lab Corp of America
Federal Employee Program FEPBLU Horizon Blue Cross Blue Shield
Member ID: R50245864 Message ID: EB573A4FF428
Subject: Re: Federal Insurance Law improper procedures
05/18/201811:25 AM ET

From: Horizon Blue Cross Blue Shield of New Jersey
To: TAMMY L MCGEE
Dear Mrs. Tammy McGee:

Please accept this as an acknowledgment of your inquiry. Our customer service team will respond to you within 4 business days.

Please also see claims that were submitted by Riverview Medical Center that were process and paid. Enclosed are the explanation of benefits. We will reach out to Monmouth Medical Center, Care Centrix Inc, Laboratory Corporation of America Inc.

Thank you for this opportunity to be of service to you. If you have any questions, please feel free to contact our Customer Service Department at 1-800-624-5078 or 888-999-9862 (overseas). We are open M-F 8:00AM 5:00PM EST, excluding holidays.
LETTER-R50245864 - 1-6844759547U.pdf

CARE CENTRIX INC
20 Church St Ste 900, Hartford, CT 06103

LCA LABCORP Inc
P.O Box 2230
Burlington, North Carolina 27216

Hackensack Meridian
Riverview Medical Center
Attn: Billing Department Phone: 732-741-2700
1 Riverview Plaza Red Bank, NJ 07701

Monmouth Medical Center
Phone: 732-222-5200
300 Second Avenue, Long Branch, NJ 0774

U. S. Office of Personnel Management ATTN: Medical Claim Disputes
Federal Employees Health Benefits Program, Room 3443
1900 E Street, NW [email protected]
Washington, DC 20415-0001

SUBJECT: Disputed charges to Tammy L McGee (deceased) / Steven J. McGee Bank of America accounts:

TAMMY L MCGEE (Deceased 10 April 2018)
FEB BLUE Cross Blue Shield Member ID: R50245864

SIGNED

Steven J. McGee
Spouse of the Deceased
E-mail: [email protected]
Phone: 732-768-5440

BANK OF AMERICA LETTER 26 May 2018
http://www.bankofamerica.com
TAMMY LEE MCGEE
82 SEA GIRT AVE
OCEANPORT NJ 07757-1342
May 25, 2018
Account number ending in: 2504
Case number: 86588810

Tammy Lee McGee:
We completed our investigation of the $62.98, $56.84 and $24.77 charge(s) you're disputing from RIVERVIEW MED CTR, LCA LABCORP, Monmouth Medical Center, CARECENTRIX INC. We were unable to determine that a billing error occurred based on the information or documentation available to us.

What you need to know
At this time, we're unable to assist with your inquiry for the following reason(s):

  • We didn't receive valid documentation to show that the charge(s) was paid by another means.
    If we previously issued credit(s) to your account, the charge(s) will be rebilled and will appear on your monthly statement. At this time, we consider your dispute(s) resolved and the balance is owed as stated in your Credit Card Agreement. Please continue to make the required payments on the remaining balance, if any, in order to avoid any related charges.

Questions?
If you have any questions, please call us at 1.800.634.2927,

TAMMY L MCGEE (Deceased 10 April 2018)
FEB BLUE Cross Blue Shield Member ID: R50245864

Bank of America Claim ID: 86588728
Claim amount: $ 3,106.65
Initiation date: 04/27/2018
Merchant name: RIVERVIEW MED CTR
Transaction Date: 03/24/2018
Transaction Ref. #: 24224438084103011956730


Claim ID: 86504527 Claim amount: $ 1,022.90
Initiation date: 04/20/2018 Merchant name: MONMOUTH MED CENTER CB Transaction Date: 03/22/2018 Transaction Ref. #: 24692168081100279957961

Bank of America Cash Rewards Visa Signature - 2504
Current status: Claim request received Help for Claim request received
Claim ID: 86588905
Claim amount: $ 56.84
Initiation date: 04/27/2018
Merchant name: LCA*LABCORP PHONE
Transaction Date: 03/22/2018
Transaction Ref. #: 24692168081100276650940
Bank of America Cash Rewards Visa Signature - 2504
Current status: Claim request received Help for Claim request received layer
Claim ID: 86588891
Claim amount: $ 24.77
Initiation date: 04/27/2018
Merchant name: CARECENTRIX INC
Transaction Date: 03/19/2018
Transaction Ref. #: 24755428079120793146194
Claim ID: 86588874
Claim amount: $ 62.98
Initiation date: 04/27/2018
Merchant name: RIVERVIEW MED CTR
Transaction Date: 03/18/2018
Transaction Ref. #: 24224438078103010155852
Claim ID: 86588810 Merchant name: RIVERVIEW MED CTR
Claim amount: $ 62.98 Initiation date: 04/27/2018
Transaction Date: 03/19/2018
Transaction Ref. #: 24224438079103010980506

Tammy_Halo.jpg