Humana Scam!
Michelle Jones
Description
Collection
Title:
Humana Scam!
Creator:
Michelle Jones
Date:
2/2/2017
Text:
IF YOU BILL SERVICES TO HUMANA, PLEASE READ!!! THERE APPEARS TO BE A
SCAM!!!
Hello, all.
I don't usually post anything on the listserv, as I am an insurance
specialist & mainly use it to garner information related to coding &
billing.
I thought this warranted sending a notification to anybody that bills
services to Humana.
We received a phone call today from a lady claiming to be from Humana. The
phone number was 212-307-2000 & it came up on our caller ID as EXL PLA ALL
CAP
She said she was requesting medical records to complete processing of a
claim. She had our patient name, ID, date of birth & date of service.
I asked her to please fax a request to us. I had my suspicions, as Humana
NEVER calls us for medical records to process a claim.
I received what appeared to be a legitimate fax with Humana's logo &
address. I was still suspicious because the phone number attached to the
sender was a mobile phone & the fax could not be identified, but was located
in Wisconsin. Humana is in Kentucky. To add to that, the fax request said to
respond by Friday, February 3 @ 12:00 pm. No insurance company ever gives
us such a short turnaround time.
I called Humana & questioned the validity of the medical record request.
Humana made no such request!
PLEASE BE AWARE THAT THE PHONE CALL SOUNDED VALID & THE FAX APPEARED TO BE
VALID!
WE ARE GOING TO BE VERY DILIGENT IN CHECKING REQUESTS FOR MEDICAL RECORDS
FROM ALL PAYERS IN THE FUTURE!
Michelle Jones
Progressive Prosthetic & Orthopedic Services, Inc.
380 Cleveland Place
Virginia Beach, VA 23462
Phone: (757) 456-5501
Fax: (757) 671-7525
Email: <Email Address Redacted>
SCAM!!!
Hello, all.
I don't usually post anything on the listserv, as I am an insurance
specialist & mainly use it to garner information related to coding &
billing.
I thought this warranted sending a notification to anybody that bills
services to Humana.
We received a phone call today from a lady claiming to be from Humana. The
phone number was 212-307-2000 & it came up on our caller ID as EXL PLA ALL
CAP
She said she was requesting medical records to complete processing of a
claim. She had our patient name, ID, date of birth & date of service.
I asked her to please fax a request to us. I had my suspicions, as Humana
NEVER calls us for medical records to process a claim.
I received what appeared to be a legitimate fax with Humana's logo &
address. I was still suspicious because the phone number attached to the
sender was a mobile phone & the fax could not be identified, but was located
in Wisconsin. Humana is in Kentucky. To add to that, the fax request said to
respond by Friday, February 3 @ 12:00 pm. No insurance company ever gives
us such a short turnaround time.
I called Humana & questioned the validity of the medical record request.
Humana made no such request!
PLEASE BE AWARE THAT THE PHONE CALL SOUNDED VALID & THE FAX APPEARED TO BE
VALID!
WE ARE GOING TO BE VERY DILIGENT IN CHECKING REQUESTS FOR MEDICAL RECORDS
FROM ALL PAYERS IN THE FUTURE!
Michelle Jones
Progressive Prosthetic & Orthopedic Services, Inc.
380 Cleveland Place
Virginia Beach, VA 23462
Phone: (757) 456-5501
Fax: (757) 671-7525
Email: <Email Address Redacted>
Citation
Michelle Jones, “Humana Scam!,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/254548.
