MTBC Medical Transcription Billing Corp. Complaint
MTBC Violated NJ State HMO laws against balance billing - Medical Billing
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Reviewed by kapka1 Please Improve |
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MTBC was contracted to file claims on behalf of the provider who provided health care services on 8 February 2007, 15 February 2007, 22 February 2007, and 1 March 2007. The claims submitted to the HMO and the subsequent bills I received were for $435.
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Correct me if I am wrong, but it sounds as if your doctor was not paid for the four visit in question. From what I can tell, you did your part and then some. If the "W9" you mentioned is the IRS W-9 form, then it sounds as though the provider did not have an updated W-9 on file with your HMO. Your HMO knew this and in order not to pay just kept issuing denials rather than calling the provider and obtaining a correct W-9. It was a ploy to save money, denials = profit. The billing company ended up losing time and money through collecting nothing for legitimate medical services, because they bothered you rather than getting the provider to fix the W-9. Only the HMO came out ahead.
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You are correct with the exception that the claim denials stated an updated W9 was required and a registered letter was sent to the provider asking for an updated W9. Federal law prevents HMO's from making payment when the address on the claim does not match the address on the W9. If as you say the HMO came out ahead it is only because of MTBC's failure to comply with state and federal laws. I don't like coming home at the end of the day to read if this balance is not paid within 45 days it will turned over to a collections agency, but when I ask for a copies of the claims I'm told I can't have them. So I'm going to exercise my first ammendment right to let others know of the unethical practices by MTBC.