Claimid Patient Name Insurance CPT To Date Charges Balance1000244104 Desai, Dahiben Self Pay 93000 11/29/2007 34.42 34.421000244104 Desai, Dahiben Self Pay 99213 11/29/2007 83.16 83.161000212352 Desai, Dahiben Self Pay 82948 7/24/2007 10 101000212352 Desai, Dahiben Self Pay 93000 7/24/2007 34.42 34.421000212352 Desai, Dahiben Self Pay 99213 7/24/2007 83.16 83.161000206338 Saffeels, Doreen UNICARE PO Box 795180 93018 5/31/2007 21.21 21.211000206338 Saffeels, Doreen UNICARE PO Box 795180 93016 5/31/2007 32.35 32.351000206338 Saffeels, Doreen UNICARE PO Box 795180 78480 5/31/2007 100.66 100.661000206338 Saffeels, Doreen UNICARE PO Box 795180 78478 5/31/2007 111.79 111.791000206338 Saffeels, Doreen UNICARE PO Box 795180 78465 5/31/2007 689.5 689.51000196589 Rappleye, Carol BCBS OF ARIZONA PO BO99233 5/9/2007 127.33 127.331000196589 Rappleye, Carol BCBS OF ARIZONA PO BO99254 5/8/2007 219.16 17.241000186466 Chavez, Francis SUMMERLIN LIFE & HEALT80061 3/19/2007 30 201000174394 Desai, Dahiben Self Pay 82948 2/8/2007 10 101000174394 Desai, Dahiben Self Pay 99212 2/8/2007 51.38 51.381000171709 Desai, Dahiben Self Pay 82948 1/29/2007 10 101000171709 Desai, Dahiben Self Pay 93000 1/29/2007 34.43 34.431000171709 Desai, Dahiben Self Pay 99213 1/29/2007 83.16 83.161000171593 Vance, Edna DESERT CANYON COMMUN99213 1/29/2007 83.16 101000167419 Hammack, Donald DESERT CANYON COMMUN93018 1/4/2007 19.96 19.961000167419 Hammack, Donald DESERT CANYON COMMUN93016 1/4/2007 30.46 30.461000167419 Hammack, Donald DESERT CANYON COMMUN78480 1/4/2007 95.4 95.41000167419 Hammack, Donald DESERT CANYON COMMUN78478 1/4/2007 105.85 105.851000167419 Hammack, Donald DESERT CANYON COMMUN78465 1/4/2007 653.84 653.841000164743 Kuehn, Joyce ARIZONA FOUNDATION PO93307 12/21/2006 272.69 9.321000164743 Kuehn, Joyce ARIZONA FOUNDATION PO93320 12/21/2006 119.74 119.741000164743 Kuehn, Joyce ARIZONA FOUNDATION PO93325 12/21/2006 163.17 120.941000163964 Stout, Yancy BCBS OF ARIZONA PO BO99203 11/30/2006 129.51 151000152226 Martin, Sandra MEDICARE PART B 99213 10/26/2006 75 10.511000150607 Desai, Dahiben Self Pay 82948 10/5/2006 10 101000150607 Desai, Dahiben Self Pay 99212 10/5/2006 55 551000343742 Jordan, Danny ARIZONA FOUNDATION PO92982 7/1/2009 860.87 851000332685 Mangrum, Olivia CIGNA HEALTH CARE PO 99214 4/14/2009 126.44 451000330790 Huber, Sally DESERT CANYON COMMUN99213 4/10/2009 83.94 151000321298 Kinkle, Annie MEDICARE PART B 99211 2/9/2009 25.42 18.161000320644 Kite, Lynn AETNA P O BOX 981106 93018 2/5/2009 22.33 15.431000320644 Kite, Lynn AETNA P O BOX 981106 93016 2/5/2009 33.69 23.531000320644 Kite, Lynn AETNA P O BOX 981106 78480 2/5/2009 24.19 4.841000320644 Kite, Lynn AETNA P O BOX 981106 78478 2/5/2009 37.67 6.391000320644 Kite, Lynn AETNA P O BOX 981106 78465 2/5/2009 108.65 14.921000305295 Carey, Dean BCBS OF ARIZONA PO BO99238 10/24/2008 89.78 10.681000305295 Carey, Dean BCBS OF ARIZONA PO BO99232 10/23/2008 87.85 10.371000305295 Carey, Dean BCBS OF ARIZONA PO BO99232 10/22/2008 87.85 10.371000305295 Carey, Dean BCBS OF ARIZONA PO BO99232 10/21/2008 87.85 10.371000305295 Carey, Dean BCBS OF ARIZONA PO BO99232 10/20/2008 87.85 20.081000305295 Carey, Dean BCBS OF ARIZONA PO BO99223 10/20/2008 238.64 173.571000304002 Vance, Edna DESERT CANYON COMMUN99213 10/30/2008 82.64 151000302645 Desai, Dahiben Self Pay 82948 10/20/2008 10 101000301869 Desai, Dahiben Self Pay 93000 10/16/2008 31.33 31.331000301869 Desai, Dahiben Self Pay 99211 10/16/2008 27.21 27.211000301280 Atherton, Dennis HUMANA CLAIMS PO BOX 99213 10/15/2008 82.64 101000300736 Register, Carla BCBS OF ARIZONA PO BO93325 10/10/2008 5.26 4.211000300736 Register, Carla BCBS OF ARIZONA PO BO93320 10/10/2008 26.93 21.55

1000300736 Register, Carla BCBS OF ARIZONA PO BO93307 10/10/2008 65.47 52.381000300736 Register, Carla BCBS OF ARIZONA PO BO99232 10/10/2008 87.85 69.161000300736 Register, Carla BCBS OF ARIZONA PO BO99254 10/9/2008 217.26 172.911000299454 Vance, Edna DESERT CANYON COMMUN99213 10/1/2008 82.64 151000288914 Chavez, Francis ADMINISTRATIVE ENTERP99214 7/21/2008 124.25 201000287799 Desai, Dahiben KINGMAN REGIONAL MED93325 7/8/2008 5.26 5.261000287799 Desai, Dahiben KINGMAN REGIONAL MED93320 7/8/2008 26.93 26.931000287799 Desai, Dahiben KINGMAN REGIONAL MED93307 7/8/2008 65.47 65.471000286627 Desai, Dahiben Self Pay 99212 7/3/2008 51.42 51.421000286099 Desai, Dahiben Self Pay 99213 6/30/2008 82.64 82.641000284293 Vance, Edna DESERT CANYON COMMUN99213 6/18/2008 82.64 151000280065 Martin, Sandra SECURE HORIZONS DIREC99213 5/20/2008 82.64 101000278681 Wells, Alexandra MEDICARE PART B 99214 4/23/2008 124.25 17.751000274549 Wells, Alexandra MEDICARE PART B 86580 4/23/2008 11.39 1.631000272906 Desai, Dahiben Self Pay 93000 4/16/2008 31.33 31.331000272906 Desai, Dahiben Self Pay 99213 4/16/2008 82.64 82.641000267991 Desai, Dahiben Self Pay 83036 3/31/2008 20 201000267991 Desai, Dahiben Self Pay 80061 3/31/2008 30 301000267991 Desai, Dahiben Self Pay 80053 3/31/2008 25 251000267991 Desai, Dahiben Self Pay 36415 3/31/2008 10 101000267302 Floyd, Joyce MEDICARE PART B 93018 3/17/2008 21.12 3.021000267302 Floyd, Joyce MEDICARE PART B 93016 3/17/2008 32.71 4.671000267302 Floyd, Joyce MEDICARE PART B 78480 3/17/2008 24.22 3.461000267302 Floyd, Joyce MEDICARE PART B 78478 3/17/2008 36.93 5.281000267302 Floyd, Joyce MEDICARE PART B 78465 3/17/2008 102.99 14.711000267300 Floyd, Joyce MEDICARE PART B 93325 3/16/2008 5.26 0.751000267300 Floyd, Joyce MEDICARE PART B 93320 3/16/2008 26.93 3.851000267300 Floyd, Joyce MEDICARE PART B 93307 3/16/2008 65.47 9.351000267300 Floyd, Joyce MEDICARE PART B 99233 3/17/2008 125.95 17.991000267300 Floyd, Joyce MEDICARE PART B 99233 3/16/2008 125.95 17.991000267300 Floyd, Joyce MEDICARE PART B 99254 3/15/2008 217.26 31.041000264425 Hatch, Kathryn BCBS OF ARIZONA PO BO93015 3/19/2008 143.03 351000258174 Atherton, Dennis BCBS OF ARIZONA PO BO93000 2/7/2008 31.33 20.071000256892 Kinkle, Annie MEDICARE PART B 99204 1/24/2008 191.7 70.391000255941 Olivito, Marsha MEDICARE PART B 99213 1/28/2008 82.64 11.811000253943 Lackovich, William BCBS OF ARIZONA PO BO99213 1/15/2008 82.64 201000251377 Olivito, Marsha MEDICARE PART B 99214 1/2/2008 124.25 26.381000251108 Vance, Edna DESERT CANYON COMMUN99214 12/31/2007 126.08 351000398743 Riddle, William DESERT CANYON COMMUN99213 5/24/2010 71 331000398123 Wilcox, Johathan BCBS OF ARIZONA PO BO99213 5/19/2010 71 56.81000392973 Smith, Ben MEDICARE PART B 99204 4/26/2010 162 1621000392200 Wiggin, Nathan KINGMAN REGIONAL MED93510 12/30/2009 341 3411000392200 Wiggin, Nathan KINGMAN REGIONAL MED93325 12/29/2009 6 61000392200 Wiggin, Nathan KINGMAN REGIONAL MED93320 12/29/2009 29 291000392200 Wiggin, Nathan KINGMAN REGIONAL MED93307 12/29/2009 69 691000392200 Wiggin, Nathan KINGMAN REGIONAL MED93018 12/29/2009 23 231000392200 Wiggin, Nathan KINGMAN REGIONAL MED93016 12/29/2009 34 341000387579 Sanfilippo, Candice KINGMAN REGIONAL MED93306 3/30/2010 76 761000386917 Wilcox, Johathan BCBS OF ARIZONA PO BO93000 3/29/2010 22 17.61000386917 Wilcox, Johathan BCBS OF ARIZONA PO BO99244 3/29/2010 235 10.81000385215 Lake, Phyllis HEALTH CHOICE 410 NOR99239 3/20/2010 107 1071000385215 Lake, Phyllis HEALTH CHOICE 410 NOR99223 3/19/2010 204 2041000385021 Cornett, Terry AMERIBEN IEC GROUP 99214 3/18/2010 106 301000381344 Baird, Ronald MEDICARE PART B 99222 2/27/2010 139 25.16

1000380065 Barber, Dana ADMINISTRATIVE ENTERP99202 1/16/2010 71.94 101000377327 Cafarelli, Ralph DESERT CANYON COMMUN93306 2/8/2010 252.81 45.961000375462 Davis, Mcarthur CIGNA HEALTH CARE PO 93018 1/27/2010 17.05 16.61000375462 Davis, Mcarthur CIGNA HEALTH CARE PO 93016 1/27/2010 25.6 25.61000375462 Davis, Mcarthur CIGNA HEALTH CARE PO 78452 1/27/2010 85.02 42.511000373834 Cafarelli, Ralph DESERT CANYON COMMUN99213 1/21/2010 70.15 331000373197 Lewis, Patricia AMERICAN NATIONAL LIF 93000 12/28/2009 28.19 5.641000373197 Lewis, Patricia AMERICAN NATIONAL LIF 99213 12/28/2009 83.94 16.791000372810 Michael, Jean DESERT CANYON COMMUN93306 1/13/2010 252.81 47.781000370665 Nichols, Melba DESERT CANYON COMMUN99213 12/23/2009 83.94 351000369212 Kaiser, Charles ADMINISTRATIVE ENTERP99211 12/12/2009 25.42 4.071000368498 Kaiser, Charles ADMINISTRATIVE ENTERP99212 12/5/2009 50.54 301000366913 Haynes, Edith KINGMAN REGIONAL MED93018 11/16/2009 22.33 22.331000366911 Haynes, Edith KINGMAN REGIONAL MED93016 11/16/2009 33.69 33.691000366911 Haynes, Edith KINGMAN REGIONAL MED78480 11/16/2009 24.19 24.191000366911 Haynes, Edith KINGMAN REGIONAL MED78478 11/16/2009 37.67 37.671000366911 Haynes, Edith KINGMAN REGIONAL MED78465 11/16/2009 108.65 108.651000366911 Haynes, Edith KINGMAN REGIONAL MED93306 11/16/2009 98.71 98.711000366911 Haynes, Edith KINGMAN REGIONAL MED99254 11/16/2009 228.06 228.061000366618 Allen, Linda AETNA PO BOX 14079 99211 8/27/2009 25.42 201000365711 Sanfilippo, Candice KINGMAN REGIONAL MED99234 11/9/2009 175.25 175.251000363354 Sanfilippo, Candice KINGMAN REGIONAL MED99213 10/27/2009 83.94 83.941000362314 Kaiser, Charles ADMINISTRATIVE ENTERP99213 10/20/2009 83.94 251000361761 Kaiser, Charles ADMINISTRATIVE ENTERP93306 10/19/2009 358.84 51000358301 Meehan, William SECURE HORIZONS DIREC99213 9/29/2009 83.94 301000357958 Meehan, William SECURE HORIZONS DIREC93016 9/21/2009 33.69 301000355271 Wilson, Jimmie MEDICARE PART B 93556 9/11/2009 62.97 91000355271 Wilson, Jimmie MEDICARE PART B 93555 9/11/2009 61.47 8.781000355271 Wilson, Jimmie MEDICARE PART B 93545 9/11/2009 224.53 32.081000355271 Wilson, Jimmie MEDICARE PART B 93543 9/11/2009 106.87 15.271000355271 Wilson, Jimmie MEDICARE PART B 93510 9/11/2009 340.76 34.871000121463 Beach, Elmer MEDICARE PART B 93307 4/13/2006 275 -29.541000121463 Beach, Elmer MEDICARE PART B 93320 4/13/2006 120 -22.861000121463 Beach, Elmer MEDICARE PART B 93325 4/13/2006 165 -6.71000375435 Lockard, John MEDICARE PART B 93306 1/25/2010 75.23 13.721000399966 Smith, Steven MEDICARE PART B 99213 6/1/2010 71 13.161000400141 Ferguson, Richard MEDICARE PART B 99213 6/1/2010 71 3.031000400098 Wilde, Elizabeth MEDICARE PART B 99213 6/2/2010 71 3.031000400097 Wilde, Wolfgang MEDICARE PART B 99214 6/2/2010 106 4.541000400096 Hamon, Joan MEDICARE PART B 99213 6/2/2010 71 3.031000399962 Owens, Ricky MEDICARE PART B 99213 6/1/2010 71 3.031000399837 Pewsey, Roger MEDICARE PART B 99214 6/1/2010 106 4.541000399825 Pratte, Darlyene MEDICARE PART B 99213 6/1/2010 71 3.031000376310 Pace, Lucille MEDICARE PART B 99213 2/4/2010 70.15 63.691000290590 Tharp, Jimmy MEDICARE PART B 94640 7/22/2008 18.67 2.671000290158 Tharp, Jimmy MEDICARE PART B 99213 7/31/2008 82.64 11.811000279153 Westphal, Earl MEDICARE PART B 93880 5/15/2008 40.65 5.811000279153 Westphal, Earl MEDICARE PART B 93880 5/15/2008 206.43 28.221000279150 Westphal, Earl MEDICARE PART B 93325 5/15/2008 5.26 0.751000279150 Westphal, Earl MEDICARE PART B 93320 5/15/2008 26.93 3.851000279150 Westphal, Earl MEDICARE PART B 93320 5/15/2008 89.16 12.741000279150 Westphal, Earl MEDICARE PART B 93307 5/15/2008 65.47 9.351000104492 Li, Jiro SIERRA SPECTRUM PO BO85610 5/5/2006 10 -5.491000339640 Smith, Calvin MEDICARE PART B 93925 6/9/2009 40.61 5.8

1000339640 Smith, Calvin MEDICARE PART B 93880 6/9/2009 42.58 6.081000339640 Smith, Calvin MEDICARE PART B 93306 6/9/2009 260.13 37.161000320792 Bowling, Charles MEDICARE PART B 75716 2/6/2009 93.21 -51.961000312489 Thompson, Craig MEDICARE PART B 94760 12/22/2008 3.59 0.961000234119 Bockoven, Robert DESERT CANYON COMMUN99213 10/18/2007 83.16 201000198429 Brown, Virginia DESERT CANYON COMMUN36415 5/9/2007 10 101000198429 Brown, Virginia DESERT CANYON COMMUN85025 5/9/2007 15 151000198429 Brown, Virginia DESERT CANYON COMMUN80053 5/9/2007 25 251000198429 Brown, Virginia DESERT CANYON COMMUN80061 5/9/2007 30 301000320083 Van Dyck, Walter MEDICARE PART B 99239 2/9/2009 132.66 2.671000320083 Van Dyck, Walter MEDICARE PART B 99233 2/8/2009 131.99 4.321000320083 Van Dyck, Walter MEDICARE PART B 99233 2/7/2009 131.99 4.321000320083 Van Dyck, Walter MEDICARE PART B 99223 2/6/2009 248.93 7.371000318134 Blake, Billie MEDICARE PART B 99310 1/30/2009 163.53 95.531000399929 Kilgroe, Janeene MEDICARE PART B 99212 6/1/2010 42 7.841000399844 Sorensen, Eileen MEDICARE PART B 99214 6/1/2010 106 19.721000399967 Gridley, Zena MEDICARE PART B 99213 6/1/2010 71 3.031000399901 Lent, Dale MEDICARE PART B 99213 6/1/2010 71 3.031000260190 Ponder, Cleo GILSBAR INC PO BOX 294 93000 2/18/2008 31.33 25.061000260190 Ponder, Cleo GILSBAR INC PO BOX 294 99214 2/18/2008 124.25 301000215950 Ponder, Cleo GILSBAR INC PO BOX 294 93000 7/9/2007 34.42 28.891000215950 Ponder, Cleo GILSBAR INC PO BOX 294 99214 7/9/2007 126.08 301000206925 Ponder, Cleo GILSBAR INC PO BOX 294 80061 6/4/2007 30 11.021000206925 Ponder, Cleo GILSBAR INC PO BOX 294 80053 6/4/2007 25 14.181000158968 Keatley, Ina MEDICARE PART B 93010 12/4/2006 15 -9.11000158968 Keatley, Ina MEDICARE PART B 93005 12/4/2006 23.69 -17.731000158968 Keatley, Ina MEDICARE PART B 99213 12/4/2006 75 -52.551000158356 Keatley, Ina MEDICARE PART B 83721 11/30/2006 20 -13.331000158356 Keatley, Ina MEDICARE PART B 80061 11/30/2006 30 -14.31000158356 Keatley, Ina MEDICARE PART B 80053 11/30/2006 25 -11.911000158356 Keatley, Ina MEDICARE PART B 36415 11/30/2006 10 -31000139216 Keatley, Ina MEDICARE PART B 83721 9/11/2006 20 -201000139212 Keatley, Ina MEDICARE PART B 80061 9/11/2006 30 -301000139212 Keatley, Ina MEDICARE PART B 80053 9/11/2006 25 -251000139212 Keatley, Ina MEDICARE PART B 93010 9/11/2006 15 -151000139212 Keatley, Ina MEDICARE PART B 93005 9/11/2006 25 -251000139212 Keatley, Ina MEDICARE PART B 36415 9/11/2006 10 -101000139212 Keatley, Ina MEDICARE PART B 99213 9/11/2006 75 -751000133421 Keatley, Ina MEDICARE PART B 82948 8/16/2006 10 -101000133421 Keatley, Ina MEDICARE PART B 99213 8/16/2006 75 -751000295593 Powlis, Gladys MEDICARE PART B 93735 9/5/2008 28.5 0.461000399912 Bethel, Lois MEDICARE PART B 99213 6/1/2010 71 6.811000142249 Marcott, Edward MEDICARE PART B 36100 9/12/2006 780 -348.151000208858 Ruggles, Duane MEDICARE PART B 93010 7/10/2007 15 1.671000208858 Ruggles, Duane MEDICARE PART B 93005 7/10/2007 22.73 3.251000208858 Ruggles, Duane MEDICARE PART B 99213 7/10/2007 83.16 44.631000241709 Webb, William HEALTH NET PO BOX 142 99213 11/19/2007 83.16 351000201706 Webb, William HEALTH NET PO BOX 142 99213 6/5/2007 83.16 -12.521000142784 Slaughter, Aline MEDICARE PART B 99244 9/25/2006 235 34.611000399827 Cronan, William MEDICARE PART B 99214 6/1/2010 106 4.541000219425 Smelter, Ethel HUMANA GOLD CHOICE P99214 8/23/2007 126.08 151000167181 Jackson, Linda ADMINISTRATIVE ENTERP36215 1/5/2007 324.93 25.991000167181 Jackson, Linda ADMINISTRATIVE ENTERP75710 1/5/2007 660.18 52.811000167181 Jackson, Linda ADMINISTRATIVE ENTERP92980 1/5/2007 1,115.00 39.2

1000127969 Powell, William BCBS OF ARIZONA PO BO99213 7/24/2006 75 201000110634 Powell, William BCBS OF ARIZONA PO BO99213 3/16/2006 75 201000110633 Powell, William BCBS OF ARIZONA PO BO36415 3/17/2006 10 4.81000167761 Garza, Ramon MEDICARE PART B 99213 1/9/2007 83.16 59.41000163448 Garza, Ramon MEDICARE PART B 99213 12/20/2006 70.22 10.511000373879 Arnold, Margarete MEDICARE PART B 99204 1/21/2010 161.88 132.481000139567 Launer, Marilynn HUMANA GOLD CHOICE P99211 9/8/2006 30 151000388265 Allen, Paul AMERICHOICE APIPA PO 99291 1/9/2010 233 38.591000388265 Allen, Paul AMERICHOICE APIPA PO 99291 1/8/2010 233 38.591000388265 Allen, Paul AMERICHOICE APIPA PO 99291 1/7/2010 233 38.591000388265 Allen, Paul AMERICHOICE APIPA PO 99291 1/6/2010 233 38.591000388265 Allen, Paul AMERICHOICE APIPA PO 99291 1/5/2010 233 38.591000388265 Allen, Paul AMERICHOICE APIPA PO 99255 1/4/2010 278.06 36.51000186611 Curtindale, William MEDICARE PART B 99232 2/19/2007 89.12 12.731000186611 Curtindale, William MEDICARE PART B 99232 2/18/2007 89.12 12.731000186611 Curtindale, William MEDICARE PART B 99232 2/17/2007 89.12 12.731000186611 Curtindale, William MEDICARE PART B 99232 2/16/2007 89.12 12.731000186611 Curtindale, William MEDICARE PART B 99233 2/15/2007 127.33 18.191000186611 Curtindale, William MEDICARE PART B 99255 2/14/2007 273.31 39.041000307902 Stroud, Donald DESERT CANYON COMMUN99214 11/25/2008 124.25 101000295081 Stroud, Donald DESERT CANYON COMMUN99213 8/26/2008 82.64 31000260655 Stroud, Donald DESERT CANYON COMMUN99214 2/21/2008 124.25 51000243921 Stroud, Donald DESERT CANYON COMMUN99213 11/27/2007 83.16 351000161768 Stroud, Donald DESERT CANYON COMMUN99214 12/13/2006 111 151000400115 Linson, Helen MEDICARE PART B 99212 6/2/2010 42 1.811000400095 Anderson, Lee MEDICARE PART B 99213 6/2/2010 71 3.031000399852 Wallace, Loechol MEDICARE PART B 93010 6/1/2010 15 0.421000399852 Wallace, Loechol MEDICARE PART B 93005 6/1/2010 12 0.491000399897 Mcdavid, Vanessa MEDICARE PART B 99213 6/1/2010 71 13.161000399892 Milham, Lorien MEDICARE PART B 99213 6/1/2010 71 13.16

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Set Status Manually budgetSet Status Manually Set Status Manually Set Status Manually Set Status Manually budgetSet Status Manually Set Status Manually Set Status Manually budgetSet Status Manually budgetSet Status Manually budgetSet Status Manually budgetSet Status Manually budgetSet Status Manually budgetSet Status Manually Set Status Manually Set Status Manually Set Status Manually Set Status Manually Set Status Manually Set Status Manually Set Status Manually Set Status Manually Set Status Manually budgetSet Status Manually Set Status Manually Set Status Manually Set Status Manually Set Status Manually Set Status Manually Set Status Manually

AR Comments

billed pt - RV As per CM ID 117157 08/20/2009 Renee Fields We are both familiar on this case as we have worked it a few times, Vadivel. I am still working with Hina is billing company to research if they kept our portion of the money or had a credit at any time on this patient. In the meantime, can we please set thisbilled pt - RV As per CM ID 117157 08/20/2009 Renee Fields We are both familiar on this case as we have worked it a few times, Vadivel. I am still working with Hina is billing company to research if they kept our portion of the money or had a credit at any time on this patient. In the meantime, can we please set thisbilled pt - RV As per CM ID 117157 08/20/2009 Renee Fields We are both familiar on this case as we have worked it a few times, Vadivel. I am still working with Hina is billing company to research if they kept our portion of the money or had a credit at any time on this patient. In the meantime, can we please set thisbilled pt - RV As per CM ID 117157 08/20/2009 Renee Fields We are both familiar on this case as we have worked it a few times, Vadivel. I am still working with Hina is billing company to research if they kept our portion of the money or had a credit at any time on this patient. In the meantime, can we please set thisbilled pt - RV As per CM ID 117157 08/20/2009 Renee Fields We are both familiar on this case as we have worked it a few times, Vadivel. I am still working with Hina is billing company to research if they kept our portion of the money or had a credit at any time on this patient. In the meantime, can we please set thisBCBS- cpt 99233 dnd as the subscriber contract has a precertification authorization requirement for this service. File ref# mail 11_20070604195307 pg 33 rev 060607 $607.70 updated in cm,rev BCBS-CPT-99233-Submit the Nurses notes,Procedure report,Doctor report and letter of medical necessity.File ref;mailBCBS- cpt 99233 dnd as the subscriber contract has a precertification authorization requirement for this service. File ref# mail 11_20070604195307 pg 33 rev 060607 $607.70 updated in cm,rev BCBS-CPT-99233-Submit the Nurses notes,Procedure report,Doctor report and letter of medical necessity.File ref;mail$75 SUMMERLIN LIFE & HEALTH INS- cpt 83721 dnd as inclusive. file ref# mail 7-3-07_20070703173748 pg 13 rev 070507-adjusted on 070507-Rek

Received copay payment $15 on 8/4/2008 and applied to this claim IdAs per calling mail dt 120509 Cld to the pt. Donald hammack ph#928 767 4230 tt his wife mary she sd they received a bill in the amt of $995.51 which is incorrect because she sd they have desert canyon and it will pay 80% on the clms. when i verified this pt. account i found that clm with the dos 01/04/07 (clm#1000167419) wiAs per calling mail dt 120509 Cld to the pt. Donald hammack ph#928 767 4230 tt his wife mary she sd they received a bill in the amt of $995.51 which is incorrect because she sd they have desert canyon and it will pay 80% on the clms. when i verified this pt. account i found that clm with the dos 01/04/07 (clm#1000167419) wiAs per calling mail dt 120509 Cld to the pt. Donald hammack ph#928 767 4230 tt his wife mary she sd they received a bill in the amt of $995.51 which is incorrect because she sd they have desert canyon and it will pay 80% on the clms. when i verified this pt. account i found that clm with the dos 01/04/07 (clm#1000167419) wiAs per calling mail dt 120509 Cld to the pt. Donald hammack ph#928 767 4230 tt his wife mary she sd they received a bill in the amt of $995.51 which is incorrect because she sd they have desert canyon and it will pay 80% on the clms. when i verified this pt. account i found that clm with the dos 01/04/07 (clm#1000167419) wiAs per calling mail dt 120509 Cld to the pt. Donald hammack ph#928 767 4230 tt his wife mary she sd they received a bill in the amt of $995.51 which is incorrect because she sd they have desert canyon and it will pay 80% on the clms. when i verified this pt. account i found that clm with the dos 01/04/07 (clm#1000167419) wi555.60 ARIZONA FOUNDATION-cpt 93325/93320 $240.68 amounthas been appiled to the deductible mail 2-6-07_20070206175021 pg no 41 sha021607 Patient as Paid as amt on 10/19/2009, So Status changed as Set status manually as per file ref;REF MAIL B2 3-29_20100329175000 pg 7 555.60 ARIZONA FOUNDATION-cpt 93325/93320 $240.68 amounthas been appiled to the deductible mail 2-6-07_20070206175021 pg no 41 sha021607 Patient as Paid as amt on 10/19/2009, So Status changed as Set status manually as per file ref;REF MAIL B2 3-29_20100329175000 pg 7 555.60 ARIZONA FOUNDATION-cpt 93325/93320 $240.68 amounthas been appiled to the deductible mail 2-6-07_20070206175021 pg no 41 sha021607 Patient as Paid as amt on 10/19/2009, So Status changed as Set status manually as per file ref;REF MAIL B2 3-29_20100329175000 pg 7 corrected claims for DOS 11/30/06 mailed to BCBS of Arizona on 3/19/07. sue Recd BCBS eob dt 032907 - EOB PaulKalanithi_20070403173835 - pg 13 Stating that denied as Clarify each charge and/or total charge - Sud 040407 Need to send corrected claim again 041007 BCBS-clarify each charges and/or totaMCR,as claim denied as patient cannot be identified as our insured.Ref Elec img#,121406,pgno31_sudar122006 Patient name change from WEAVER SANDRA to MARTIN SANDRA Policy# change from 541402252A to 542380169D6 as per file ref 101706 pg 13 claim no 1000144002 refiled on moh122906 Misc payment

MMSI-CPT-93555, 93556-Identification adjustment. File ref; MAIL B 1 _20090814173816 pg-30 mn 081909 Received copay payment $15 on 07/14/2009 and applied to this claim Id CIGNA 80053/80438 This service is payable to the provider based upon the provider contract, Therefore the patient participant does not owe for this service and the provider cannot balance bill for this service as per file ref MAIL DEPOSIT B1 5-15_20090515173912 pg 9 05162009 lal CPT 80053/80438 refiled with 59As per mail dt 9/3/2009 pat copay is $15 so adjusted the balance-sri 090309MCR-CPT-G0107-Contractural Obligations. Payment adjusted because this procedure code and modifier were invalid on the date of service. FILE REF;031009 PG 25-SEL MCR CPT 99211 $18.16 deductible 031009 PG 25 As per CM Id 117414 ( 09/10/2009 Renee Fields: I spoke with her (yesterday) and Iam sending her a harReceived copay payment $40 on 02/16/2009 and applied to this claim Id AETNA Deductibles applied $ 38.96 as per file ref MAIL B3 3-16_20090317121131 pg 32 03182009 lal Received copay payment $40 on 02/16/2009 and applied to this claim Id AETNA Deductibles applied $ 38.96 as per file ref MAIL B3 3-16_20090317121131 pg 32 03182009 lal Received copay payment $40 on 02/16/2009 and applied to this claim Id AETNA Deductibles applied $ 38.96 as per file ref MAIL B3 3-16_20090317121131 pg 32 03182009 lal Received copay payment $40 on 02/16/2009 and applied to this claim Id AETNA Deductibles applied $ 38.96 as per file ref MAIL B3 3-16_20090317121131 pg 32 03182009 lal Received copay payment $40 on 02/16/2009 and applied to this claim Id AETNA Deductibles applied $ 38.96 as per file ref MAIL B3 3-16_20090317121131 pg 32 03182009 lal as per cm cpt taken 114099 mur111208 BCBS-CPT-99223-Deductible amount $ 188.57 File ref; MAIL 11-24 B1_20081125110434 pg-16 mn 112808 as per cm cpt taken 114099 mur111208 BCBS-CPT-99223-Deductible amount $ 188.57 File ref; MAIL 11-24 B1_20081125110434 pg-16 mn 112808 as per cm cpt taken 114099 mur111208 BCBS-CPT-99223-Deductible amount $ 188.57 File ref; MAIL 11-24 B1_20081125110434 pg-16 mn 112808 as per cm cpt taken 114099 mur111208 BCBS-CPT-99223-Deductible amount $ 188.57 File ref; MAIL 11-24 B1_20081125110434 pg-16 mn 112808 as per cm cpt taken 114099 mur111208 BCBS-CPT-99223-Deductible amount $ 188.57 File ref; MAIL 11-24 B1_20081125110434 pg-16 mn 112808 as per cm cpt taken 114099 mur111208 BCBS-CPT-99223-Deductible amount $ 188.57 File ref; MAIL 11-24 B1_20081125110434 pg-16 mn 112808 As per chked in online claim inprocess - sar 111808 as per online claim status _ pymt $46.98 check # 10196849 dt 11/26/2008 - 12012008 lal

updated in cm-113972 mur102508. As per cm Renee Fields- There is no insurance. Dr. K will collect it on his own from the son of the patient as he knows the son and the son is another doctor. He doesnot want any bills sent - so all you have to do is set the status to manual, DO NOT BILL. Thank you, Renee updated in cm-113972 mur102508. As per cm Renee Fields- There is no insurance. Dr. K will collect it on his own from the son of the patient as he knows the son and the son is another doctor. He doesnot want any bills sent - so all you have to do is set the status to manual, DO NOT BILL. Thank you, Renee Received copay payment $10 on 10/15/2008 and applied to this claim IdBCBS-Deductible amount $ 320.21 File ref; mail paymnts 10-22_20081023170449 pg-09 mn 102508 BCBS-Deductible amount $ 320.21 File ref; mail paymnts 10-22_20081023170449 pg-09 mn 102508

BCBS-Deductible amount $ 320.21 File ref; mail paymnts 10-22_20081023170449 pg-09 mn 102508 BCBS-Deductible amount $ 320.21 File ref; mail paymnts 10-22_20081023170449 pg-09 mn 102508 BCBS-Deductible amount $ 320.21 File ref; mail paymnts 10-22_20081023170449 pg-09 mn 102508 As per chked in online NIS claim refiled on 101508 sar As per chked in online status inprocess - sar 102008claim refiled on 081908 moh

i have checked scan card.

Misc payment arrangements vadivel scan date stated $15 a month, status changed to set status manually - RVadjusted claim 1000274547 for the CPT 99203 create new claim enter moh Claim#1000278681 sent to secondary on 06172008-Denise HEALTH CHOICE-CPT-Member not enrolled AT DOS.File ref;MAIL DEPOSIT PT 2_20080710183926.pdf pg#22 arun 071108 Claim#1000274549 sent to secondary on 06172008-Denise HEALTH CHOICE-CPT-Member not enrolled at DOS.File ref;MAIL DEPOSIT PT 2_20080710183926.pdf pg#22 arun 071108

Sent Hardship application by dr office to patient ref EOB 8.19 MAIL DEPOSIT_20080819170954.pdf Pg 53Sent Hardship application by dr office to patient ref EOB 8.19 MAIL DEPOSIT_20080819170954.pdf Pg 53Sent Hardship application by dr office to patient ref EOB 8.19 MAIL DEPOSIT_20080819170954.pdf Pg 53Sent Hardship application by dr office to patient ref EOB 8.19 MAIL DEPOSIT_20080819170954.pdf Pg 53Sent Hardship application by dr office to patient ref EOB 8.19 MAIL DEPOSIT_20080819170954.pdf Pg 53Sent Hardship application by dr office to patient ref EOB 8.19 MAIL DEPOSIT_20080819170954.pdf Pg 53Sent Hardship application by dr office to patient ref EOB 8.19 MAIL DEPOSIT_20080819170954.pdf Pg 53Sent Hardship application by dr office to patient ref EOB 8.19 MAIL DEPOSIT_20080819170954.pdf Pg 53Sent Hardship application by dr office to patient ref EOB 8.19 MAIL DEPOSIT_20080819170954.pdf Pg 53Sent Hardship application by dr office to patient ref EOB 8.19 MAIL DEPOSIT_20080819170954.pdf Pg 53Sent Hardship application by dr office to patient ref EOB 8.19 MAIL DEPOSIT_20080819170954.pdf Pg 53

Received copay $25 for Dos 2/7/2008 and appliedAs per CM Id 117414 ( 09/10/2009 Renee Fields: I spoke with her (yesterday) and Iam sending her a hardship application to see if she qualifies for a write off. In the meantime, she is agreed to pay us $20 a month. She wrote the first installment of that money yesterday - please set her up on a budget plan monthly billing until I get back the hardship form and can tell you otherwise - thank you so much, Renee) so change the status to budget payment-sri 091109 As per file ref;REF MAIL B2_20100408172726 pg 25 status changed as set status manually - sar 04/09/2010

BCBS-CPT-Onset date needed before claim can be processed.File ref;mail b6_20080219192315.pdf pg#13 arun022708 Pending Id:112193 patient statement rcvd file ref EOB MAIL B 2_20081223170910. pg 23 moh adjusted per case id - 114772 - RV MCR-CPT-99214-CO-45-Charges exceed your contracted/ legislated fee arrangement. This change to be effective 6/1/07:Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.File ref;012408.pdf pgno13 arun013108 NIS refiled - RV

MCR - Payment adjusted because New Patient qualifications were not met. Ref 081010-1 pg 4

audited cal 03292010 NIS. Claim refiled. Udaya042110. Claim has to be filed to VA Once refund has made-sel 07262010

updated in cm 119658 Claim#1000380065 sent to primary on 06042010 by Paper - RG

Pt said he will pay bill in full on june 10th - Ref misc 20100528115913 - suresh 052910Pt said he will pay bill in full on june 10th - Ref misc 20100528115913 - suresh 052910Pt said he will pay bill in full on june 10th - Ref misc 20100528115913 - suresh 052910 Claim#1000373197 sent to primary on 01262010 by Paper - RG Claim#1000373197 sent to primary on 01262010 by Paper - RG Claim#1000373197 sent to primary on 01262010 by Paper - RG Claim#1000373197 sent to primary on 01262010 by Paper - RG

493.28

Claim#1000369212 sent to primary on 12212009 by Paper - RG Claim#1000368498 sent to primary on 12212009 by Paper - RG

AS PER SB MENTIONED AS SELF PAY, SO BILLED TO PATIENT MUR112509 Claim was denied as Member not enrolled at DOS file ref #MAIL B3_20091125163010 pg # 28. - CHA 113009 Claim#1000362314 sent to primary on 11132009 by Paper - RG Claim#1000361761 sent to primary on 11132009 by Paper - RG

MCR-CPT-75756-Contractural Obligations. Payment adjusted because this service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated. File ref; 092909 pg-13 mn 092909 refiled with 59 modifier 101209 - RV MCR-CPT-7MCR-CPT-75756-Contractural Obligations. Payment adjusted because this service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated. File ref; 092909 pg-13 mn 092909 refiled with 59 modifier 101209 - RV MCR-CPT-7MCR-CPT-75756-Contractural Obligations. Payment adjusted because this service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated. File ref; 092909 pg-13 mn 092909 refiled with 59 modifier 101209 - RV MCR-CPT-7MCR-CPT-75756-Contractural Obligations. Payment adjusted because this service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated. File ref; 092909 pg-13 mn 092909 refiled with 59 modifier 101209 - RV MCR-CPT-7MCR-CPT-75756-Contractural Obligations. Payment adjusted because this service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated. File ref; 092909 pg-13 mn 092909 refiled with 59 modifier 101209 - RV MCR-CPT-7claim NIS(7/17/2006)-Refiled on 090506-Moh MCR,cpt 93880,93925 as Duplicate claim/service.cpt 93971 as These are non covered service because this is not deemed a medical necessity by the payor.Ref Elec img#,101206-eft,pgno 2-sudar CPT 93880/93925 payment rcvd under opus,writeoff taken-103106-moh MISC MISC ALTERNATE DIAGNOSIS CODE_20070125152728-claim refiled with ICD 782.3-020107-Dee sec. clm for dos 4/13/06 mailed to UNITED HEALTH CARE w/EOB-4/2/07mG $49.24 Applied deductible.Fil ref MAIL DEPOSIT_20070430205522 pg14 sha050407 updated case mgt.claim NIS(7/17/2006)-Refiled on 090506-Moh MCR,cpt 93880,93925 as Duplicate claim/service.cpt 93971 as These are non covered service because this is not deemed a medical necessity by the payor.Ref Elec img#,101206-eft,pgno 2-sudar CPT 93880/93925 payment rcvd under opus,writeoff taken-103106-moh MISC MISC ALTERNATE DIAGNOSIS CODE_20070125152728-claim refiled with ICD 782.3-020107-Dee sec. clm for dos 4/13/06 mailed to UNITED HEALTH CARE w/EOB-4/2/07mG $49.24 Applied deductible.Fil ref MAIL DEPOSIT_20070430205522 pg14 sha050407 updated case mgt.claim NIS(7/17/2006)-Refiled on 090506-Moh MCR,cpt 93880,93925 as Duplicate claim/service.cpt 93971 as These are non covered service because this is not deemed a medical necessity by the payor.Ref Elec img#,101206-eft,pgno 2-sudar CPT 93880/93925 payment rcvd under opus,writeoff taken-103106-moh MISC MISC ALTERNATE DIAGNOSIS CODE_20070125152728-claim refiled with ICD 782.3-020107-Dee sec. clm for dos 4/13/06 mailed to UNITED HEALTH CARE w/EOB-4/2/07mG $49.24 Applied deductible.Fil ref MAIL DEPOSIT_20070430205522 pg14 sha050407 updated case mgt. Claim#1000375435 sent to secondary on 03012010- RG United American Inc - Service dates were after coverage lapsed. File ref: MAIL DEPOSIT_20100323140920, pg-7. Udaya032410. Checked in scan cards, there is no other secondary insurance. so bill to pt. Udaya032410.245a22671 Claim#1000399966 sent to secondary on 07062010- RGNIS. Claim refiled. Udaya062510. claim forwarded to Secondary insurance - 06/29/2010 Claim forwarded to Secondary insurance - 06/29/2010 claim forwarded to Secondary insurance - 06/29/2010 Claim forwarded to Secondary insurance - 06/29/2010 NIS. Claim refiled. Udaya062110. claim forwarded to Secondary insurance - 06/28/2010 NIS. Claim refiled. Udaya062110. claim forwarded to Secondary insurance - 06/28/2010 AARP - CPTs 80053,85025 Because Medicare paid the approved amount in full, No benefits are payable. File ref: MAIL B2 7-21_20100722095842. PG-8, WL072310.NIS. Claim refiled. Udaya062110. claim forwarded to Secondary insurance - 06/28/2010 Claim forwarded to Secondary insurance - 02/13/2010 AARP-$63.69 as applied as deductible, file ref;REF MAIL B1 3-11-10_20100311164841 pg 18 MCR-Received denail medicare EOB#081908.pdf pg#11 as CPT - 99204 as Payment denied because only one visit or consultation per physician per day is covered - sar 082008 writeoff taken on 082008 Claim#1000290590 sent to secondary on 09192008-Denise AARP-94640-Oue records show that you did not have Claim#1000290158 sent to secondary on 09192008-Denise AARP-Oue records show that you did not have coverage at the time services were rendered. File ref; mail pymnts 10-06 b2_20081006175327. pg-40 mn 101008 CLAIM INFORMATION FORWARDED TO: AETNA, INC. file ref 060308 Aetna - $35.30 co insurance DEPOSIT 7-1-08_20080701175248. pg 37 CLAIM INFORMATION FORWARDED TO: AETNA, INC. file ref 060308 Aetna - $35.30 co insurance DEPOSIT 7-1-08_20080701175248. pg 37 CLAIM INFORMATION FORWARDED TO: AETNA, INC. file ref 060308 Aetna - $69.48 co insurance DEPOSIT 7-1-08_20080701175248. pg 36 CLAIM INFORMATION FORWARDED TO: AETNA, INC. file ref 060308 Aetna - $69.48 co insurance DEPOSIT 7-1-08_20080701175248. pg 36 CLAIM INFORMATION FORWARDED TO: AETNA, INC. file ref 060308 Aetna - $69.48 co insurance DEPOSIT 7-1-08_20080701175248. pg 36 CLAIM INFORMATION FORWARDED TO: AETNA, INC. file ref 060308 Aetna - $69.48 co insurance DEPOSIT 7-1-08_20080701175248. pg 36 File ref 20060609113712_Pg 7 Chk# 162527393 $21.51 ded applied_Chi 061006 CPT 85610 dnd as Missing/incomplete/invalid CLIA certification number - MAIL EOB S 6_20060609113712 - 7 Refiled on 062306 - Rek. MCR,as Payment for charges adjusted.Charges are covered under a capitation agreement\managed Claim#1000339640 sent to secondary on 07272009- RG UHC-CPT-93306, 93880, 93925-Primary carrier paid in full. File ref; EOB 20090924155304 pg-22 mn 092509

Claim#1000339640 sent to secondary on 07272009- RG UHC-CPT-93306, 93880, 93925-Primary carrier paid in full. File ref; EOB 20090924155304 pg-22 mn 092509 Claim#1000339640 sent to secondary on 07272009- RG UHC-CPT-93306, 93880, 93925-Primary carrier paid in full. File ref; EOB 20090924155304 pg-22 mn 092509CPT 75716 refiled with 59 mod on 030609 moh MCR-CPT-75716Contractural Obligations. Payment adjusted because this service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated. File ref; 030509 pg-02 mn 0CPT 94760 adjusted on 012209 moh Claim#1000312489 sent to secondary on 02172009-DeniseClaim#1000234119 sent to secondary on 02152008-Denise AETNA-CPT-These expenses require further review.No action,on your part, is necessary at this time.File ref;mail pymnts 3-21_20080324101536.pdf pg#12 arun032608 AETNA-CPT-Expenses are not payable due to member plan provisions.plan maximum or not covered under plan provisions.File ref;mail pymnts 5-27 b7_20080528125346.pdf pg#11 arun052908NIS refiled on 070307 moh claim refiled on 081607-GP. 80 Claim Refiled on 120707-mani claim refiled taken by arun on 063008 refiled - RV chked in online NIS claim refiled on 100408 sar As per chked in online NIS claim refiled on 101508 sar As per chked in online NIS claim refiled on 111808 sar Need to deleteNIS refiled on 070307 moh claim refiled on 081607-GP. 80 Claim Refiled on 120707-mani claim refiled taken by arun on 063008 refiled - RV chked in online NIS claim refiled on 100408 sar As per chked in online NIS claim refiled on 101508 sar As per chked in online NIS claim refiled on 111808 sar Need to deleteNIS refiled on 070307 moh claim refiled on 081607-GP. 80 Claim Refiled on 120707-mani claim refiled taken by arun on 063008 refiled - RV chked in online NIS claim refiled on 100408 sar As per chked in online NIS claim refiled on 101508 sar As per chked in online NIS claim refiled on 111808 sar Need to deleteNIS refiled on 070307 moh claim refiled on 081607-GP. 80 Claim Refiled on 120707-mani claim refiled taken by arun on 063008 refiled - RV chked in online NIS claim refiled on 100408 sar As per chked in online NIS claim refiled on 101508 sar As per chked in online NIS claim refiled on 111808 sar Need to delete Claim#1000320083 sent to secondary on 04202009-Denise As per calling send to sec-sel 060609 Claim#1000320083 sent to secondary on 06152009- RG Claim#1000320083 sent to secondary on 04202009-Denise As per calling send to sec-sel 060609 Claim#1000320083 sent to secondary on 06152009- RG Claim#1000320083 sent to secondary on 04202009-Denise As per calling send to sec-sel 060609 Claim#1000320083 sent to secondary on 06152009- RG Claim#1000320083 sent to secondary on 04202009-Denise As per calling send to sec-sel 060609 Claim#1000320083 sent to secondary on 06152009- RG Claim#1000318134 sent to secondary on 03092009-DeniseNIS. Claim refiled. Udaya062110. NIS. Claim refiled. Udaya062110. claim forwarded to Secondary insurance - 06/28/2 UHC - This plan determines benefits once medicare makes payment. If medicare pays less than this plans benefit, This plan will cosider the difference. This plans allowable benefits are based on the medicare approved amount if the physician or provider accept. File ref:MAIL 7-8_20100708170256. PG-7, WL071510. Claim forwarded to Secondary insurance - 06/29/2010 NIS. Claim refiled. Udaya062110. claim forwarded to Secondary insurance - 06/28/2010 UHC - CPT 99213 Duplicate claim/service are not covered. File ref: MAIL B4_20100727102820. PG-36, WL072910.GILSBAR-CPT-93000-$25.06 Deductible applied.File ref;mail pymnts 3-17 b1_20080318100221.pdf pg#44 arun03108 GILSBAR-CPT-93000-$25.06 Deductible applied.File ref;mail pymnts 3-17 b1_20080318100221.pdf pg#44 arun03108 160.5 GILSBAR-CPT-93000 as $28.89 deductible applied.File ref;mail deposit 09102007_20070910183503.pdf pgno65 arun091207 Claim#1000215950 sent to secondary on 12072007-Denise HUMANA-CPT-Denial.File ref;MAIL DEPOSIT 1-8-08_200801081828.pdf pgno7 arun011008 160.5 GILSBAR-CPT-93000 as $28.89 deductible applied.File ref;mail deposit 09102007_20070910183503.pdf pgno65 arun091207 Claim#1000215950 sent to secondary on 12072007-Denise HUMANA-CPT-Denial.File ref;MAIL DEPOSIT 1-8-08_200801081828.pdf pgno7 arun011008 GILSBAR-CPT,36415 as $4.80 deductible applied.CPT-80053 as $14.18 deductible applied.File ref;MAIL_20070806212035.pdf pgno21 arun080807. GILSBAR applied deductible $18.98 posted on 080807 FILE REF 20070806212035 CHECK NO 3231 PG-21 Claim#1000206925 sent to secondary on 10312007-DenisGILSBAR-CPT,36415 as $4.80 deductible applied.CPT-80053 as $14.18 deductible applied.File ref;MAIL_20070806212035.pdf pgno21 arun080807. GILSBAR applied deductible $18.98 posted on 080807 FILE REF 20070806212035 CHECK NO 3231 PG-21 Claim#1000206925 sent to secondary on 10312007-Denisclaim info forwarded to sec ref#122006 Refile the claim changed policy id,ssn #-122906\ clm retracted for incorrect pymt and got denied as claim/service denied /reduced due to a submission /billing error. Ref Elec img#,012507,pgno39_sudar021207 MCR-$63.50 overpaid.MC REFUND REQ_20070202174614 pg 7 claim info forwarded to sec ref#122006 Refile the claim changed policy id,ssn #-122906\ clm retracted for incorrect pymt and got denied as claim/service denied /reduced due to a submission /billing error. Ref Elec img#,012507,pgno39_sudar021207 MCR-$63.50 overpaid.MC REFUND REQ_20070202174614 pg 7 claim info forwarded to sec ref#122006 Refile the claim changed policy id,ssn #-122906\ clm retracted for incorrect pymt and got denied as claim/service denied /reduced due to a submission /billing error. Ref Elec img#,012507,pgno39_sudar021207 MCR-$63.50 overpaid.MC REFUND REQ_20070202174614 pg 7 Refile the claim changed policy id,ssn #-122906 MCR,as claim retracted for incorrect payment and got deneid as claim/service denied /reduced due to a submission /billing error.Ref Elec img#,012507,pgno39_sudar021207 MCR-$42.54 overpaid.MC REFUND REQ_20070202174614 pg 7 Refile the claim changed policy id,ssn #-122906 MCR,as claim retracted for incorrect payment and got deneid as claim/service denied /reduced due to a submission /billing error.Ref Elec img#,012507,pgno39_sudar021207 MCR-$42.54 overpaid.MC REFUND REQ_20070202174614 pg 7 Refile the claim changed policy id,ssn #-122906 MCR,as claim retracted for incorrect payment and got deneid as claim/service denied /reduced due to a submission /billing error.Ref Elec img#,012507,pgno39_sudar021207 MCR-$42.54 overpaid.MC REFUND REQ_20070202174614 pg 7 Refile the claim changed policy id,ssn #-122906 MCR,as claim retracted for incorrect payment and got deneid as claim/service denied /reduced due to a submission /billing error.Ref Elec img#,012507,pgno39_sudar021207 MCR-$42.54 overpaid.MC REFUND REQ_20070202174614 pg 7 Refile the claim changed policy id,ssn #. 122906 MCR,as claim retracted for incorrect payment and got deneid as claim/service denied /reduced due to a submission /billing error.Ref Elec img#,012507,pgno 40_sudar021207 MCR-$13.33 overpaid.MC REFUND REQ_20070202174614 pg 7 Refile the claim Changed policy id,SSN # .122906 180 MCR,as claim retracted for incorrect payment and got deneid as claim/service denied /reduced due to a submission /billing error.Ref Elec img#,012507,pgno 39_sudar021207 MCR-$92.71 overpaid.MC REFUND REQ_20070202174614 pg 7 Refile the claim Changed policy id,SSN # .122906 180 MCR,as claim retracted for incorrect payment and got deneid as claim/service denied /reduced due to a submission /billing error.Ref Elec img#,012507,pgno 39_sudar021207 MCR-$92.71 overpaid.MC REFUND REQ_20070202174614 pg 7 Refile the claim Changed policy id,SSN # .122906 180 MCR,as claim retracted for incorrect payment and got deneid as claim/service denied /reduced due to a submission /billing error.Ref Elec img#,012507,pgno 39_sudar021207 MCR-$92.71 overpaid.MC REFUND REQ_20070202174614 pg 7 Refile the claim Changed policy id,SSN # .122906 180 MCR,as claim retracted for incorrect payment and got deneid as claim/service denied /reduced due to a submission /billing error.Ref Elec img#,012507,pgno 39_sudar021207 MCR-$92.71 overpaid.MC REFUND REQ_20070202174614 pg 7 Refile the claim Changed policy id,SSN # .122906 180 MCR,as claim retracted for incorrect payment and got deneid as claim/service denied /reduced due to a submission /billing error.Ref Elec img#,012507,pgno 39_sudar021207 MCR-$92.71 overpaid.MC REFUND REQ_20070202174614 pg 7 Refile the claim Changed policy id,SSN # .122906 180 MCR,as claim retracted for incorrect payment and got deneid as claim/service denied /reduced due to a submission /billing error.Ref Elec img#,012507,pgno 39_sudar021207 MCR-$92.71 overpaid.MC REFUND REQ_20070202174614 pg 7 NIS refiled. $ub 083106 Refile the claim changed policy id & ssn No. 122906 MCR,as claim retracted for incorrect payment and got deneid as claim/service denied /reduced due to a submission /billing error.Ref Elec img#,012507,pgno 40_sudar021207 MCR-$46.47 overpaid.MC REFUND REQ_20070202174614 pg 7NIS refiled. $ub 083106 Refile the claim changed policy id & ssn No. 122906 MCR,as claim retracted for incorrect payment and got deneid as claim/service denied /reduced due to a submission /billing error.Ref Elec img#,012507,pgno 40_sudar021207 MCR-$46.47 overpaid.MC REFUND REQ_20070202174614 pg 7 Claim#1000295593 sent to secondary on 09262008-Denise need to file secondary evercare per MAIL 11-14 B2_20081119074958 pg 10 Claim#1000295593 sent to secondary on 12112008-Denise Claim#1000295593 sent to secondary on 03302009-Denise Claim#1000295593 sent to secondary on 06242009- RG NIS. Claim refiled. Udaya062110. claim forwarded to Secondary insurance - 06/28/2010 WFIS - This amount disallowed by Medicare; The patient is not responsible. File ref: MAIL B2_20100806163309. PG-13, Lav080710.MCR,cpt 36140 as allowed amount has been reduced because a component of the basic procedure/test was paid.Ref Elec img#,101706,pgno 13-sudar,110906 CPT 36140 mod 59 added refiled on 111006-moh MCR-letted rcvd for $1054.72 over paid.MAIL DEPOSIT_20070419201745 pg 20 GP042307 incorrect charg120.79 Claim#1000208858 sent to secondary on 11022007-Denise As per cm Id 117136 8/19/2009 Renee Fields Vadivel, can you please make a note in the patients account that I met with him today and he is angry that he is only just now being billed for 2007 charges and refuses to pay those. His 2009 (medicare deductib120.79 Claim#1000208858 sent to secondary on 11022007-Denise As per cm Id 117136 8/19/2009 Renee Fields Vadivel, can you please make a note in the patients account that I met with him today and he is angry that he is only just now being billed for 2007 charges and refuses to pay those. His 2009 (medicare deductib120.79 Claim#1000208858 sent to secondary on 11022007-Denise As per cm Id 117136 8/19/2009 Renee Fields Vadivel, can you please make a note in the patients account that I met with him today and he is angry that he is only just now being billed for 2007 charges and refuses to pay those. His 2009 (medicare deductibfiled to healthnet - RV mcr-dnd cpt 99213 Payment for charges adjusted. Charges are covered under a capitation agreement/managed care plan. HEALTH PLAN-CPT-$35.00 Copay applied.File ref;MAIL DEPOSIT_20080117181841.pdf pgno55 arun012108 Claim#1000201706 sent to secondary on 08152007-Denise mcr-dnd for cpt 99213 : Payment for charges adjusted. Charges are covered under a capitation agreement/managed care plan.filref 110507 balan 110707 received refund request REFUND REQUEST_20071206183429 filed to healthnet - RV Health net-claMCR partially denied for the cpt 94760 as Payment is included in the allowance for another service -10/12/2006-101206-14. CPT 94760 mod 59 added refiled on 102606-moh MCR,cpt 94760 as Payment is included in the allowance for another service/procedure.Ref Elec img#,110906,pgno 42-sudar,111306 claim refile Claim forwarded to Secondary insurance - 06/28/2010 MCR-Received denail Medicare Eob img#080708 ref pg #79 as CPT as 99214 as Payment for charges adjusted. Charges are covered under a capitation agreement/managed care plan - sar 080808 AEI-92982/92984/92981 this service has been combined/or rebundeled with other service.mail 2_20070206184827 pg 20-moh021607 CPT 92982/92984/92981 refiled 59 mod moh021607 AEI-92982/92984/92981 this service has been combined/or rebundeled with other service.mail 2_20070206184827 pg 20-moh021607 CPT 92982/92984/92981 refiled 59 mod moh021607 AEI-92982/92984/92981 this service has been combined/or rebundeled with other service.mail 2_20070206184827 pg 20-moh021607 CPT 92982/92984/92981 refiled 59 mod moh021607

Received denial from Bcbs stating Invalid Modifiers .062406. Removed the mofifier UB and resubmitted the claim.062406.Refer scanfile#(EOB MAIL EOBS BATCH 3_20060620132642;page:23)

MCR,as deductible on amt $59.4.Ref Elec img#,012507,pgno36_sudar020907 claim info forwarded to sec ref#012507 CIGNA HEALTHCARE-$59.40 suscribers liability-EOB mail 2-12 p.3_20070213180529 pg 116 claim info forwarded to sec ref#010907 BCBS- $10.51 subcriber liability .Fileref_MAIL B7 1-22_20070123131205 Pg_25.Hari_012507. claim forwarded to Secondary insurance - 02/24/2010 MCR - Payment adjusted because New Patient qualifications were not met. File ref: 080910. PG-20, Lav081010.sec. clm for dos 9/8/06 mailed to PHYSICIANS MUTUAL w/EOB-4/2/07mG PM,cpt 99211-the policy number was not in force on these dated of service.MAIL B2_20070423133923,pg29 GP042407. HEALTH CHOICE - Resubmit with correct eob. File ref: MAIL B FOUR_20100604163312, pg-9. Udaya060710. Need to send paper claim with primary paid eob to secondary health choice. Udaya060710. HEALTH CHOICE - Resubmit with correct eob. File ref: MAIL B FOUR_20100604163312, pg-9. Udaya060710. Need to send paper claim with primary paid eob to secondary health choice. Udaya060710. HEALTH CHOICE - Resubmit with correct eob. File ref: MAIL B FOUR_20100604163312, pg-9. Udaya060710. Need to send paper claim with primary paid eob to secondary health choice. Udaya060710. HEALTH CHOICE - Resubmit with correct eob. File ref: MAIL B FOUR_20100604163312, pg-9. Udaya060710. Need to send paper claim with primary paid eob to secondary health choice. Udaya060710. HEALTH CHOICE - Resubmit with correct eob. File ref: MAIL B FOUR_20100604163312, pg-9. Udaya060710. Need to send paper claim with primary paid eob to secondary health choice. Udaya060710. HEALTH CHOICE - Resubmit with correct eob. File ref: MAIL B FOUR_20100604163312, pg-9. Udaya060710. Need to send paper claim with primary paid eob to secondary health choice. Udaya060710. Claim#1000186611 sent to secondary on 07202007-Denise 757.12 we received sec ins medicare part D (Drug coverage). so, we billed to patient claim refiled on 091208 pri MAIL DEPOSIT 11-13 B1_20081119082244 - patient stated receive bill after 1 yr 8 months - not accept to pay. Status changed to set status m Claim#1000186611 sent to secondary on 07202007-Denise 757.12 we received sec ins medicare part D (Drug coverage). so, we billed to patient claim refiled on 091208 pri MAIL DEPOSIT 11-13 B1_20081119082244 - patient stated receive bill after 1 yr 8 months - not accept to pay. Status changed to set status m Claim#1000186611 sent to secondary on 07202007-Denise 757.12 we received sec ins medicare part D (Drug coverage). so, we billed to patient claim refiled on 091208 pri MAIL DEPOSIT 11-13 B1_20081119082244 - patient stated receive bill after 1 yr 8 months - not accept to pay. Status changed to set status m Claim#1000186611 sent to secondary on 07202007-Denise 757.12 we received sec ins medicare part D (Drug coverage). so, we billed to patient claim refiled on 091208 pri MAIL DEPOSIT 11-13 B1_20081119082244 - patient stated receive bill after 1 yr 8 months - not accept to pay. Status changed to set status m Claim#1000186611 sent to secondary on 07202007-Denise 757.12 we received sec ins medicare part D (Drug coverage). so, we billed to patient claim refiled on 091208 pri MAIL DEPOSIT 11-13 B1_20081119082244 - patient stated receive bill after 1 yr 8 months - not accept to pay. Status changed to set status m Claim#1000186611 sent to secondary on 07202007-Denise 757.12 we received sec ins medicare part D (Drug coverage). so, we billed to patient claim refiled on 091208 pri MAIL DEPOSIT 11-13 B1_20081119082244 - patient stated receive bill after 1 yr 8 months - not accept to pay. Status changed to set status mAS PER ONLINE NIS CLAIM REFILED ON 12152008 LAL As per online claim paid $58.19 check # 10206553 check 12/31/2008 on mn 010809 As per cm Id 115506 03/04/2009 Renee Fields: spoke with patient - he has a previous payment arrangement with us that is still existing - he received bill for 93 and agrees to pay 25 thru mail on next wednesday and then 15 a month until paid - he is allowed to do that with us - if you will mark his account just as a fyi - thank you so much for your help, Renee Received other payment $25 on 03/11/2009 and applied to this claim IdAs per chk in online claim inprocess - sar 091708 As per cm Id 115506 03/04/2009 Renee Fields: spoke with patient - he has a previous payment arrangement with us that is still existing - he received bill for 93 and agrees to pay 25 thru mail on next wednesday and then 15 a month until paid - he is allowed to do that with us - if you will mark his account just as a fyi - thank you so much for your help, Renee Received other payment $15 on 12/10/2008 and applied to this claim Id As per cm Id 115506 03/04/2009 Renee Fields: spoke with patient - he has a previous payment arrangement with us that is still existing - he received bill for 93 and agrees to pay 25 thru mail on next wednesday and then 15 a month until paid - he is allowed to do that with us - if you will mark his account just as a fyi - thank you so much for your help, Renee DESERT CANYON-refund request- reason-Service covered under global surgical payment - post operative visits amt-$30.34,File ref;Misc REFUND REQUEST_20090121113553 pg#92 - sar 012709 CPT 99213 add 25 mod-sel corrected claim sent on 020609 As per cm Id 115506 03/04/2009 Renee Fields: spoke with patient - he As per cm Id 115506 03/04/2009 Renee Fields. spoke with patient - he has a previous payment arrangement with us that is still existing - he received bill for 93 and agrees to pay 25 thru mail on next wednesday and then 15 a month until paid - he is allowed to do that with us - if you will mark his account just as a fyi - thank you so much for your help, ReneeNIS. Claim refiled. Udaya062510. claim forwarded to Secondary insurance - 06/29/2010 Claim forwarded to Secondary insurance - 06/29/2010 NIS. Claim refiled. Udaya062110. claim forwarded to Secondary insurance - 06/28/2010 NIS. Claim refiled. Udaya062110. claim forwarded to Secondary insurance - 06/28/2010 NIS. Claim refiled. Udaya062110.NIS. Claim refiled. Udaya062110.

Calling Comments

cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08 cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08 Cld summerlin tt linda sd clm is inprocess.it will get processed within 10days.michael 051107

cld desert canyon tt amearo sd clm was dnd reason is not activated on plan and aslo sd he cancalled is plan.-james 022807 Cld desert canyon tt doylene sd clm nis. need to refile the clm again with proof of timley filing as their filing limit is only 1 year from the dos. coverage is still active from 10/01/2006 and the coverage was active for the dos. 800 775 6490 cld desert canyon tt amearo sd clm was dnd reason is not activated on plan and aslo sd he cancalled is plan.-james 022807 Cld desert canyon tt doylene sd clm nis. need to refile the clm again with proof of timley filing as their filing limit is only 1 year from the dos. coverage is still active from 10/01/2006 and the coverage was active for the dos. 800 775 6490 cld desert canyon tt amearo sd clm was dnd reason is not activated on plan and aslo sd he cancalled is plan.-james 022807 Cld desert canyon tt doylene sd clm nis. need to refile the clm again with proof of timley filing as their filing limit is only 1 year from the dos. coverage is still active from 10/01/2006 and the coverage was active for the dos. 800 775 6490 cld desert canyon tt amearo sd clm was dnd reason is not activated on plan and aslo sd he cancalled is plan.-james 022807 Cld desert canyon tt doylene sd clm nis. need to refile the clm again with proof of timley filing as their filing limit is only 1 year from the dos. coverage is still active from 10/01/2006 and the coverage was active for the dos. 800 775 6490 cld desert canyon tt amearo sd clm was dnd reason is not activated on plan and aslo sd he cancalled is plan.-james 022807 Cld desert canyon tt doylene sd clm nis. need to refile the clm again with proof of timley filing as their filing limit is only 1 year from the dos. coverage is still active from 10/01/2006 and the coverage was active for the dos. 800 775 6490 cld az foundation tt pat sd clm send to zenith on 011707 ph#800-553-2801 clm#2070163192 ,cld tt vanida sd clm processed on 01807 pd$210.70 chk#12942 clm#070180176 -john 020107cld az foundation tt pat sd clm send to zenith on 011707 ph#800-553-2801 clm#2070163192 ,cld tt vanida sd clm processed on 01807 pd$210.70 chk#12942 clm#070180176 -john 020107cld az foundation tt pat sd clm send to zenith on 011707 ph#800-553-2801 clm#2070163192 ,cld tt vanida sd clm processed on 01807 pd$210.70 chk#12942 clm#070180176 -john 020107cld bcbs tt angilica sd clm send for reprocessing because dnd due to an error, told to call back ofter 30 days -john 012907 Cld to the pt. Yancy stout ph#928 530 3129 tt his son he sd the pt. yancy was expired on 09/22/07 but now they are receiving a bill in the amt of $15 which was for a year 2006 dos. so he wants us to take an adjustment on the balance as the pt. was expired.-sam 01/09/09cld mcr avr sd clm under process -john 120406

cld az foundation tt tim sd clm in process clm# 2091951945 . john 07/23/09 cld az foundation tt tami sd clm processed and send to mmsi on 07/17/09. cld mmsi tt nancy sd clm in 1007200900173 . john 07/29/09 cld mmsi tt mary sd clm in process 1007200900173 . john 08/07/09 Cld to the pt. Danny jordan ph#928 757 0662 tt his wife patty she sd they received a bill in the amt of $456.54 which was for the dos 07/01/09 but she sd they are hospital employees and the provider is an contracted provider so she sd they should not have a balance of $456.64 she sd their balance should only be $100 or less than that so she sd we need to verify with the dr. office and need to send them a correct statement.-sam 10/05/09 Cld to the pt. Danny jordan ph# 928 263 1270 he sd he received a bill in the amt of $85 which was for the dos 07/01/09 but he sd dr. Alkhatib accepts whatever the payment made by the insurance and a $15 copay as the payment in full and nothing should be billed to the patient so he sd the bill sent to him in the amt of $85 was incorrect. so he sd we need to verify this with the dr. office and adjust the balance.-sam 11/05/09cld cigna avr sd processed on 05/02/09 pd$ 239.84 chk# 00547475114 clm# 4190912190523 try to call the customer care the call went to a voice mail. john 06/08/09 cld cigna tt shanan sd this service is not covered our provider,the bill can not send to pt. john 07/08/09 cld cigna tt veronica sd CPT 80053/80438 was dnd as duplicate,she sd she send the clm for reprocess and sd allow 30 days to get process ref#3647.kevin 072909 Received a voice msg from the pt. Olivia mangrum ph#928 753 4744 she stated that she received a bill in the amt of $45 but she already made the payment in the amt of $45 thro money order in the month of october 09 so she stated that we need to verify this with the dr. office and post the payment on her account. i cld her but it reached the voice mail box.-sam 01/05/10 cld desertcanyon tt sheirly sd clm is currently under process clm#2009050499900247.kevin 050509 Received a voice msg from the pt. Sally huber ph#928 692 1374 she sd she received a bill in the amt of $55 which was for the copay balance for the dos 03/30/09 & 04/10/09 but she sd his pcp was Dr. Deepak and for an pcp visit her copay should only be $15 and not $35 but we billed the clms under dr. Kalanithi and because of this they charged $35 so she sd we need to verify this and adjust the balance.-sam 09/02/09cld mcr avr sd the members dob is incorrect.-Gopi 02/23/09 cld mcr tt jennifer sd cpt G0107 is not valid for 2009 ,she sd that cpt was termd on 2006.kevin 030909 Cld to the pt. Annie kinkle ph#928 565 2977 she sd she received a bill in the amt of $189.65 but she sd she cannot pay that in full so she asked whether she can get any discounts on the bill. i asked her to contact the dr. office directly regarding this. then she sd she will contact them directly.-sam 09/09/09cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09

Cld to the pt. Dennis atherton ph#928 565 2655 he sd he received a bill in the amt of $70 and asked the reason for that. i verified his account and explained him that for the dos 08/01/08, 08/11/08 & 09/25/08 his copay was $30 but he paid only $10 for the dos 09/25/08 & 08/11/08 so we billed the balance $70 but he sd his copay for an pcp visit should only be $10 and not $30 so he sd we need to verify this with the ins. company. cld humana tt lee explained him that the pt. cld us and stated that his copay should only be $10 for an pcp visit and not $30 then he sd he will send all the 3 clms back for review and it will take 30 days ref#435400572409. i cld the pt. again and gave this info. the pt. asked us not to move the bill to the collection agency until we receive info. from humana. Cld to the pt. Carla register ph#928 753 4288 she sd she received a bill in the amt of $320.21 and asked the reason for that. i verified her account and explained her that the clm with the dos 10/09/08 - 10/10/08 was processed towards deductible in the amt of $320.21 then she sd she will pay $100 per month and she will finish it off within 3 months. changed the status as set status manually.-sam 12/09/08 Cld to the pt. Carla register ph#928 753 4288 she sd she received a bill in the amt of $320.21 and asked the reason for that. i verified her account and explained her that the clm with the dos 10/09/08 - 10/10/08 was processed towards deductible in the amt of $320.21 then she sd she will pay $100 per month and she will finish it off within 3 months. changed the status as set status manually.-sam 12/09/08

Cld to the pt. Carla register ph#928 753 4288 she sd she received a bill in the amt of $320.21 and asked the reason for that. i verified her account and explained her that the clm with the dos 10/09/08 - 10/10/08 was processed towards deductible in the amt of $320.21 then she sd she will pay $100 per month and she will finish it off within 3 months. changed the status as set status manually.-sam 12/09/08 Cld to the pt. Carla register ph#928 753 4288 she sd she received a bill in the amt of $320.21 and asked the reason for that. i verified her account and explained her that the clm with the dos 10/09/08 - 10/10/08 was processed towards deductible in the amt of $320.21 then she sd she will pay $100 per month and she will finish it off within 3 months. changed the status as set status manually.-sam 12/09/08 Cld to the pt. Carla register ph#928 753 4288 she sd she received a bill in the amt of $320.21 and asked the reason for that. i verified her account and explained her that the clm with the dos 10/09/08 - 10/10/08 was processed towards deductible in the amt of $320.21 then she sd she will pay $100 per month and she will finish it off within 3 months. changed the status as set status manually.-sam 12/09/08

Cld ae tt lisa sd clm is nis , this policy eff from 08/01/2007 to still active . payer id 53589 . i verify the mailing add. john 08/19/08 Cld aei tt mony sd clm nis. member policy is effective from 08/01/07 and still active. verified the mailing address is correct. payor id # 53589. need to refile the clm again. michael 08/20/08 Cld to the pt. Francis chavez ph#928 753 0736 extn:4116 tt his wife terri she sd she received a bill in the amt of $93.92 but she sd she already made a payment in the amt of $73.92 with the chk#3702 on 09/19/08 and the chk was cashed in october but she dont know the exact cashed date. so she sd she should currently owe only $20 so she sd we need to verify this with the dr. office and post the payment on this pt. account.-sam 12/17/08 Received a voice msg from the pt. Francis chavez ph#928 757 4810 his wife terri stated that they received a bill in the amt of $93.72 couple of months before and they sent 2 payments one in the amt of $73.92 with the chk#3702 dated 09/19/08 and another payment in the amt of $20 with the chk#3800 dated 01/23/09 so she sd she paid everything and she should not owe any balance. but again now they received a bill in the amt of $140 which she stated is incorrect. i verified her account and found that the $20 payment she made on 01/23/09 was not yet received from the dr. office and the rest of the due is for the 2007 clms so i cld her to give this info. but the phone line reached the voice mail box. left voice msg asking her to give us a call back.-sam 02/09/09

cld Desert canyon avr sd clm was processed and pd$47.67 chq#10148649 issued on 072308 clm#200807019990598.kevin 072408cld mcr tried with the policy#541402252A avr sd the member policy# is incorrect.-mark 02/13/09Cld to the pt. Alexandra wells ph#928 767 3163/ 928 715 2142 tt her care taker gela she sd they received a bill in the amt of $19.38 which was for the dos 04/23/08 and it stated that it was for an TB intradermal test but she sd the pt. did not had an TB intradermal test with dr. sharaf on that day and she also have proof for that. so she sd we need to verify this with the dr. office and adjust the balance.-sam 02/06/09cld ever care tt esther sd she can not locate the pt with her policy# ssn# name and dob. john 10/03/08 Cld to the pt. Alexandra wells ph#928 767 3163/ 928 715 2142 tt her care taker gela she sd they received a bill in the amt of $19.38 which was for the dos 04/23/08 and it stated that it was for an TB intradermal test but she sd the pt. did not had an TB intradermal test with dr. sharaf on that day and she also have proof for that. so she sd we need to verify this with the dr. office and adjust the balance.-sam 02/06/09

Cld to the pt. Kathryn hatch ph#928 692 0335 she sd she received a bill in the amt of $35 for the dos 03/19/08 but she sd she already paid her copay in the amt of $35 on 04/15/08 with the chk#2607 and the chk was processed on 04/17/08 so she wants us to verify this with the dr. office and need to take an adjustment on her balance..-sam 08/07/08Cld to the pt. Dennis atherton ph#928 565 2655 he sd he received a bill in the amt of $70 and asked the reason for that. i verified his account and explained him that for the dos 08/01/08, 08/11/08 & 09/25/08 his copay was $30 but he paid only $10 for the dos 09/25/08 & 08/11/08 so we billed the balance $70 but he sd his copay for an pcp visit should only be $10 and not $30 so he sd we need to verify this with the ins. company. cld humana tt lee explained him that the pt. cld us and stated that his copay should only be $10 for an pcp visit and not $30 then he sd he will send all the 3 clms back for review and it will take 30 days ref#435400572409. i cld the pt. again and gave this info. the pt. asked us not to move the bill to the collection agency until we receive info. from humana.

As per CM Id 117414 ( 09/10/2009 Renee Fields: I spoke with her (yesterday) and Iam sending her a hardship application to see if she qualifies for a write off. In the meantime, she is agreed to pay us $20 a month. She wrote the first installment of that money yesterday - please set her up on a budget plan monthly billing until I get back the hardship form and can tell you otherwise - thank you so much, Renee) so change the status to budget payment-sri 091109 As per file ref;REF MAIL B2_20100408172726 pg 25 status changed as set status manually - sar 04/09/2010

Cld bcbs tt alisha sd clm dnd as required pre existing information providers office . she sd they recvd the medical records so she sent back the clm reprocessing. need to call back after 30 days. ref# 200823101092. michael 08/18/08 Cld to the pt. William lackowich ph#928 486 5194 (printed on the image) but it reached the voice mail box. left voice msg asking him to give us a call back with the chk details. left my ph# and extn. for him to call back. 122908Cld to the pt. Marsha olivito ph#928 699 6539 she sd she received a bill in the amt of $54.76 but she sd she previously made some payments but it was not reflected on the statement which she currently received. i explained her that what ever payments she made was received and it was posted to her account but it will not be reflected on the statements which we send. but she sd the bill which we send is really confusing and she sd she will contact the dr. office directly to check on this.-sam 09/12/08Cld desert canyon tt jesse sd clm nis.member policy is effective from 050106 and still active. need to refile the clm again. verified the mailing add is correct. michael 02/04/08Cld to the pt. William riddle ph#928 692 4784 he sd he received a bill in the amt of $33 which was for the copay balance for the dos 05/24/10 but during this visit he got the info. from dr. office that this is an follow up visit for the stint putin and so he need not want to pay any copays for this follow up visit and the copay will be adjusted but now he is receiving a bill for the copay for a follow up visit so he sd we need to verify this with the dr. office and adjust the $33 balance.-sam 08/09/10 Cld to the pt. William riddle ph#928 692 4784 he sd he received a bill in the amt of $33 which was for the copay balance for the dos 05/24/10 but during this visit he got the info. from dr. office that this is an follow up visit for the stint putin and so he need not want to pay any copays for this follow up visit and the copay will be adjusted but now he is receiving a bill for the copay for a follow up visit so he sd we need to verify this with the dr. office and adjust the $33 balance.-sam 08/09/10Cld to the pt. Jonathan wilcox ph#928 279 0528 he sd he received a bill in the amt of $74.40 dated 08/02/10 but he sd he already paid this amt with the chk#1966 dated 07/17/10 and the chk was cashed on 07/20/10 so he sd we need to verify this with the dr. office and post the payment to his account.-sam 08/10/10

Cld health choice tt erica tried with the policy#A67990260 sd the member policy eff from 05/13/09 and the policy termd on 08/31/09.-mark 08/03/10 Cld to the pt. Jonathan wilcox ph#928 279 0528 he sd he received a bill in the amt of $74.40 dated 08/02/10 but he sd he already paid this amt with the chk#1966 dated 07/17/10 and the chk was cashed on 07/20/10 so he sd we need to verify this with the dr. office and post the payment to his account.-sam 08/10/10Cld to the pt. Jonathan wilcox ph#928 279 0528 he sd he received a bill in the amt of $74.40 dated 08/02/10 but he sd he already paid this amt with the chk#1966 dated 07/17/10 and the chk was cashed on 07/20/10 so he sd we need to verify this with the dr. office and post the payment to his account.-sam 08/10/10cld ahccs avr sd no member found in this policy# and ssn#. john 07/01/10cld ahccs avr sd no member found in this policy# and ssn#. john 07/01/10cld ameriben tt cracy sd clm nis . john 04/20/10 cld ameriben tt ginger sd clm processed on 05/06/10 pd$ 72.40 pt ded$ 30 chk# 1000020582 clm# b011205633 . john 05/12/10 Cld to the pt. Terry cornett ph#928 753 8075 he sd he received a bill in the amt of $30 which was for the dos 03/18/10 but he sd he already paid it on 07/15/10 thro online using his bank of america account and it was cashed so he sd we need to verify this with the dr. office and post the payment to his account.-sam 08/13/10cld mcr avr sd the eff date of the policy is from 12/01/2007 and currently active. Member is not enrolled with an hmo. Mcr is primary.-Gopi 03/09/10 cld mcr avr sd clm in process . john 04/09/10 Cld to the pt. Ronald baird ph#928 565 7896 he sd he received a bill in the amt of $25.16 which was for the dos 02/27/10 but he sd the clm was incorrectly billed to mcr and all his hospital stay clms should be billed only to Northern AZ VA and they will pay the clm in full. so he sd we need to refund the payment received from mcr and we need to bill the clm to Northern AZ va for payment.-sam 06/08/10

ckd ADMINISTRATIVE ENTERPRISES website policy eff from 01/01/1992 to still active . saravanan 05/18/10 Cld to the pt. Dana barber ph#928 530 9770 she sd she received a bill in the amt of $10 so she wants to make payment thro credit card got the credit card details from her. Patient name : Dana barber Ph# 928 530 9770 Pt. Zip code: 86401 Type of card:Visa Card no:4465 4201 7210 8839 Expiration date:01/14 3 digits on the back of the card: 281 Amt to be paid : $10 Dr. name: Dr. Kalanithi-sam 08/18/10

Cld cigna avr sd the member policy eff from 08/01/2009 to still active and it is a primary ins.-mark 02/05/10Cld cigna avr sd the member policy eff from 08/01/2009 to still active and it is a primary ins.-mark 02/05/10Cld cigna avr sd the member policy eff from 08/01/2009 to still active and it is a primary ins.-mark 02/05/10Cld desert canyon avr sd clm processed on 02/12/10 pd$ 30.69 chk# 10349046 clm# 2010020299901677 . john 02/15/10 Cld to the pt. Ralph cafarelli ph#928 718 0397 he sd he received a bill in the amt of $78.96 which was for the dos 01/21/10 & 02/08/10 but he sd he already made the payment on 04/10/10 with the chk#1573 for $78.96 and the chk was cashed on 04/15/10 so he sd we need to verify this with the dr. office and post the payment on his account.-Sam 05/10/10cld universal health care tt lagcia sd the member policy eff from 02/01/10 to still active and it is a primary, correct policy#PF179669388.-mark 03/10/10 Cld to the pt. Patricia lewis ph#928 757 4972 she sd she received a bill in the amt of $22.43 which was for the dos 12/28/09 but she sd during the visit itself she paid the full amt of $72 thro cash so she sd we need to verify this with the dr. office and need to adjust the balance of $22.43 and need to refund the credit balance to her.-sam 04/08/10 cld universal health care tt lagcia sd the member policy eff from 02/01/10 to still active and it is a primary, correct policy#PF179669388.-mark 03/10/10 Cld to the pt. Patricia lewis ph#928 757 4972 she sd she received a bill in the amt of $22.43 which was for the dos 12/28/09 but she sd during the visit itself she paid the full amt of $72 thro cash so she sd we need to verify this with the dr. office and need to adjust the balance of $22.43 and need to refund the credit balance to her.-sam 04/08/10 Cld desert canyon tt jackie sd the $47.48 was applied towards the members copay/ co ins. and it was not applied towards members deductible. clm#2010012199901845 -sam 03/12/10cld desert canyon avr sd clm in process. john 01/13/10 Cld to the pt. Melba nichols ph#928 753 4540 she sd she received a bill in the amt of $53.27 so asked the reason for the bill. i verified her account and explained her that it was the copay and co ins. balance left for the dos 12/01/09 & 12/23/09 but she sd she already made a payment in the amt of $35 on 02/12/2010 thro online banking using her bank of america account and also gave the confrimatin#9VH7G-MZ8F2 so she sd we need to verify this with the dr. office and post the payment of $35 on her account and now she should owe only $18.27.-sam 04/21/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld aetna avr sd the member policy eff from 01/01/2008 to still active.-mark 11/23/09 cld aetna tt rose sd clm was processed on 11/24/09 and alwd $20.86, $20 was applied to the copay, pd $0.86 will be pd on 12/15/09, clm#EK34KB6T600.-mark 12/11/09cld health choice tt sandra sd the member policy eff from 07/01/2008 and the policy termd on 08/31/09 and it is a primary ins for dos.-11/17/09 Cld health choice tt sandra sd the eff date of the policy is from 07/01/08 but the coverage was terminated on 08/31/09 and the member do not have any other active coverage with health choice after the termination date. explained her that other clm for this pt. with the dos 10/27/09 is currently under process then she sd that clm will be rejected as no coverage for dos.-sam 11/23/09 cld ahcccs tt mary sd the member covered under health choice, the policy eff from 07/01/2008 and the policy termd on 08/31/09, no coverage for dos.-mark 11/24/09chk health choice web site clm in process clm#930765748.kevin 111809chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10

Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10

claim NIS(7/17/2006)-Refiled on 090506-Moh MCR,cpt 93880,93925 as Duplicate claim/service.cpt 93971 as These are non covered service because this is not deemed a medical necessity by the payor.Ref Elec img#,101206-eft,pgno 2-sudar CPT 93880/93925 payment rcvd under opus,writeoff taken-103106-moh MISC MISC ALTERNATE DIAGNOSIS CODE_20070125152728-claim refiled with ICD 782.3-020107-Dee sec. clm for dos 4/13/06 mailed to UNITED HEALTH CARE w/EOB-4/2/07mG $49.24 Applied deductible.Fil ref MAIL DEPOSIT_20070430205522 pg14 sha050407 updated case mgt.claim NIS(7/17/2006)-Refiled on 090506-Moh MCR,cpt 93880,93925 as Duplicate claim/service.cpt 93971 as These are non covered service because this is not deemed a medical necessity by the payor.Ref Elec img#,101206-eft,pgno 2-sudar CPT 93880/93925 payment rcvd under opus,writeoff taken-103106-moh MISC MISC ALTERNATE DIAGNOSIS CODE_20070125152728-claim refiled with ICD 782.3-020107-Dee sec. clm for dos 4/13/06 mailed to UNITED HEALTH CARE w/EOB-4/2/07mG $49.24 Applied deductible.Fil ref MAIL DEPOSIT_20070430205522 pg14 sha050407 updated case mgt.claim NIS(7/17/2006)-Refiled on 090506-Moh MCR,cpt 93880,93925 as Duplicate claim/service.cpt 93971 as These are non covered service because this is not deemed a medical necessity by the payor.Ref Elec img#,101206-eft,pgno 2-sudar CPT 93880/93925 payment rcvd under opus,writeoff taken-103106-moh MISC MISC ALTERNATE DIAGNOSIS CODE_20070125152728-claim refiled with ICD 782.3-020107-Dee sec. clm for dos 4/13/06 mailed to UNITED HEALTH CARE w/EOB-4/2/07mG $49.24 Applied deductible.Fil ref MAIL DEPOSIT_20070430205522 pg14 sha050407 updated case mgt.

cld mcr avr sd the eff date of the policy is from 08/01/1997 and currently active. Member is not enrolled with an hmo. Mcr is primary.- Gopi 02/05/10 cld mcr avr sd the eff date of the policy is from 05/01/1990 and currently active. Member is not enrolled with an hmo. Mcr is primary.-mark 06/03/10 cld capstone tt leonor sd the member policy eff from 09/01/2000 to still active and it is a secondary ins.-mark 06/03/10 cld unicare tt kristy sd she cannot pull the member with policy# (245a22671), ssn , name and dob. john 06/23/10

Cld to the pt. Lucille pace ph#928 530 4984 she sd she received a bill in the amt of $63.69 which was for the dos 02/04/10 but she sd she already paid it with the chk#941 dated:03/10/10 in the amt of $63.69 and she also gave the copy of the chk to the dr. office yesterday so she sd we need to verify this with the dr. office and post the payment on her account.-sam 05/11/10 Cld to the pt. Jimmy tharp ph#928 565 3030 he sd he received a bill in the amt of $205.53 and he sd he sent a money order for that amt on 12/31/08 so he wants us to check with the dr. office and post the payment on his account.-sam 01/09/09cld mcr avr sd clm is currently under process.kevin 081308 Cld to the pt. Jimmy tharp ph#928 565 3030 he sd he received a bill in the amt of $205.53 and he sd he sent a money order for that amt on 12/31/08 so he wants us to check with the dr. office and post the payment on his account.-sam 01/09/09Cld to the pt. Earl westphal ph#928 757 2537 tt his wife darlene she sd she received a bill in the amt of $110.72 but she sd she cannot pay that fully so she sd she will pay $50 this month the balance next month and will clear the balance by next month so pls make a note on this.-sam 10/09/08Cld to the pt. Earl westphal ph#928 757 2537 tt his wife darlene she sd she received a bill in the amt of $110.72 but she sd she cannot pay that fully so she sd she will pay $50 this month the balance next month and will clear the balance by next month so pls make a note on this.-sam 10/09/08Cld to the pt. Earl westphal ph#928 757 2537 tt his wife darlene she sd she received a bill in the amt of $110.72 but she sd she cannot pay that fully so she sd she will pay $50 this month the balance next month and will clear the balance by next month so pls make a note on this.-sam 10/09/08Cld to the pt. Earl westphal ph#928 757 2537 tt his wife darlene she sd she received a bill in the amt of $110.72 but she sd she cannot pay that fully so she sd she will pay $50 this month the balance next month and will clear the balance by next month so pls make a note on this.-sam 10/09/08Cld to the pt. Earl westphal ph#928 757 2537 tt his wife darlene she sd she received a bill in the amt of $110.72 but she sd she cannot pay that fully so she sd she will pay $50 this month the balance next month and will clear the balance by next month so pls make a note on this.-sam 10/09/08Cld to the pt. Earl westphal ph#928 757 2537 tt his wife darlene she sd she received a bill in the amt of $110.72 but she sd she cannot pay that fully so she sd she will pay $50 this month the balance next month and will clear the balance by next month so pls make a note on this.-sam 10/09/08cld mcr avr sd cld mcr avr sd processed amt$30 allowed$21.51 applied to deductable -laksh 071306 cld mcr tt helen sd both the line items were recouped as the member is enrolled with an hmo which is sierra health and life as of 11/01/05 to current. we need to file the clm to sierra for payment.-sam 020907

cld mcr reopening dept tt monisha sd add 59 modi and send to reprocess . john 03/23/09 cld mcr avr sd reprocessed clm nis,the last clm was dnd on 03/19/09.kevin 041409 cld mcr avr sd the eff date of the policy is from 06/01/2008 and currently active. Member is not enrolled with an hmo. Mcr is primary.-Gopi 01/06/09

Claim#1000234119 sent to secondary on 02152008-Denise AETNA-CPT-These expenses require further review.No action,on your part, is necessary at this time.File ref;mail pymnts 3-21_20080324101536.pdf pg#12 arun032608 AETNA-CPT-Expenses are not payable due to member plan provisions.plan maximum or not covered under plan provisions.File ref;mail pymnts 5-27 b7_20080528125346.pdf pg#11 arun052908cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld apipa tt barry sd clm nis and he sd evercare is secondary ins for this member. john 05/29/09cld apipa tt barry sd clm nis and he sd evercare is secondary ins for this member. john 05/29/09cld apipa tt barry sd clm nis and he sd evercare is secondary ins for this member. john 05/29/09cld apipa tt barry sd clm nis and he sd evercare is secondary ins for this member. john 05/29/09

NIS. Claim refiled. Udaya062110. claim forwarded to Secondary insurance - 06/28/2 UHC - This plan determines benefits once medicare makes payment. If medicare pays less than this plans benefit, This plan will cosider the difference. This plans allowable benefits are based on the medicare approved amount if the physician or provider accept. File ref:MAIL 7-8_20100708170256. PG-7, WL071510.

Cld gilsbar wents to fax back system left details. michael 03/19/08 cld desert canyon avr sd the member is not eligible for the dos on 02/18/2008. and the coverage eff from 09/01/2008 for the dos 11/04/08.-mark 11/04/08 cld phoenix tried with the policy#A71220226 avr sd the member policy eff from 07/02/2009 to still active.-mark 08/20/09Cld gilsbar wents to fax back system left details. michael 03/19/08 cld desert canyon avr sd the member is not eligible for the dos on 02/18/2008. and the coverage eff from 09/01/2008 for the dos 11/04/08.-mark 11/04/08 cld phoenix tried with the policy#A71220226 avr sd the member policy eff from 07/02/2009 to still active.-mark 08/20/09cld glisbar inc tt sandry sd clm processed on 083107 pd$67.82 copay$30 chq#3547 chqdt 083107 (its a single chq) clm#0723500491 . jack 091007 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/23/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld glisbar inc tt sandry sd clm processed on 083107 pd$67.82 copay$30 chq#3547 chqdt 083107 (its a single chq) clm#0723500491 . jack 091007 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/23/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld gilsbar avr sd clm will obtained through fax back system.-james 080307 Cld humana tt jermie tried with policy#602-562-164 and ssn#527562401, name and dob sd unable to locate the member. michael 121107 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/11/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld gilsbar avr sd clm will obtained through fax back system.-james 080307 Cld humana tt jermie tried with policy#602-562-164 and ssn#527562401, name and dob sd unable to locate the member. michael 121107 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/11/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld mcr tt ashley explained her that this clm was billed with incorrect policy#212-36-2797A for the pt. Ina keatley as this policy# belongs to Randoll keatley and asked her to make an offset on this clm. she sd she will do that.-sam 122906 cld mcr tt ashley explained her that this clm was billed with incorrect policy#212-36-2797A for the pt. Ina keatley as this policy# belongs to Randoll keatley and asked her to make an offset on this clm. she sd she will do that.-sam 122906 cld mcr tt ashley explained her that this clm was billed with incorrect policy#212-36-2797A for the pt. Ina keatley as this policy# belongs to Randoll keatley and asked her to make an offset on this clm. she sd she will do that.-sam 122906 cld mcr tt ashley explained her that this clm was billed with incorrect policy#212-36-2797A for the pt. Ina keatley as this policy# belongs to Randoll keatley and asked her to make an offset on this clm. she sd she will do that.-sam 122906 cld mcr tt ashley explained her that this clm was billed with incorrect policy#212-36-2797A for the pt. Ina keatley as this policy# belongs to Randoll keatley and asked her to make an offset on this clm. she sd she will do that.-sam 122906 cld mcr tt ashley explained her that this clm was billed with incorrect policy#212-36-2797A for the pt. Ina keatley as this policy# belongs to Randoll keatley and asked her to make an offset on this clm. she sd she will do that.-sam 122906 cld mcr tt ashley explained her that this clm was billed with incorrect policy#212-36-2797A for the pt. Ina keatley as this policy# belongs to Randoll keatley and asked her to make an offset on this clm. she sd she will do that.-sam 122906 cld mcr avr sd clm currrently under process -john 092706 cld mcr tt ashley explained her that this clm was billed with incorrect policy#212-36-2797A for the pt. Ina keatley as this policy# belongs to Randoll keatley and asked her to make an offset on this clm. she sd she will do that.-sam 122906 cld mcr avr sd clm under processs -john 092606 cld mcr tt ashley explained her that this clm was billed with incorrect policy#212-36-2797A for the pt. Ina keatley as this policy# belongs to Randoll keatley and asked her to make an offset on this clm. she sd she will do that.-sam 122906 cld mcr avr sd clm under processs -john 092606 cld mcr tt ashley explained her that this clm was billed with incorrect policy#212-36-2797A for the pt. Ina keatley as this policy# belongs to Randoll keatley and asked her to make an offset on this clm. she sd she will do that.-sam 122906 cld mcr avr sd clm under processs -john 092606 cld mcr tt ashley explained her that this clm was billed with incorrect policy#212-36-2797A for the pt. Ina keatley as this policy# belongs to Randoll keatley and asked her to make an offset on this clm. she sd she will do that.-sam 122906 cld mcr avr sd clm under processs -john 092606 cld mcr tt ashley explained her that this clm was billed with incorrect policy#212-36-2797A for the pt. Ina keatley as this policy# belongs to Randoll keatley and asked her to make an offset on this clm. she sd she will do that.-sam 122906 cld mcr avr sd clm under processs -john 092606 cld mcr tt ashley explained her that this clm was billed with incorrect policy#212-36-2797A for the pt. Ina keatley as this policy# belongs to Randoll keatley and asked her to make an offset on this clm. she sd she will do that.-sam 122906 cld mcr avr sd clm under processs -john 092606 cld mcr tt ashley explained her that this clm was billed with incorrect policy#212-36-2797A for the pt. Ina keatley as this policy# belongs to Randoll keatley and asked her to make an offset on this clm. she sd she will do that.-sam 122906 cld mcr avr sd the clm nis.-david 082906 cld mcr tt ashley explained her that this clm was billed with incorrect policy#212-36-2797A for the pt. Ina keatley as this policy# belongs to Randoll keatley and asked her to make an offset on this clm. she sd she will do that.-sam 122906 cld mcr avr sd the clm nis.-david 082906 cld mcr tt ashley explained her that this clm was billed with incorrect policy#212-36-2797A for the pt. Ina keatley as this policy# belongs to Randoll keatley and asked her to make an offset on this clm. she sd she will do that.-sam 122906 cld ever care avr sd clm nis. john 03/06/09 cld ever care tt marya sd clm nis the policy eff from 09/01/08 to still active. john 06/05/09 cldevercare tt kim sd clm is currently under process clm#50592215-00.kevin 072909

cld mcr avr sd clm under process -john 101206 cld mcr tt amie explained her that we submitted this clm with incorrect pt. name and it was paid. then she sd she will make an offset on this clm and it will take 30 days.-sam 111406 cld mcr tt amanda sd they paid only for one line item on this clm and it was recouped-sam 011207 cld mcr tt allen sd the cpt 36140 was not offsetted due to error. he sd he will do that immediately and it will take 5 buss. days. -sam 011907cld mcr avr sd clm is currently under process.-sam 072507 Cld royal neighbours avr sd office was closed. michael 09/05/08 Cld royal neighbours tt mellisa sd clm nis ,member policy termd on 03/21/07,member has no coverage for dos.kevin 010809 cld aarp tt lesley tried with the policy#0028603721 sd unable to pull anything with the policy#, mcr#, name and dob.-mark 01/25/10cld mcr avr sd clm is currently under process.-sam 072507 Cld royal neighbours avr sd office was closed. michael 09/05/08 Cld royal neighbours tt mellisa sd clm nis ,member policy termd on 03/21/07,member has no coverage for dos.kevin 010809 cld aarp tt lesley tried with the policy#0028603721 sd unable to pull anything with the policy#, mcr#, name and dob.-mark 01/25/10cld mcr avr sd clm is currently under process.-sam 072507 Cld royal neighbours avr sd office was closed. michael 09/05/08 Cld royal neighbours tt mellisa sd clm nis ,member policy termd on 03/21/07,member has no coverage for dos.kevin 010809 cld aarp tt lesley tried with the policy#0028603721 sd unable to pull anything with the policy#, mcr#, name and dob.-mark 01/25/10cld mcr avr sd clm dnd on 112807 as member is enrolled in a hmo clm#1107330160330 . jack 113007 Cld to the pt. William webb ph#928 303 8635 he sd he received a bill in the amt of $35 but he sd he already made the payment in the amt of $35 on 03/03/08 with the chk#250 so he wants us to verify this with the dr. office and adjust the balance.-sam 08/06/08Cld mcr avr sd member policy is effective from 10/01/03 and still active. member has met the deductible .member enrolled in healthnet which is hmo for the member. Cld healthnet tried with policy# HN914747101 tt tanisha sd member coverage is effective from 04/01/07 and to current.members grp# az0018, for specialist visit member have copay $35 clms mailing add is po box 14225, lexington, ky 40512, TFL is 120 days from the dos. michael 120707 Regarding the refund issue in letter itself they clearly mentioned that if we are not refunding the pymt within January 6 2008 they pymt will be offset by them automatically.cld mcr avr sd the clm is in process.-david 101006

cld humana gold choice tt candy sd clm currently inprocess clm#7239x01z2 . jack 090607 cld humana gold choice tt robert.h sd clm processed on 091507 pd$75.06 chk#0015600733 it`s a single chk clm#7239x01z2.-james 091907 cld mcr avr sd the eff date of the policy is from 03/01/1995 and currently active. He is a member of Humana Ins. which is a risk type of Hmo.-selvam 06/19/08 cld to the pt. ethel smelter ph#928 753 1237 she sd she received a bill in the amt of $15 and asked the reason for that. i verified her account and explained her that it was the copay balance left by the ins. humana for the dos 08/23/07 but she sd she paid her copay during her visit itself and she also contacted the dr. office regarding this and they sd her that she do not owe anything so she wants us to verify this with the dr. office.-sam 09/05/08cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08 cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08 cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08

cld bcbs tt theresa sd the clm was not yet recvd in their system. also sd the provider Belal sharaf is a non participating provider. if we submit the clms under provider Belal sharaf it will be processed and paid to the member directly. need to refile the clm again with the correct provider information as normal electronic submission.-sam 062606 Cld to the pt. Ramon garza ph#928 718 2266 he sd he received a bill in the amt of $102.34 which was for the year 2006 & 2007 dos but he sd he already made the payment during the visit itself so he wants us to verify this with the dr. office and post the payment on his account. i asked him the chk details but he sd he dont have that info. as he paid it long time before.-sam 02/05/09 Cld to the pt. Ramon garza ph#928 718 2266 he sd he received a bill in the amt of $102.34 which was for the year 2006 & 2007 dos but he sd he already made the payment during the visit itself so he wants us to verify this with the dr. office and post the payment on his account. i asked him the chk details but he sd he dont have that info. as he paid it long time before.-sam 02/05/09cld mcr avr sd the eff date of the policy is from 09/01/1990 and currently active. Member is not enrolled with an hmo. Mcr is primary.- Gopi 02/04/10cld humana tt marida sd the clm is in process,received on 091406,clm#6257x142w.-david 092106 Cld to the pt. Marilynn launer ph#509 863 9119 she sd she received a bill in the amt of $15 but she sd she already made the payment in the amt of $15 with the chk#2081 chk dt:06/05/08 but she sd she dont have the cashed date. she wants us to verify this with the dr. office and need to post the payment of $15 on her account.-sam 10/07/08

cld mcr avr sd clm currently under process .-james 041807 Cld mh tt anna sd she can not pull anything in this policy# ssn# and dob. john 09/11/08 cld mcr avr sd clm currently under process .-james 041807 Cld mh tt anna sd she can not pull anything in this policy# ssn# and dob. john 09/11/08 cld mcr avr sd clm currently under process .-james 041807 Cld mh tt anna sd she can not pull anything in this policy# ssn# and dob. john 09/11/08 cld mcr avr sd clm currently under process .-james 041807 Cld mh tt anna sd she can not pull anything in this policy# ssn# and dob. john 09/11/08 cld mcr avr sd clm currently under process .-james 041807 Cld mh tt anna sd she can not pull anything in this policy# ssn# and dob. john 09/11/08 cld mcr avr sd clm currently under process .-james 041807 Cld mh tt anna sd she can not pull anything in this policy# ssn# and dob. john 09/11/08

AS PER ONLINE NIS CLAIM REFILED ON 12152008 LAL As per online claim paid $58.19 check # 10206553 check 12/31/2008 on mn 010809 As per cm Id 115506 03/04/2009 Renee Fields: spoke with patient - he has a previous payment arrangement with us that is still existing - he received bill for 93 and agrees to pay 25 thru mail on next wednesday and then 15 a month until paid - he is allowed to do that with us - if you will mark his account just as a fyi - thank you so much for your help, Renee Received other payment $25 on 03/11/2009 and applied to this claim IdAs per chk in online claim inprocess - sar 091708 As per cm Id 115506 03/04/2009 Renee Fields: spoke with patient - he has a previous payment arrangement with us that is still existing - he received bill for 93 and agrees to pay 25 thru mail on next wednesday and then 15 a month until paid - he is allowed to do that with us - if you will mark his account just as a fyi - thank you so much for your help, Renee Received other payment $15 on 12/10/2008 and applied to this claim Id As per cm Id 115506 03/04/2009 Renee Fields: spoke with patient - he has a previous payment arrangement with us that is still existing - he received bill for 93 and agrees to pay 25 thru mail on next wednesday and then 15 a month until paid - he is allowed to do that with us - if you will mark his account just as a fyi - thank you so much for your help, Renee

Cld desert canyon tt brayn sd clm processed on 122607,pd$30.34 chk issued on 122607,chk#10067013. it is bulk amt of $2848.53 and it was not yet cashed.clm#2007121499900333. michael 122707 Cld to the pt. Donald stroud ph#928 753 2231 he sd he received a bill in the amt of $100 and asked the reason for that. i verified his account and explained him that it was all the copay balance left for the dos starting from 12/13/08 - 02/21/08 as his copay for a visit is $35 then she sd he cannot pay that fully and he can pay only $25 per month. so i sd him that he need to contact the dr. office regarding this. he sd he will do that.-sam 09/09/08As per cm Id 115506 03/04/2009 Renee Fields. spoke with patient - he has a previous payment arrangement with us that is still existing - he received bill for 93 and agrees to pay 25 thru mail on next wednesday and then 15 a month until paid - he is allowed to do that with us - if you will mark his account just as a fyi - thank you so much for your help, Renee

cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08 cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08

cld desert canyon tt amearo sd clm was dnd reason is not activated on plan and aslo sd he cancalled is plan.-james 022807 Cld desert canyon tt doylene sd clm nis. need to refile the clm again with proof of timley filing as their filing limit is only 1 year from the dos. coverage is still active from 10/01/2006 and the coverage was active for the dos. 800 775 6490 cld desert canyon tt amearo sd clm was dnd reason is not activated on plan and aslo sd he cancalled is plan.-james 022807 Cld desert canyon tt doylene sd clm nis. need to refile the clm again with proof of timley filing as their filing limit is only 1 year from the dos. coverage is still active from 10/01/2006 and the coverage was active for the dos. 800 775 6490 cld desert canyon tt amearo sd clm was dnd reason is not activated on plan and aslo sd he cancalled is plan.-james 022807 Cld desert canyon tt doylene sd clm nis. need to refile the clm again with proof of timley filing as their filing limit is only 1 year from the dos. coverage is still active from 10/01/2006 and the coverage was active for the dos. 800 775 6490 cld desert canyon tt amearo sd clm was dnd reason is not activated on plan and aslo sd he cancalled is plan.-james 022807 Cld desert canyon tt doylene sd clm nis. need to refile the clm again with proof of timley filing as their filing limit is only 1 year from the dos. coverage is still active from 10/01/2006 and the coverage was active for the dos. 800 775 6490 cld desert canyon tt amearo sd clm was dnd reason is not activated on plan and aslo sd he cancalled is plan.-james 022807 Cld desert canyon tt doylene sd clm nis. need to refile the clm again with proof of timley filing as their filing limit is only 1 year from the dos. coverage is still active from 10/01/2006 and the coverage was active for the dos. 800 775 6490

cld bcbs tt angilica sd clm send for reprocessing because dnd due to an error, told to call back ofter 30 days -john 012907 Cld to the pt. Yancy stout ph#928 530 3129 tt his son he sd the pt. yancy was expired on 09/22/07 but now they are receiving a bill in the amt of $15 which was for a year 2006 dos. so he wants us to take an adjustment on the balance as the pt. was expired.-sam 01/09/09

cld az foundation tt tim sd clm in process clm# 2091951945 . john 07/23/09 cld az foundation tt tami sd clm processed and send to mmsi on 07/17/09. cld mmsi tt nancy sd clm in 1007200900173 . john 07/29/09 cld mmsi tt mary sd clm in process 1007200900173 . john 08/07/09 Cld to the pt. Danny jordan ph#928 757 0662 tt his wife patty she sd they received a bill in the amt of $456.54 which was for the dos 07/01/09 but she sd they are hospital employees and the provider is an contracted provider so she sd they should not have a balance of $456.64 she sd their balance should only be $100 or less than that so she sd we need to verify with the dr. office and need to send them a correct statement.-sam 10/05/09 Cld to the pt. Danny jordan ph# 928 263 1270 he sd he received a bill in the amt of $85 which was for the dos 07/01/09 but he sd dr. Alkhatib accepts whatever the payment made by the insurance and a $15 copay as the payment in full and nothing should be billed to the patient so he sd the bill sent to him in the amt of $85 was incorrect. so he sd we need to verify this with the dr. office and adjust the balance.-sam 11/05/09cld cigna avr sd processed on 05/02/09 pd$ 239.84 chk# 00547475114 clm# 4190912190523 try to call the customer care the call went to a voice mail. john 06/08/09 cld cigna tt shanan sd this service is not covered our provider,the bill can not send to pt. john 07/08/09 cld cigna tt veronica sd CPT 80053/80438 was dnd as duplicate,she sd she send the clm for reprocess and sd allow 30 days to get process ref#3647.kevin 072909 Received a voice msg from the pt. Olivia mangrum ph#928 753 4744 she stated that she received a bill in the amt of $45 but she already made the payment in the amt of $45 thro money order in the month of october 09 so she stated that we need to verify this with the dr. office and post the payment on her account. i cld her but it reached the voice mail box.-sam 01/05/10 cld desertcanyon tt sheirly sd clm is currently under process clm#2009050499900247.kevin 050509 Received a voice msg from the pt. Sally huber ph#928 692 1374 she sd she received a bill in the amt of $55 which was for the copay balance for the dos 03/30/09 & 04/10/09 but she sd his pcp was Dr. Deepak and for an pcp visit her copay should only be $15 and not $35 but we billed the clms under dr. Kalanithi and because of this they charged $35 so she sd we need to verify this and adjust the balance.-sam 09/02/09cld mcr avr sd the members dob is incorrect.-Gopi 02/23/09 cld mcr tt jennifer sd cpt G0107 is not valid for 2009 ,she sd that cpt was termd on 2006.kevin 030909 Cld to the pt. Annie kinkle ph#928 565 2977 she sd she received a bill in the amt of $189.65 but she sd she cannot pay that in full so she asked whether she can get any discounts on the bill. i asked her to contact the dr. office directly regarding this. then she sd she will contact them directly.-sam 09/09/09cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09

Cld to the pt. Dennis atherton ph#928 565 2655 he sd he received a bill in the amt of $70 and asked the reason for that. i verified his account and explained him that for the dos 08/01/08, 08/11/08 & 09/25/08 his copay was $30 but he paid only $10 for the dos 09/25/08 & 08/11/08 so we billed the balance $70 but he sd his copay for an pcp visit should only be $10 and not $30 so he sd we need to verify this with the ins. company. cld humana tt lee explained him that the pt. cld us and stated that his copay should only be $10 for an pcp visit and not $30 then he sd he will send all the 3 clms back for review and it will take 30 days ref#435400572409. i cld the pt. again and gave this info. the pt. asked us not to move the bill to the collection agency until we receive info. from humana. Cld to the pt. Carla register ph#928 753 4288 she sd she received a bill in the amt of $320.21 and asked the reason for that. i verified her account and explained her that the clm with the dos 10/09/08 - 10/10/08 was processed towards deductible in the amt of $320.21 then she sd she will pay $100 per month and she will finish it off within 3 months. changed the status as set status manually.-sam 12/09/08 Cld to the pt. Carla register ph#928 753 4288 she sd she received a bill in the amt of $320.21 and asked the reason for that. i verified her account and explained her that the clm with the dos 10/09/08 - 10/10/08 was processed towards deductible in the amt of $320.21 then she sd she will pay $100 per month and she will finish it off within 3 months. changed the status as set status manually.-sam 12/09/08

Cld to the pt. Carla register ph#928 753 4288 she sd she received a bill in the amt of $320.21 and asked the reason for that. i verified her account and explained her that the clm with the dos 10/09/08 - 10/10/08 was processed towards deductible in the amt of $320.21 then she sd she will pay $100 per month and she will finish it off within 3 months. changed the status as set status manually.-sam 12/09/08 Cld to the pt. Carla register ph#928 753 4288 she sd she received a bill in the amt of $320.21 and asked the reason for that. i verified her account and explained her that the clm with the dos 10/09/08 - 10/10/08 was processed towards deductible in the amt of $320.21 then she sd she will pay $100 per month and she will finish it off within 3 months. changed the status as set status manually.-sam 12/09/08 Cld to the pt. Carla register ph#928 753 4288 she sd she received a bill in the amt of $320.21 and asked the reason for that. i verified her account and explained her that the clm with the dos 10/09/08 - 10/10/08 was processed towards deductible in the amt of $320.21 then she sd she will pay $100 per month and she will finish it off within 3 months. changed the status as set status manually.-sam 12/09/08

Cld ae tt lisa sd clm is nis , this policy eff from 08/01/2007 to still active . payer id 53589 . i verify the mailing add. john 08/19/08 Cld aei tt mony sd clm nis. member policy is effective from 08/01/07 and still active. verified the mailing address is correct. payor id # 53589. need to refile the clm again. michael 08/20/08 Cld to the pt. Francis chavez ph#928 753 0736 extn:4116 tt his wife terri she sd she received a bill in the amt of $93.92 but she sd she already made a payment in the amt of $73.92 with the chk#3702 on 09/19/08 and the chk was cashed in october but she dont know the exact cashed date. so she sd she should currently owe only $20 so she sd we need to verify this with the dr. office and post the payment on this pt. account.-sam 12/17/08 Received a voice msg from the pt. Francis chavez ph#928 757 4810 his wife terri stated that they received a bill in the amt of $93.72 couple of months before and they sent 2 payments one in the amt of $73.92 with the chk#3702 dated 09/19/08 and another payment in the amt of $20 with the chk#3800 dated 01/23/09 so she sd she paid everything and she should not owe any balance. but again now they received a bill in the amt of $140 which she stated is incorrect. i verified her account and found that the $20 payment she made on 01/23/09 was not yet received from the dr. office and the rest of the due is for the 2007 clms so i cld her to give this info. but the phone line reached the voice mail box. left voice msg asking her to give us a call back.-sam 02/09/09

Cld to the pt. Alexandra wells ph#928 767 3163/ 928 715 2142 tt her care taker gela she sd they received a bill in the amt of $19.38 which was for the dos 04/23/08 and it stated that it was for an TB intradermal test but she sd the pt. did not had an TB intradermal test with dr. sharaf on that day and she also have proof for that. so she sd we need to verify this with the dr. office and adjust the balance.-sam 02/06/09cld ever care tt esther sd she can not locate the pt with her policy# ssn# name and dob. john 10/03/08 Cld to the pt. Alexandra wells ph#928 767 3163/ 928 715 2142 tt her care taker gela she sd they received a bill in the amt of $19.38 which was for the dos 04/23/08 and it stated that it was for an TB intradermal test but she sd the pt. did not had an TB intradermal test with dr. sharaf on that day and she also have proof for that. so she sd we need to verify this with the dr. office and adjust the balance.-sam 02/06/09

Cld to the pt. Kathryn hatch ph#928 692 0335 she sd she received a bill in the amt of $35 for the dos 03/19/08 but she sd she already paid her copay in the amt of $35 on 04/15/08 with the chk#2607 and the chk was processed on 04/17/08 so she wants us to verify this with the dr. office and need to take an adjustment on her balance..-sam 08/07/08Cld to the pt. Dennis atherton ph#928 565 2655 he sd he received a bill in the amt of $70 and asked the reason for that. i verified his account and explained him that for the dos 08/01/08, 08/11/08 & 09/25/08 his copay was $30 but he paid only $10 for the dos 09/25/08 & 08/11/08 so we billed the balance $70 but he sd his copay for an pcp visit should only be $10 and not $30 so he sd we need to verify this with the ins. company. cld humana tt lee explained him that the pt. cld us and stated that his copay should only be $10 for an pcp visit and not $30 then he sd he will send all the 3 clms back for review and it will take 30 days ref#435400572409. i cld the pt. again and gave this info. the pt. asked us not to move the bill to the collection agency until we receive info. from humana.

Cld bcbs tt alisha sd clm dnd as required pre existing information providers office . she sd they recvd the medical records so she sent back the clm reprocessing. need to call back after 30 days. ref# 200823101092. michael 08/18/08 Cld to the pt. William lackowich ph#928 486 5194 (printed on the image) but it reached the voice mail box. left voice msg asking him to give us a call back with the chk details. left my ph# and extn. for him to call back. 122908Cld to the pt. Marsha olivito ph#928 699 6539 she sd she received a bill in the amt of $54.76 but she sd she previously made some payments but it was not reflected on the statement which she currently received. i explained her that what ever payments she made was received and it was posted to her account but it will not be reflected on the statements which we send. but she sd the bill which we send is really confusing and she sd she will contact the dr. office directly to check on this.-sam 09/12/08

Cld to the pt. William riddle ph#928 692 4784 he sd he received a bill in the amt of $33 which was for the copay balance for the dos 05/24/10 but during this visit he got the info. from dr. office that this is an follow up visit for the stint putin and so he need not want to pay any copays for this follow up visit and the copay will be adjusted but now he is receiving a bill for the copay for a follow up visit so he sd we need to verify this with the dr. office and adjust the $33 balance.-sam 08/09/10 Cld to the pt. William riddle ph#928 692 4784 he sd he received a bill in the amt of $33 which was for the copay balance for the dos 05/24/10 but during this visit he got the info. from dr. office that this is an follow up visit for the stint putin and so he need not want to pay any copays for this follow up visit and the copay will be adjusted but now he is receiving a bill for the copay for a follow up visit so he sd we need to verify this with the dr. office and adjust the $33 balance.-sam 08/09/10

cld ameriben tt cracy sd clm nis . john 04/20/10 cld ameriben tt ginger sd clm processed on 05/06/10 pd$ 72.40 pt ded$ 30 chk# 1000020582 clm# b011205633 . john 05/12/10 Cld to the pt. Terry cornett ph#928 753 8075 he sd he received a bill in the amt of $30 which was for the dos 03/18/10 but he sd he already paid it on 07/15/10 thro online using his bank of america account and it was cashed so he sd we need to verify this with the dr. office and post the payment to his account.-sam 08/13/10cld mcr avr sd the eff date of the policy is from 12/01/2007 and currently active. Member is not enrolled with an hmo. Mcr is primary.-Gopi 03/09/10 cld mcr avr sd clm in process . john 04/09/10 Cld to the pt. Ronald baird ph#928 565 7896 he sd he received a bill in the amt of $25.16 which was for the dos 02/27/10 but he sd the clm was incorrectly billed to mcr and all his hospital stay clms should be billed only to Northern AZ VA and they will pay the clm in full. so he sd we need to refund the payment received from mcr and we need to bill the clm to Northern AZ va for payment.-sam 06/08/10

ckd ADMINISTRATIVE ENTERPRISES website policy eff from 01/01/1992 to still active . saravanan 05/18/10 Cld to the pt. Dana barber ph#928 530 9770 she sd she received a bill in the amt of $10 so she wants to make payment thro credit card got the credit card details from her. Patient name : Dana barber Ph# 928 530 9770 Pt. Zip code: 86401 Type of card:Visa Card no:4465 4201 7210 8839 Expiration date:01/14 3 digits on the back of the card: 281 Amt to be paid : $10 Dr. name: Dr. Kalanithi-sam 08/18/10

Cld desert canyon avr sd clm processed on 02/12/10 pd$ 30.69 chk# 10349046 clm# 2010020299901677 . john 02/15/10 Cld to the pt. Ralph cafarelli ph#928 718 0397 he sd he received a bill in the amt of $78.96 which was for the dos 01/21/10 & 02/08/10 but he sd he already made the payment on 04/10/10 with the chk#1573 for $78.96 and the chk was cashed on 04/15/10 so he sd we need to verify this with the dr. office and post the payment on his account.-Sam 05/10/10cld universal health care tt lagcia sd the member policy eff from 02/01/10 to still active and it is a primary, correct policy#PF179669388.-mark 03/10/10 Cld to the pt. Patricia lewis ph#928 757 4972 she sd she received a bill in the amt of $22.43 which was for the dos 12/28/09 but she sd during the visit itself she paid the full amt of $72 thro cash so she sd we need to verify this with the dr. office and need to adjust the balance of $22.43 and need to refund the credit balance to her.-sam 04/08/10 cld universal health care tt lagcia sd the member policy eff from 02/01/10 to still active and it is a primary, correct policy#PF179669388.-mark 03/10/10 Cld to the pt. Patricia lewis ph#928 757 4972 she sd she received a bill in the amt of $22.43 which was for the dos 12/28/09 but she sd during the visit itself she paid the full amt of $72 thro cash so she sd we need to verify this with the dr. office and need to adjust the balance of $22.43 and need to refund the credit balance to her.-sam 04/08/10

cld desert canyon avr sd clm in process. john 01/13/10 Cld to the pt. Melba nichols ph#928 753 4540 she sd she received a bill in the amt of $53.27 so asked the reason for the bill. i verified her account and explained her that it was the copay and co ins. balance left for the dos 12/01/09 & 12/23/09 but she sd she already made a payment in the amt of $35 on 02/12/2010 thro online banking using her bank of america account and also gave the confrimatin#9VH7G-MZ8F2 so she sd we need to verify this with the dr. office and post the payment of $35 on her account and now she should owe only $18.27.-sam 04/21/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10

cld health choice tt sandra sd the member policy eff from 07/01/2008 and the policy termd on 08/31/09 and it is a primary ins for dos.-11/17/09 Cld health choice tt sandra sd the eff date of the policy is from 07/01/08 but the coverage was terminated on 08/31/09 and the member do not have any other active coverage with health choice after the termination date. explained her that other clm for this pt. with the dos 10/27/09 is currently under process then she sd that clm will be rejected as no coverage for dos.-sam 11/23/09 cld ahcccs tt mary sd the member covered under health choice, the policy eff from 07/01/2008 and the policy termd on 08/31/09, no coverage for dos.-mark 11/24/09

chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10

Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10

cld mcr avr sd the eff date of the policy is from 05/01/1990 and currently active. Member is not enrolled with an hmo. Mcr is primary.-mark 06/03/10 cld capstone tt leonor sd the member policy eff from 09/01/2000 to still active and it is a secondary ins.-mark 06/03/10 cld unicare tt kristy sd she cannot pull the member with policy# (245a22671), ssn , name and dob. john 06/23/10

Cld to the pt. Lucille pace ph#928 530 4984 she sd she received a bill in the amt of $63.69 which was for the dos 02/04/10 but she sd she already paid it with the chk#941 dated:03/10/10 in the amt of $63.69 and she also gave the copy of the chk to the dr. office yesterday so she sd we need to verify this with the dr. office and post the payment on her account.-sam 05/11/10

cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08

Cld gilsbar wents to fax back system left details. michael 03/19/08 cld desert canyon avr sd the member is not eligible for the dos on 02/18/2008. and the coverage eff from 09/01/2008 for the dos 11/04/08.-mark 11/04/08 cld phoenix tried with the policy#A71220226 avr sd the member policy eff from 07/02/2009 to still active.-mark 08/20/09Cld gilsbar wents to fax back system left details. michael 03/19/08 cld desert canyon avr sd the member is not eligible for the dos on 02/18/2008. and the coverage eff from 09/01/2008 for the dos 11/04/08.-mark 11/04/08 cld phoenix tried with the policy#A71220226 avr sd the member policy eff from 07/02/2009 to still active.-mark 08/20/09cld glisbar inc tt sandry sd clm processed on 083107 pd$67.82 copay$30 chq#3547 chqdt 083107 (its a single chq) clm#0723500491 . jack 091007 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/23/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld glisbar inc tt sandry sd clm processed on 083107 pd$67.82 copay$30 chq#3547 chqdt 083107 (its a single chq) clm#0723500491 . jack 091007 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/23/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld gilsbar avr sd clm will obtained through fax back system.-james 080307 Cld humana tt jermie tried with policy#602-562-164 and ssn#527562401, name and dob sd unable to locate the member. michael 121107 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/11/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld gilsbar avr sd clm will obtained through fax back system.-james 080307 Cld humana tt jermie tried with policy#602-562-164 and ssn#527562401, name and dob sd unable to locate the member. michael 121107 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/11/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know.

cld mcr avr sd clm under process -john 101206 cld mcr tt amie explained her that we submitted this clm with incorrect pt. name and it was paid. then she sd she will make an offset on this clm and it will take 30 days.-sam 111406 cld mcr tt amanda sd they paid only for one line item on this clm and it was recouped-sam 011207 cld mcr tt allen sd the cpt 36140 was not offsetted due to error. he sd he will do that immediately and it will take 5 buss. days. -sam 011907cld mcr avr sd clm is currently under process.-sam 072507 Cld royal neighbours avr sd office was closed. michael 09/05/08 Cld royal neighbours tt mellisa sd clm nis ,member policy termd on 03/21/07,member has no coverage for dos.kevin 010809 cld aarp tt lesley tried with the policy#0028603721 sd unable to pull anything with the policy#, mcr#, name and dob.-mark 01/25/10cld mcr avr sd clm is currently under process.-sam 072507 Cld royal neighbours avr sd office was closed. michael 09/05/08 Cld royal neighbours tt mellisa sd clm nis ,member policy termd on 03/21/07,member has no coverage for dos.kevin 010809 cld aarp tt lesley tried with the policy#0028603721 sd unable to pull anything with the policy#, mcr#, name and dob.-mark 01/25/10cld mcr avr sd clm is currently under process.-sam 072507 Cld royal neighbours avr sd office was closed. michael 09/05/08 Cld royal neighbours tt mellisa sd clm nis ,member policy termd on 03/21/07,member has no coverage for dos.kevin 010809 cld aarp tt lesley tried with the policy#0028603721 sd unable to pull anything with the policy#, mcr#, name and dob.-mark 01/25/10cld mcr avr sd clm dnd on 112807 as member is enrolled in a hmo clm#1107330160330 . jack 113007 Cld to the pt. William webb ph#928 303 8635 he sd he received a bill in the amt of $35 but he sd he already made the payment in the amt of $35 on 03/03/08 with the chk#250 so he wants us to verify this with the dr. office and adjust the balance.-sam 08/06/08Cld mcr avr sd member policy is effective from 10/01/03 and still active. member has met the deductible .member enrolled in healthnet which is hmo for the member. Cld healthnet tried with policy# HN914747101 tt tanisha sd member coverage is effective from 04/01/07 and to current.members grp# az0018, for specialist visit member have copay $35 clms mailing add is po box 14225, lexington, ky 40512, TFL is 120 days from the dos. michael 120707 Regarding the refund issue in letter itself they clearly mentioned that if we are not refunding the pymt within January 6 2008 they pymt will be offset by them automatically.

cld humana gold choice tt candy sd clm currently inprocess clm#7239x01z2 . jack 090607 cld humana gold choice tt robert.h sd clm processed on 091507 pd$75.06 chk#0015600733 it`s a single chk clm#7239x01z2.-james 091907 cld mcr avr sd the eff date of the policy is from 03/01/1995 and currently active. He is a member of Humana Ins. which is a risk type of Hmo.-selvam 06/19/08 cld to the pt. ethel smelter ph#928 753 1237 she sd she received a bill in the amt of $15 and asked the reason for that. i verified her account and explained her that it was the copay balance left by the ins. humana for the dos 08/23/07 but she sd she paid her copay during her visit itself and she also contacted the dr. office regarding this and they sd her that she do not owe anything so she wants us to verify this with the dr. office.-sam 09/05/08cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08 cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08 cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08

cld bcbs tt theresa sd the clm was not yet recvd in their system. also sd the provider Belal sharaf is a non participating provider. if we submit the clms under provider Belal sharaf it will be processed and paid to the member directly. need to refile the clm again with the correct provider information as normal electronic submission.-sam 062606 Cld to the pt. Ramon garza ph#928 718 2266 he sd he received a bill in the amt of $102.34 which was for the year 2006 & 2007 dos but he sd he already made the payment during the visit itself so he wants us to verify this with the dr. office and post the payment on his account. i asked him the chk details but he sd he dont have that info. as he paid it long time before.-sam 02/05/09 Cld to the pt. Ramon garza ph#928 718 2266 he sd he received a bill in the amt of $102.34 which was for the year 2006 & 2007 dos but he sd he already made the payment during the visit itself so he wants us to verify this with the dr. office and post the payment on his account. i asked him the chk details but he sd he dont have that info. as he paid it long time before.-sam 02/05/09

cld humana tt marida sd the clm is in process,received on 091406,clm#6257x142w.-david 092106 Cld to the pt. Marilynn launer ph#509 863 9119 she sd she received a bill in the amt of $15 but she sd she already made the payment in the amt of $15 with the chk#2081 chk dt:06/05/08 but she sd she dont have the cashed date. she wants us to verify this with the dr. office and need to post the payment of $15 on her account.-sam 10/07/08

Cld desert canyon tt brayn sd clm processed on 122607,pd$30.34 chk issued on 122607,chk#10067013. it is bulk amt of $2848.53 and it was not yet cashed.clm#2007121499900333. michael 122707 Cld to the pt. Donald stroud ph#928 753 2231 he sd he received a bill in the amt of $100 and asked the reason for that. i verified his account and explained him that it was all the copay balance left for the dos starting from 12/13/08 - 02/21/08 as his copay for a visit is $35 then she sd he cannot pay that fully and he can pay only $25 per month. so i sd him that he need to contact the dr. office regarding this. he sd he will do that.-sam 09/09/08

cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08 cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08

cld az foundation tt tim sd clm in process clm# 2091951945 . john 07/23/09 cld az foundation tt tami sd clm processed and send to mmsi on 07/17/09. cld mmsi tt nancy sd clm in 1007200900173 . john 07/29/09 cld mmsi tt mary sd clm in process 1007200900173 . john 08/07/09 Cld to the pt. Danny jordan ph#928 757 0662 tt his wife patty she sd they received a bill in the amt of $456.54 which was for the dos 07/01/09 but she sd they are hospital employees and the provider is an contracted provider so she sd they should not have a balance of $456.64 she sd their balance should only be $100 or less than that so she sd we need to verify with the dr. office and need to send them a correct statement.-sam 10/05/09 Cld to the pt. Danny jordan ph# 928 263 1270 he sd he received a bill in the amt of $85 which was for the dos 07/01/09 but he sd dr. Alkhatib accepts whatever the payment made by the insurance and a $15 copay as the payment in full and nothing should be billed to the patient so he sd the bill sent to him in the amt of $85 was incorrect. so he sd we need to verify this with the dr. office and adjust the balance.-sam 11/05/09cld cigna avr sd processed on 05/02/09 pd$ 239.84 chk# 00547475114 clm# 4190912190523 try to call the customer care the call went to a voice mail. john 06/08/09 cld cigna tt shanan sd this service is not covered our provider,the bill can not send to pt. john 07/08/09 cld cigna tt veronica sd CPT 80053/80438 was dnd as duplicate,she sd she send the clm for reprocess and sd allow 30 days to get process ref#3647.kevin 072909 Received a voice msg from the pt. Olivia mangrum ph#928 753 4744 she stated that she received a bill in the amt of $45 but she already made the payment in the amt of $45 thro money order in the month of october 09 so she stated that we need to verify this with the dr. office and post the payment on her account. i cld her but it reached the voice mail box.-sam 01/05/10 cld desertcanyon tt sheirly sd clm is currently under process clm#2009050499900247.kevin 050509 Received a voice msg from the pt. Sally huber ph#928 692 1374 she sd she received a bill in the amt of $55 which was for the copay balance for the dos 03/30/09 & 04/10/09 but she sd his pcp was Dr. Deepak and for an pcp visit her copay should only be $15 and not $35 but we billed the clms under dr. Kalanithi and because of this they charged $35 so she sd we need to verify this and adjust the balance.-sam 09/02/09cld mcr avr sd the members dob is incorrect.-Gopi 02/23/09 cld mcr tt jennifer sd cpt G0107 is not valid for 2009 ,she sd that cpt was termd on 2006.kevin 030909 Cld to the pt. Annie kinkle ph#928 565 2977 she sd she received a bill in the amt of $189.65 but she sd she cannot pay that in full so she asked whether she can get any discounts on the bill. i asked her to contact the dr. office directly regarding this. then she sd she will contact them directly.-sam 09/09/09cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09cld bcbs avr sd the member policy eff from 01/01/2005 to still active.-mark 11/12/08 Cld to the pt. Dean carey ph#928 767 4846 he sd he received a bill in the amt of $250.44 which was for the dr. Deepak but he sd he was admitted in the hospital from 10/20/08 - 10/24/08 but he didnt had any service with dr. Deepak so he want to know why he received a bill for dr. Deepak. so he wants us to check this with the dr. office and give him a call back with the details.-sam 01/05/09

Cld to the pt. Dennis atherton ph#928 565 2655 he sd he received a bill in the amt of $70 and asked the reason for that. i verified his account and explained him that for the dos 08/01/08, 08/11/08 & 09/25/08 his copay was $30 but he paid only $10 for the dos 09/25/08 & 08/11/08 so we billed the balance $70 but he sd his copay for an pcp visit should only be $10 and not $30 so he sd we need to verify this with the ins. company. cld humana tt lee explained him that the pt. cld us and stated that his copay should only be $10 for an pcp visit and not $30 then he sd he will send all the 3 clms back for review and it will take 30 days ref#435400572409. i cld the pt. again and gave this info. the pt. asked us not to move the bill to the collection agency until we receive info. from humana.

Cld ae tt lisa sd clm is nis , this policy eff from 08/01/2007 to still active . payer id 53589 . i verify the mailing add. john 08/19/08 Cld aei tt mony sd clm nis. member policy is effective from 08/01/07 and still active. verified the mailing address is correct. payor id # 53589. need to refile the clm again. michael 08/20/08 Cld to the pt. Francis chavez ph#928 753 0736 extn:4116 tt his wife terri she sd she received a bill in the amt of $93.92 but she sd she already made a payment in the amt of $73.92 with the chk#3702 on 09/19/08 and the chk was cashed in october but she dont know the exact cashed date. so she sd she should currently owe only $20 so she sd we need to verify this with the dr. office and post the payment on this pt. account.-sam 12/17/08 Received a voice msg from the pt. Francis chavez ph#928 757 4810 his wife terri stated that they received a bill in the amt of $93.72 couple of months before and they sent 2 payments one in the amt of $73.92 with the chk#3702 dated 09/19/08 and another payment in the amt of $20 with the chk#3800 dated 01/23/09 so she sd she paid everything and she should not owe any balance. but again now they received a bill in the amt of $140 which she stated is incorrect. i verified her account and found that the $20 payment she made on 01/23/09 was not yet received from the dr. office and the rest of the due is for the 2007 clms so i cld her to give this info. but the phone line reached the voice mail box. left voice msg asking her to give us a call back.-sam 02/09/09

cld ever care tt esther sd she can not locate the pt with her policy# ssn# name and dob. john 10/03/08 Cld to the pt. Alexandra wells ph#928 767 3163/ 928 715 2142 tt her care taker gela she sd they received a bill in the amt of $19.38 which was for the dos 04/23/08 and it stated that it was for an TB intradermal test but she sd the pt. did not had an TB intradermal test with dr. sharaf on that day and she also have proof for that. so she sd we need to verify this with the dr. office and adjust the balance.-sam 02/06/09

Cld to the pt. Dennis atherton ph#928 565 2655 he sd he received a bill in the amt of $70 and asked the reason for that. i verified his account and explained him that for the dos 08/01/08, 08/11/08 & 09/25/08 his copay was $30 but he paid only $10 for the dos 09/25/08 & 08/11/08 so we billed the balance $70 but he sd his copay for an pcp visit should only be $10 and not $30 so he sd we need to verify this with the ins. company. cld humana tt lee explained him that the pt. cld us and stated that his copay should only be $10 for an pcp visit and not $30 then he sd he will send all the 3 clms back for review and it will take 30 days ref#435400572409. i cld the pt. again and gave this info. the pt. asked us not to move the bill to the collection agency until we receive info. from humana.

Cld bcbs tt alisha sd clm dnd as required pre existing information providers office . she sd they recvd the medical records so she sent back the clm reprocessing. need to call back after 30 days. ref# 200823101092. michael 08/18/08 Cld to the pt. William lackowich ph#928 486 5194 (printed on the image) but it reached the voice mail box. left voice msg asking him to give us a call back with the chk details. left my ph# and extn. for him to call back. 122908Cld to the pt. Marsha olivito ph#928 699 6539 she sd she received a bill in the amt of $54.76 but she sd she previously made some payments but it was not reflected on the statement which she currently received. i explained her that what ever payments she made was received and it was posted to her account but it will not be reflected on the statements which we send. but she sd the bill which we send is really confusing and she sd she will contact the dr. office directly to check on this.-sam 09/12/08

Cld to the pt. William riddle ph#928 692 4784 he sd he received a bill in the amt of $33 which was for the copay balance for the dos 05/24/10 but during this visit he got the info. from dr. office that this is an follow up visit for the stint putin and so he need not want to pay any copays for this follow up visit and the copay will be adjusted but now he is receiving a bill for the copay for a follow up visit so he sd we need to verify this with the dr. office and adjust the $33 balance.-sam 08/09/10 Cld to the pt. William riddle ph#928 692 4784 he sd he received a bill in the amt of $33 which was for the copay balance for the dos 05/24/10 but during this visit he got the info. from dr. office that this is an follow up visit for the stint putin and so he need not want to pay any copays for this follow up visit and the copay will be adjusted but now he is receiving a bill for the copay for a follow up visit so he sd we need to verify this with the dr. office and adjust the $33 balance.-sam 08/09/10

cld ameriben tt cracy sd clm nis . john 04/20/10 cld ameriben tt ginger sd clm processed on 05/06/10 pd$ 72.40 pt ded$ 30 chk# 1000020582 clm# b011205633 . john 05/12/10 Cld to the pt. Terry cornett ph#928 753 8075 he sd he received a bill in the amt of $30 which was for the dos 03/18/10 but he sd he already paid it on 07/15/10 thro online using his bank of america account and it was cashed so he sd we need to verify this with the dr. office and post the payment to his account.-sam 08/13/10cld mcr avr sd the eff date of the policy is from 12/01/2007 and currently active. Member is not enrolled with an hmo. Mcr is primary.-Gopi 03/09/10 cld mcr avr sd clm in process . john 04/09/10 Cld to the pt. Ronald baird ph#928 565 7896 he sd he received a bill in the amt of $25.16 which was for the dos 02/27/10 but he sd the clm was incorrectly billed to mcr and all his hospital stay clms should be billed only to Northern AZ VA and they will pay the clm in full. so he sd we need to refund the payment received from mcr and we need to bill the clm to Northern AZ va for payment.-sam 06/08/10

ckd ADMINISTRATIVE ENTERPRISES website policy eff from 01/01/1992 to still active . saravanan 05/18/10 Cld to the pt. Dana barber ph#928 530 9770 she sd she received a bill in the amt of $10 so she wants to make payment thro credit card got the credit card details from her. Patient name : Dana barber Ph# 928 530 9770 Pt. Zip code: 86401 Type of card:Visa Card no:4465 4201 7210 8839 Expiration date:01/14 3 digits on the back of the card: 281 Amt to be paid : $10 Dr. name: Dr. Kalanithi-sam 08/18/10

Cld desert canyon avr sd clm processed on 02/12/10 pd$ 30.69 chk# 10349046 clm# 2010020299901677 . john 02/15/10 Cld to the pt. Ralph cafarelli ph#928 718 0397 he sd he received a bill in the amt of $78.96 which was for the dos 01/21/10 & 02/08/10 but he sd he already made the payment on 04/10/10 with the chk#1573 for $78.96 and the chk was cashed on 04/15/10 so he sd we need to verify this with the dr. office and post the payment on his account.-Sam 05/10/10cld universal health care tt lagcia sd the member policy eff from 02/01/10 to still active and it is a primary, correct policy#PF179669388.-mark 03/10/10 Cld to the pt. Patricia lewis ph#928 757 4972 she sd she received a bill in the amt of $22.43 which was for the dos 12/28/09 but she sd during the visit itself she paid the full amt of $72 thro cash so she sd we need to verify this with the dr. office and need to adjust the balance of $22.43 and need to refund the credit balance to her.-sam 04/08/10 cld universal health care tt lagcia sd the member policy eff from 02/01/10 to still active and it is a primary, correct policy#PF179669388.-mark 03/10/10 Cld to the pt. Patricia lewis ph#928 757 4972 she sd she received a bill in the amt of $22.43 which was for the dos 12/28/09 but she sd during the visit itself she paid the full amt of $72 thro cash so she sd we need to verify this with the dr. office and need to adjust the balance of $22.43 and need to refund the credit balance to her.-sam 04/08/10

cld desert canyon avr sd clm in process. john 01/13/10 Cld to the pt. Melba nichols ph#928 753 4540 she sd she received a bill in the amt of $53.27 so asked the reason for the bill. i verified her account and explained her that it was the copay and co ins. balance left for the dos 12/01/09 & 12/23/09 but she sd she already made a payment in the amt of $35 on 02/12/2010 thro online banking using her bank of america account and also gave the confrimatin#9VH7G-MZ8F2 so she sd we need to verify this with the dr. office and post the payment of $35 on her account and now she should owe only $18.27.-sam 04/21/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10

cld health choice tt sandra sd the member policy eff from 07/01/2008 and the policy termd on 08/31/09 and it is a primary ins for dos.-11/17/09 Cld health choice tt sandra sd the eff date of the policy is from 07/01/08 but the coverage was terminated on 08/31/09 and the member do not have any other active coverage with health choice after the termination date. explained her that other clm for this pt. with the dos 10/27/09 is currently under process then she sd that clm will be rejected as no coverage for dos.-sam 11/23/09 cld ahcccs tt mary sd the member covered under health choice, the policy eff from 07/01/2008 and the policy termd on 08/31/09, no coverage for dos.-mark 11/24/09

chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10

Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10

cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08

cld glisbar inc tt sandry sd clm processed on 083107 pd$67.82 copay$30 chq#3547 chqdt 083107 (its a single chq) clm#0723500491 . jack 091007 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/23/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld glisbar inc tt sandry sd clm processed on 083107 pd$67.82 copay$30 chq#3547 chqdt 083107 (its a single chq) clm#0723500491 . jack 091007 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/23/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld gilsbar avr sd clm will obtained through fax back system.-james 080307 Cld humana tt jermie tried with policy#602-562-164 and ssn#527562401, name and dob sd unable to locate the member. michael 121107 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/11/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld gilsbar avr sd clm will obtained through fax back system.-james 080307 Cld humana tt jermie tried with policy#602-562-164 and ssn#527562401, name and dob sd unable to locate the member. michael 121107 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/11/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know.

cld mcr avr sd clm under process -john 101206 cld mcr tt amie explained her that we submitted this clm with incorrect pt. name and it was paid. then she sd she will make an offset on this clm and it will take 30 days.-sam 111406 cld mcr tt amanda sd they paid only for one line item on this clm and it was recouped-sam 011207 cld mcr tt allen sd the cpt 36140 was not offsetted due to error. he sd he will do that immediately and it will take 5 buss. days. -sam 011907

Cld mcr avr sd member policy is effective from 10/01/03 and still active. member has met the deductible .member enrolled in healthnet which is hmo for the member. Cld healthnet tried with policy# HN914747101 tt tanisha sd member coverage is effective from 04/01/07 and to current.members grp# az0018, for specialist visit member have copay $35 clms mailing add is po box 14225, lexington, ky 40512, TFL is 120 days from the dos. michael 120707 Regarding the refund issue in letter itself they clearly mentioned that if we are not refunding the pymt within January 6 2008 they pymt will be offset by them automatically.

cld humana gold choice tt candy sd clm currently inprocess clm#7239x01z2 . jack 090607 cld humana gold choice tt robert.h sd clm processed on 091507 pd$75.06 chk#0015600733 it`s a single chk clm#7239x01z2.-james 091907 cld mcr avr sd the eff date of the policy is from 03/01/1995 and currently active. He is a member of Humana Ins. which is a risk type of Hmo.-selvam 06/19/08 cld to the pt. ethel smelter ph#928 753 1237 she sd she received a bill in the amt of $15 and asked the reason for that. i verified her account and explained her that it was the copay balance left by the ins. humana for the dos 08/23/07 but she sd she paid her copay during her visit itself and she also contacted the dr. office regarding this and they sd her that she do not owe anything so she wants us to verify this with the dr. office.-sam 09/05/08cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08 cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08 cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08

cld humana tt marida sd the clm is in process,received on 091406,clm#6257x142w.-david 092106 Cld to the pt. Marilynn launer ph#509 863 9119 she sd she received a bill in the amt of $15 but she sd she already made the payment in the amt of $15 with the chk#2081 chk dt:06/05/08 but she sd she dont have the cashed date. she wants us to verify this with the dr. office and need to post the payment of $15 on her account.-sam 10/07/08

Cld desert canyon tt brayn sd clm processed on 122607,pd$30.34 chk issued on 122607,chk#10067013. it is bulk amt of $2848.53 and it was not yet cashed.clm#2007121499900333. michael 122707 Cld to the pt. Donald stroud ph#928 753 2231 he sd he received a bill in the amt of $100 and asked the reason for that. i verified his account and explained him that it was all the copay balance left for the dos starting from 12/13/08 - 02/21/08 as his copay for a visit is $35 then she sd he cannot pay that fully and he can pay only $25 per month. so i sd him that he need to contact the dr. office regarding this. he sd he will do that.-sam 09/09/08

cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08 cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08

cld az foundation tt tim sd clm in process clm# 2091951945 . john 07/23/09 cld az foundation tt tami sd clm processed and send to mmsi on 07/17/09. cld mmsi tt nancy sd clm in 1007200900173 . john 07/29/09 cld mmsi tt mary sd clm in process 1007200900173 . john 08/07/09 Cld to the pt. Danny jordan ph#928 757 0662 tt his wife patty she sd they received a bill in the amt of $456.54 which was for the dos 07/01/09 but she sd they are hospital employees and the provider is an contracted provider so she sd they should not have a balance of $456.64 she sd their balance should only be $100 or less than that so she sd we need to verify with the dr. office and need to send them a correct statement.-sam 10/05/09 Cld to the pt. Danny jordan ph# 928 263 1270 he sd he received a bill in the amt of $85 which was for the dos 07/01/09 but he sd dr. Alkhatib accepts whatever the payment made by the insurance and a $15 copay as the payment in full and nothing should be billed to the patient so he sd the bill sent to him in the amt of $85 was incorrect. so he sd we need to verify this with the dr. office and adjust the balance.-sam 11/05/09cld cigna avr sd processed on 05/02/09 pd$ 239.84 chk# 00547475114 clm# 4190912190523 try to call the customer care the call went to a voice mail. john 06/08/09 cld cigna tt shanan sd this service is not covered our provider,the bill can not send to pt. john 07/08/09 cld cigna tt veronica sd CPT 80053/80438 was dnd as duplicate,she sd she send the clm for reprocess and sd allow 30 days to get process ref#3647.kevin 072909 Received a voice msg from the pt. Olivia mangrum ph#928 753 4744 she stated that she received a bill in the amt of $45 but she already made the payment in the amt of $45 thro money order in the month of october 09 so she stated that we need to verify this with the dr. office and post the payment on her account. i cld her but it reached the voice mail box.-sam 01/05/10 cld desertcanyon tt sheirly sd clm is currently under process clm#2009050499900247.kevin 050509 Received a voice msg from the pt. Sally huber ph#928 692 1374 she sd she received a bill in the amt of $55 which was for the copay balance for the dos 03/30/09 & 04/10/09 but she sd his pcp was Dr. Deepak and for an pcp visit her copay should only be $15 and not $35 but we billed the clms under dr. Kalanithi and because of this they charged $35 so she sd we need to verify this and adjust the balance.-sam 09/02/09

cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10

Cld to the pt. Dennis atherton ph#928 565 2655 he sd he received a bill in the amt of $70 and asked the reason for that. i verified his account and explained him that for the dos 08/01/08, 08/11/08 & 09/25/08 his copay was $30 but he paid only $10 for the dos 09/25/08 & 08/11/08 so we billed the balance $70 but he sd his copay for an pcp visit should only be $10 and not $30 so he sd we need to verify this with the ins. company. cld humana tt lee explained him that the pt. cld us and stated that his copay should only be $10 for an pcp visit and not $30 then he sd he will send all the 3 clms back for review and it will take 30 days ref#435400572409. i cld the pt. again and gave this info. the pt. asked us not to move the bill to the collection agency until we receive info. from humana.

Cld ae tt lisa sd clm is nis , this policy eff from 08/01/2007 to still active . payer id 53589 . i verify the mailing add. john 08/19/08 Cld aei tt mony sd clm nis. member policy is effective from 08/01/07 and still active. verified the mailing address is correct. payor id # 53589. need to refile the clm again. michael 08/20/08 Cld to the pt. Francis chavez ph#928 753 0736 extn:4116 tt his wife terri she sd she received a bill in the amt of $93.92 but she sd she already made a payment in the amt of $73.92 with the chk#3702 on 09/19/08 and the chk was cashed in october but she dont know the exact cashed date. so she sd she should currently owe only $20 so she sd we need to verify this with the dr. office and post the payment on this pt. account.-sam 12/17/08 Received a voice msg from the pt. Francis chavez ph#928 757 4810 his wife terri stated that they received a bill in the amt of $93.72 couple of months before and they sent 2 payments one in the amt of $73.92 with the chk#3702 dated 09/19/08 and another payment in the amt of $20 with the chk#3800 dated 01/23/09 so she sd she paid everything and she should not owe any balance. but again now they received a bill in the amt of $140 which she stated is incorrect. i verified her account and found that the $20 payment she made on 01/23/09 was not yet received from the dr. office and the rest of the due is for the 2007 clms so i cld her to give this info. but the phone line reached the voice mail box. left voice msg asking her to give us a call back.-sam 02/09/09

Cld to the pt. Dennis atherton ph#928 565 2655 he sd he received a bill in the amt of $70 and asked the reason for that. i verified his account and explained him that for the dos 08/01/08, 08/11/08 & 09/25/08 his copay was $30 but he paid only $10 for the dos 09/25/08 & 08/11/08 so we billed the balance $70 but he sd his copay for an pcp visit should only be $10 and not $30 so he sd we need to verify this with the ins. company. cld humana tt lee explained him that the pt. cld us and stated that his copay should only be $10 for an pcp visit and not $30 then he sd he will send all the 3 clms back for review and it will take 30 days ref#435400572409. i cld the pt. again and gave this info. the pt. asked us not to move the bill to the collection agency until we receive info. from humana.

Cld to the pt. William riddle ph#928 692 4784 he sd he received a bill in the amt of $33 which was for the copay balance for the dos 05/24/10 but during this visit he got the info. from dr. office that this is an follow up visit for the stint putin and so he need not want to pay any copays for this follow up visit and the copay will be adjusted but now he is receiving a bill for the copay for a follow up visit so he sd we need to verify this with the dr. office and adjust the $33 balance.-sam 08/09/10 Cld to the pt. William riddle ph#928 692 4784 he sd he received a bill in the amt of $33 which was for the copay balance for the dos 05/24/10 but during this visit he got the info. from dr. office that this is an follow up visit for the stint putin and so he need not want to pay any copays for this follow up visit and the copay will be adjusted but now he is receiving a bill for the copay for a follow up visit so he sd we need to verify this with the dr. office and adjust the $33 balance.-sam 08/09/10

cld mcr avr sd the eff date of the policy is from 12/01/2007 and currently active. Member is not enrolled with an hmo. Mcr is primary.-Gopi 03/09/10 cld mcr avr sd clm in process . john 04/09/10 Cld to the pt. Ronald baird ph#928 565 7896 he sd he received a bill in the amt of $25.16 which was for the dos 02/27/10 but he sd the clm was incorrectly billed to mcr and all his hospital stay clms should be billed only to Northern AZ VA and they will pay the clm in full. so he sd we need to refund the payment received from mcr and we need to bill the clm to Northern AZ va for payment.-sam 06/08/10

cld desert canyon avr sd clm in process. john 01/13/10 Cld to the pt. Melba nichols ph#928 753 4540 she sd she received a bill in the amt of $53.27 so asked the reason for the bill. i verified her account and explained her that it was the copay and co ins. balance left for the dos 12/01/09 & 12/23/09 but she sd she already made a payment in the amt of $35 on 02/12/2010 thro online banking using her bank of america account and also gave the confrimatin#9VH7G-MZ8F2 so she sd we need to verify this with the dr. office and post the payment of $35 on her account and now she should owe only $18.27.-sam 04/21/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10Cld to the pt. Edith haynes ph#928 681 9094 she sd she received a bill in the amt of $553.30 which was for the inpatient stay on 11/16/09 but she sd she already applied for ahcccs coverage but she have not yet got the policy# so she sd she reapplied for ahcccs coverage again and she will be getting the coverage thro ahcccs soon and once it got thro she sd she will call us and give the policy# so that we can bill these clms to ahcccs for payment and she just cld us to inform about this and wants us to make a note on this.-sam 02/24/10

cld health choice tt sandra sd the member policy eff from 07/01/2008 and the policy termd on 08/31/09 and it is a primary ins for dos.-11/17/09 Cld health choice tt sandra sd the eff date of the policy is from 07/01/08 but the coverage was terminated on 08/31/09 and the member do not have any other active coverage with health choice after the termination date. explained her that other clm for this pt. with the dos 10/27/09 is currently under process then she sd that clm will be rejected as no coverage for dos.-sam 11/23/09 cld ahcccs tt mary sd the member covered under health choice, the policy eff from 07/01/2008 and the policy termd on 08/31/09, no coverage for dos.-mark 11/24/09

chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10

Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10

cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08

cld glisbar inc tt sandry sd clm processed on 083107 pd$67.82 copay$30 chq#3547 chqdt 083107 (its a single chq) clm#0723500491 . jack 091007 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/23/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld glisbar inc tt sandry sd clm processed on 083107 pd$67.82 copay$30 chq#3547 chqdt 083107 (its a single chq) clm#0723500491 . jack 091007 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/23/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld gilsbar avr sd clm will obtained through fax back system.-james 080307 Cld humana tt jermie tried with policy#602-562-164 and ssn#527562401, name and dob sd unable to locate the member. michael 121107 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/11/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld gilsbar avr sd clm will obtained through fax back system.-james 080307 Cld humana tt jermie tried with policy#602-562-164 and ssn#527562401, name and dob sd unable to locate the member. michael 121107 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/11/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know.

Cld mcr avr sd member policy is effective from 10/01/03 and still active. member has met the deductible .member enrolled in healthnet which is hmo for the member. Cld healthnet tried with policy# HN914747101 tt tanisha sd member coverage is effective from 04/01/07 and to current.members grp# az0018, for specialist visit member have copay $35 clms mailing add is po box 14225, lexington, ky 40512, TFL is 120 days from the dos. michael 120707 Regarding the refund issue in letter itself they clearly mentioned that if we are not refunding the pymt within January 6 2008 they pymt will be offset by them automatically.

cld humana gold choice tt candy sd clm currently inprocess clm#7239x01z2 . jack 090607 cld humana gold choice tt robert.h sd clm processed on 091507 pd$75.06 chk#0015600733 it`s a single chk clm#7239x01z2.-james 091907 cld mcr avr sd the eff date of the policy is from 03/01/1995 and currently active. He is a member of Humana Ins. which is a risk type of Hmo.-selvam 06/19/08 cld to the pt. ethel smelter ph#928 753 1237 she sd she received a bill in the amt of $15 and asked the reason for that. i verified her account and explained her that it was the copay balance left by the ins. humana for the dos 08/23/07 but she sd she paid her copay during her visit itself and she also contacted the dr. office regarding this and they sd her that she do not owe anything so she wants us to verify this with the dr. office.-sam 09/05/08cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08 cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08 cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08

Cld desert canyon tt brayn sd clm processed on 122607,pd$30.34 chk issued on 122607,chk#10067013. it is bulk amt of $2848.53 and it was not yet cashed.clm#2007121499900333. michael 122707 Cld to the pt. Donald stroud ph#928 753 2231 he sd he received a bill in the amt of $100 and asked the reason for that. i verified his account and explained him that it was all the copay balance left for the dos starting from 12/13/08 - 02/21/08 as his copay for a visit is $35 then she sd he cannot pay that fully and he can pay only $25 per month. so i sd him that he need to contact the dr. office regarding this. he sd he will do that.-sam 09/09/08

cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08 cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08

cld az foundation tt tim sd clm in process clm# 2091951945 . john 07/23/09 cld az foundation tt tami sd clm processed and send to mmsi on 07/17/09. cld mmsi tt nancy sd clm in 1007200900173 . john 07/29/09 cld mmsi tt mary sd clm in process 1007200900173 . john 08/07/09 Cld to the pt. Danny jordan ph#928 757 0662 tt his wife patty she sd they received a bill in the amt of $456.54 which was for the dos 07/01/09 but she sd they are hospital employees and the provider is an contracted provider so she sd they should not have a balance of $456.64 she sd their balance should only be $100 or less than that so she sd we need to verify with the dr. office and need to send them a correct statement.-sam 10/05/09 Cld to the pt. Danny jordan ph# 928 263 1270 he sd he received a bill in the amt of $85 which was for the dos 07/01/09 but he sd dr. Alkhatib accepts whatever the payment made by the insurance and a $15 copay as the payment in full and nothing should be billed to the patient so he sd the bill sent to him in the amt of $85 was incorrect. so he sd we need to verify this with the dr. office and adjust the balance.-sam 11/05/09cld cigna avr sd processed on 05/02/09 pd$ 239.84 chk# 00547475114 clm# 4190912190523 try to call the customer care the call went to a voice mail. john 06/08/09 cld cigna tt shanan sd this service is not covered our provider,the bill can not send to pt. john 07/08/09 cld cigna tt veronica sd CPT 80053/80438 was dnd as duplicate,she sd she send the clm for reprocess and sd allow 30 days to get process ref#3647.kevin 072909 Received a voice msg from the pt. Olivia mangrum ph#928 753 4744 she stated that she received a bill in the amt of $45 but she already made the payment in the amt of $45 thro money order in the month of october 09 so she stated that we need to verify this with the dr. office and post the payment on her account. i cld her but it reached the voice mail box.-sam 01/05/10

cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10

Cld to the pt. Dennis atherton ph#928 565 2655 he sd he received a bill in the amt of $70 and asked the reason for that. i verified his account and explained him that for the dos 08/01/08, 08/11/08 & 09/25/08 his copay was $30 but he paid only $10 for the dos 09/25/08 & 08/11/08 so we billed the balance $70 but he sd his copay for an pcp visit should only be $10 and not $30 so he sd we need to verify this with the ins. company. cld humana tt lee explained him that the pt. cld us and stated that his copay should only be $10 for an pcp visit and not $30 then he sd he will send all the 3 clms back for review and it will take 30 days ref#435400572409. i cld the pt. again and gave this info. the pt. asked us not to move the bill to the collection agency until we receive info. from humana.

Cld ae tt lisa sd clm is nis , this policy eff from 08/01/2007 to still active . payer id 53589 . i verify the mailing add. john 08/19/08 Cld aei tt mony sd clm nis. member policy is effective from 08/01/07 and still active. verified the mailing address is correct. payor id # 53589. need to refile the clm again. michael 08/20/08 Cld to the pt. Francis chavez ph#928 753 0736 extn:4116 tt his wife terri she sd she received a bill in the amt of $93.92 but she sd she already made a payment in the amt of $73.92 with the chk#3702 on 09/19/08 and the chk was cashed in october but she dont know the exact cashed date. so she sd she should currently owe only $20 so she sd we need to verify this with the dr. office and post the payment on this pt. account.-sam 12/17/08 Received a voice msg from the pt. Francis chavez ph#928 757 4810 his wife terri stated that they received a bill in the amt of $93.72 couple of months before and they sent 2 payments one in the amt of $73.92 with the chk#3702 dated 09/19/08 and another payment in the amt of $20 with the chk#3800 dated 01/23/09 so she sd she paid everything and she should not owe any balance. but again now they received a bill in the amt of $140 which she stated is incorrect. i verified her account and found that the $20 payment she made on 01/23/09 was not yet received from the dr. office and the rest of the due is for the 2007 clms so i cld her to give this info. but the phone line reached the voice mail box. left voice msg asking her to give us a call back.-sam 02/09/09

Cld to the pt. Dennis atherton ph#928 565 2655 he sd he received a bill in the amt of $70 and asked the reason for that. i verified his account and explained him that for the dos 08/01/08, 08/11/08 & 09/25/08 his copay was $30 but he paid only $10 for the dos 09/25/08 & 08/11/08 so we billed the balance $70 but he sd his copay for an pcp visit should only be $10 and not $30 so he sd we need to verify this with the ins. company. cld humana tt lee explained him that the pt. cld us and stated that his copay should only be $10 for an pcp visit and not $30 then he sd he will send all the 3 clms back for review and it will take 30 days ref#435400572409. i cld the pt. again and gave this info. the pt. asked us not to move the bill to the collection agency until we receive info. from humana.

Cld to the pt. William riddle ph#928 692 4784 he sd he received a bill in the amt of $33 which was for the copay balance for the dos 05/24/10 but during this visit he got the info. from dr. office that this is an follow up visit for the stint putin and so he need not want to pay any copays for this follow up visit and the copay will be adjusted but now he is receiving a bill for the copay for a follow up visit so he sd we need to verify this with the dr. office and adjust the $33 balance.-sam 08/09/10 Cld to the pt. William riddle ph#928 692 4784 he sd he received a bill in the amt of $33 which was for the copay balance for the dos 05/24/10 but during this visit he got the info. from dr. office that this is an follow up visit for the stint putin and so he need not want to pay any copays for this follow up visit and the copay will be adjusted but now he is receiving a bill for the copay for a follow up visit so he sd we need to verify this with the dr. office and adjust the $33 balance.-sam 08/09/10

chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10

cld health choice tt sandra sd the member policy eff from 07/01/2008 and the policy termd on 08/31/09 and it is a primary ins for dos.-11/17/09 Cld health choice tt sandra sd the eff date of the policy is from 07/01/08 but the coverage was terminated on 08/31/09 and the member do not have any other active coverage with health choice after the termination date. explained her that other clm for this pt. with the dos 10/27/09 is currently under process then she sd that clm will be rejected as no coverage for dos.-sam 11/23/09 cld ahcccs tt mary sd the member covered under health choice, the policy eff from 07/01/2008 and the policy termd on 08/31/09, no coverage for dos.-mark 11/24/09

chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10

Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10

cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08

cld glisbar inc tt sandry sd clm processed on 083107 pd$67.82 copay$30 chq#3547 chqdt 083107 (its a single chq) clm#0723500491 . jack 091007 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/23/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld glisbar inc tt sandry sd clm processed on 083107 pd$67.82 copay$30 chq#3547 chqdt 083107 (its a single chq) clm#0723500491 . jack 091007 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/23/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld gilsbar avr sd clm will obtained through fax back system.-james 080307 Cld humana tt jermie tried with policy#602-562-164 and ssn#527562401, name and dob sd unable to locate the member. michael 121107 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/11/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld gilsbar avr sd clm will obtained through fax back system.-james 080307 Cld humana tt jermie tried with policy#602-562-164 and ssn#527562401, name and dob sd unable to locate the member. michael 121107 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/11/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know.

cld humana gold choice tt candy sd clm currently inprocess clm#7239x01z2 . jack 090607 cld humana gold choice tt robert.h sd clm processed on 091507 pd$75.06 chk#0015600733 it`s a single chk clm#7239x01z2.-james 091907 cld mcr avr sd the eff date of the policy is from 03/01/1995 and currently active. He is a member of Humana Ins. which is a risk type of Hmo.-selvam 06/19/08 cld to the pt. ethel smelter ph#928 753 1237 she sd she received a bill in the amt of $15 and asked the reason for that. i verified her account and explained her that it was the copay balance left by the ins. humana for the dos 08/23/07 but she sd she paid her copay during her visit itself and she also contacted the dr. office regarding this and they sd her that she do not owe anything so she wants us to verify this with the dr. office.-sam 09/05/08cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08 cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08 cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08

Cld desert canyon tt brayn sd clm processed on 122607,pd$30.34 chk issued on 122607,chk#10067013. it is bulk amt of $2848.53 and it was not yet cashed.clm#2007121499900333. michael 122707 Cld to the pt. Donald stroud ph#928 753 2231 he sd he received a bill in the amt of $100 and asked the reason for that. i verified his account and explained him that it was all the copay balance left for the dos starting from 12/13/08 - 02/21/08 as his copay for a visit is $35 then she sd he cannot pay that fully and he can pay only $25 per month. so i sd him that he need to contact the dr. office regarding this. he sd he will do that.-sam 09/09/08

cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08 cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08

cld az foundation tt tim sd clm in process clm# 2091951945 . john 07/23/09 cld az foundation tt tami sd clm processed and send to mmsi on 07/17/09. cld mmsi tt nancy sd clm in 1007200900173 . john 07/29/09 cld mmsi tt mary sd clm in process 1007200900173 . john 08/07/09 Cld to the pt. Danny jordan ph#928 757 0662 tt his wife patty she sd they received a bill in the amt of $456.54 which was for the dos 07/01/09 but she sd they are hospital employees and the provider is an contracted provider so she sd they should not have a balance of $456.64 she sd their balance should only be $100 or less than that so she sd we need to verify with the dr. office and need to send them a correct statement.-sam 10/05/09 Cld to the pt. Danny jordan ph# 928 263 1270 he sd he received a bill in the amt of $85 which was for the dos 07/01/09 but he sd dr. Alkhatib accepts whatever the payment made by the insurance and a $15 copay as the payment in full and nothing should be billed to the patient so he sd the bill sent to him in the amt of $85 was incorrect. so he sd we need to verify this with the dr. office and adjust the balance.-sam 11/05/09cld cigna avr sd processed on 05/02/09 pd$ 239.84 chk# 00547475114 clm# 4190912190523 try to call the customer care the call went to a voice mail. john 06/08/09 cld cigna tt shanan sd this service is not covered our provider,the bill can not send to pt. john 07/08/09 cld cigna tt veronica sd CPT 80053/80438 was dnd as duplicate,she sd she send the clm for reprocess and sd allow 30 days to get process ref#3647.kevin 072909 Received a voice msg from the pt. Olivia mangrum ph#928 753 4744 she stated that she received a bill in the amt of $45 but she already made the payment in the amt of $45 thro money order in the month of october 09 so she stated that we need to verify this with the dr. office and post the payment on her account. i cld her but it reached the voice mail box.-sam 01/05/10

cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10

Cld to the pt. Dennis atherton ph#928 565 2655 he sd he received a bill in the amt of $70 and asked the reason for that. i verified his account and explained him that for the dos 08/01/08, 08/11/08 & 09/25/08 his copay was $30 but he paid only $10 for the dos 09/25/08 & 08/11/08 so we billed the balance $70 but he sd his copay for an pcp visit should only be $10 and not $30 so he sd we need to verify this with the ins. company. cld humana tt lee explained him that the pt. cld us and stated that his copay should only be $10 for an pcp visit and not $30 then he sd he will send all the 3 clms back for review and it will take 30 days ref#435400572409. i cld the pt. again and gave this info. the pt. asked us not to move the bill to the collection agency until we receive info. from humana.

Cld ae tt lisa sd clm is nis , this policy eff from 08/01/2007 to still active . payer id 53589 . i verify the mailing add. john 08/19/08 Cld aei tt mony sd clm nis. member policy is effective from 08/01/07 and still active. verified the mailing address is correct. payor id # 53589. need to refile the clm again. michael 08/20/08 Cld to the pt. Francis chavez ph#928 753 0736 extn:4116 tt his wife terri she sd she received a bill in the amt of $93.92 but she sd she already made a payment in the amt of $73.92 with the chk#3702 on 09/19/08 and the chk was cashed in october but she dont know the exact cashed date. so she sd she should currently owe only $20 so she sd we need to verify this with the dr. office and post the payment on this pt. account.-sam 12/17/08 Received a voice msg from the pt. Francis chavez ph#928 757 4810 his wife terri stated that they received a bill in the amt of $93.72 couple of months before and they sent 2 payments one in the amt of $73.92 with the chk#3702 dated 09/19/08 and another payment in the amt of $20 with the chk#3800 dated 01/23/09 so she sd she paid everything and she should not owe any balance. but again now they received a bill in the amt of $140 which she stated is incorrect. i verified her account and found that the $20 payment she made on 01/23/09 was not yet received from the dr. office and the rest of the due is for the 2007 clms so i cld her to give this info. but the phone line reached the voice mail box. left voice msg asking her to give us a call back.-sam 02/09/09

Cld to the pt. Dennis atherton ph#928 565 2655 he sd he received a bill in the amt of $70 and asked the reason for that. i verified his account and explained him that for the dos 08/01/08, 08/11/08 & 09/25/08 his copay was $30 but he paid only $10 for the dos 09/25/08 & 08/11/08 so we billed the balance $70 but he sd his copay for an pcp visit should only be $10 and not $30 so he sd we need to verify this with the ins. company. cld humana tt lee explained him that the pt. cld us and stated that his copay should only be $10 for an pcp visit and not $30 then he sd he will send all the 3 clms back for review and it will take 30 days ref#435400572409. i cld the pt. again and gave this info. the pt. asked us not to move the bill to the collection agency until we receive info. from humana.

Cld to the pt. William riddle ph#928 692 4784 he sd he received a bill in the amt of $33 which was for the copay balance for the dos 05/24/10 but during this visit he got the info. from dr. office that this is an follow up visit for the stint putin and so he need not want to pay any copays for this follow up visit and the copay will be adjusted but now he is receiving a bill for the copay for a follow up visit so he sd we need to verify this with the dr. office and adjust the $33 balance.-sam 08/09/10 Cld to the pt. William riddle ph#928 692 4784 he sd he received a bill in the amt of $33 which was for the copay balance for the dos 05/24/10 but during this visit he got the info. from dr. office that this is an follow up visit for the stint putin and so he need not want to pay any copays for this follow up visit and the copay will be adjusted but now he is receiving a bill for the copay for a follow up visit so he sd we need to verify this with the dr. office and adjust the $33 balance.-sam 08/09/10

chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10

chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10

Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10Cld to the pt. Jimmie wilson ph# 928 377 2110 he sd he received 2 statements one in december in the amt of $147.73 and he received the same bill again on 01/29/2010 with the same amt and so he asked which bill is the correct bill. i explained him that we will be sending bills every month until the balance is paid then he he sd he already mailed a payment in the amt of $100 on 01/19/10 with the chk#1414 (he is not sure abt the chk# he sd he will call us on monday to give the correct chk#) but it was not posted on his account and he is receiving the same bill again with the balance of $147.73 so he sd we need to check with the dr. office regarding this and we need to post $100 on his account and we need to send a new bill with his current balance.-sam 02/05/10

cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08

cld glisbar inc tt sandry sd clm processed on 083107 pd$67.82 copay$30 chq#3547 chqdt 083107 (its a single chq) clm#0723500491 . jack 091007 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/23/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld glisbar inc tt sandry sd clm processed on 083107 pd$67.82 copay$30 chq#3547 chqdt 083107 (its a single chq) clm#0723500491 . jack 091007 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/23/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld gilsbar avr sd clm will obtained through fax back system.-james 080307 Cld humana tt jermie tried with policy#602-562-164 and ssn#527562401, name and dob sd unable to locate the member. michael 121107 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/11/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know. cld gilsbar avr sd clm will obtained through fax back system.-james 080307 Cld humana tt jermie tried with policy#602-562-164 and ssn#527562401, name and dob sd unable to locate the member. michael 121107 Cld humana @1-800-558-4444 tt clair sd unable to locate the member with insured id#602-562-164 and ssn#527562401. i explain to her that we recvd eob and ansi code 027, she sd not able to locate the member at all. michael 01/11/08 Pending Id : 112641 07/25/2008 Renee Fields: vadivel, Im in receipt of an application on this referenced patient, you may write off all of her 2006 guarantor balances that have been paid by gilsbar already. For 2007 and 2008 she is on a 20 a month payment arrangement if you need to indicate this somewhere. If there are any further questions please let me know.

cld humana gold choice tt candy sd clm currently inprocess clm#7239x01z2 . jack 090607 cld humana gold choice tt robert.h sd clm processed on 091507 pd$75.06 chk#0015600733 it`s a single chk clm#7239x01z2.-james 091907 cld mcr avr sd the eff date of the policy is from 03/01/1995 and currently active. He is a member of Humana Ins. which is a risk type of Hmo.-selvam 06/19/08 cld to the pt. ethel smelter ph#928 753 1237 she sd she received a bill in the amt of $15 and asked the reason for that. i verified her account and explained her that it was the copay balance left by the ins. humana for the dos 08/23/07 but she sd she paid her copay during her visit itself and she also contacted the dr. office regarding this and they sd her that she do not owe anything so she wants us to verify this with the dr. office.-sam 09/05/08cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08 cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08 cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08

cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08 cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08

cld az foundation tt tim sd clm in process clm# 2091951945 . john 07/23/09 cld az foundation tt tami sd clm processed and send to mmsi on 07/17/09. cld mmsi tt nancy sd clm in 1007200900173 . john 07/29/09 cld mmsi tt mary sd clm in process 1007200900173 . john 08/07/09 Cld to the pt. Danny jordan ph#928 757 0662 tt his wife patty she sd they received a bill in the amt of $456.54 which was for the dos 07/01/09 but she sd they are hospital employees and the provider is an contracted provider so she sd they should not have a balance of $456.64 she sd their balance should only be $100 or less than that so she sd we need to verify with the dr. office and need to send them a correct statement.-sam 10/05/09 Cld to the pt. Danny jordan ph# 928 263 1270 he sd he received a bill in the amt of $85 which was for the dos 07/01/09 but he sd dr. Alkhatib accepts whatever the payment made by the insurance and a $15 copay as the payment in full and nothing should be billed to the patient so he sd the bill sent to him in the amt of $85 was incorrect. so he sd we need to verify this with the dr. office and adjust the balance.-sam 11/05/09

cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10

Cld ae tt lisa sd clm is nis , this policy eff from 08/01/2007 to still active . payer id 53589 . i verify the mailing add. john 08/19/08 Cld aei tt mony sd clm nis. member policy is effective from 08/01/07 and still active. verified the mailing address is correct. payor id # 53589. need to refile the clm again. michael 08/20/08 Cld to the pt. Francis chavez ph#928 753 0736 extn:4116 tt his wife terri she sd she received a bill in the amt of $93.92 but she sd she already made a payment in the amt of $73.92 with the chk#3702 on 09/19/08 and the chk was cashed in october but she dont know the exact cashed date. so she sd she should currently owe only $20 so she sd we need to verify this with the dr. office and post the payment on this pt. account.-sam 12/17/08 Received a voice msg from the pt. Francis chavez ph#928 757 4810 his wife terri stated that they received a bill in the amt of $93.72 couple of months before and they sent 2 payments one in the amt of $73.92 with the chk#3702 dated 09/19/08 and another payment in the amt of $20 with the chk#3800 dated 01/23/09 so she sd she paid everything and she should not owe any balance. but again now they received a bill in the amt of $140 which she stated is incorrect. i verified her account and found that the $20 payment she made on 01/23/09 was not yet received from the dr. office and the rest of the due is for the 2007 clms so i cld her to give this info. but the phone line reached the voice mail box. left voice msg asking her to give us a call back.-sam 02/09/09

Cld to the pt. William riddle ph#928 692 4784 he sd he received a bill in the amt of $33 which was for the copay balance for the dos 05/24/10 but during this visit he got the info. from dr. office that this is an follow up visit for the stint putin and so he need not want to pay any copays for this follow up visit and the copay will be adjusted but now he is receiving a bill for the copay for a follow up visit so he sd we need to verify this with the dr. office and adjust the $33 balance.-sam 08/09/10 Cld to the pt. William riddle ph#928 692 4784 he sd he received a bill in the amt of $33 which was for the copay balance for the dos 05/24/10 but during this visit he got the info. from dr. office that this is an follow up visit for the stint putin and so he need not want to pay any copays for this follow up visit and the copay will be adjusted but now he is receiving a bill for the copay for a follow up visit so he sd we need to verify this with the dr. office and adjust the $33 balance.-sam 08/09/10

chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10

chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10

cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08

cld humana gold choice tt candy sd clm currently inprocess clm#7239x01z2 . jack 090607 cld humana gold choice tt robert.h sd clm processed on 091507 pd$75.06 chk#0015600733 it`s a single chk clm#7239x01z2.-james 091907 cld mcr avr sd the eff date of the policy is from 03/01/1995 and currently active. He is a member of Humana Ins. which is a risk type of Hmo.-selvam 06/19/08 cld to the pt. ethel smelter ph#928 753 1237 she sd she received a bill in the amt of $15 and asked the reason for that. i verified her account and explained her that it was the copay balance left by the ins. humana for the dos 08/23/07 but she sd she paid her copay during her visit itself and she also contacted the dr. office regarding this and they sd her that she do not owe anything so she wants us to verify this with the dr. office.-sam 09/05/08cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08 cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08 cld administrative tt tonya sd clm for cpt#92982,92984,92981 dnd on 013007 because they are bundle with cpt#92980 clm#45661309403 - john 0251307 cld administrative tt micki sd for cpt 92982 was included in cpt 92980 clm#46661309403.-james 072707 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd they received a bill in the amt of $168 and asked the reason for that. i verified her account and explained him that it was the co ins. balance left by their ins. Aei for the dos 01/05/07 then he sd he cannot pay that fully but he will send a chk for some part of the amt today.-sam 09/30/08 Cld to the pt. Linda jackson ph#928 565 3684 tt her husband paul jackson he sd he received a bill in the amt of $118 and he sd he will pay $50 this month and he will pay the rest next month. he cld just to give this info.-sam 12/09/08

cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08 cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08

cld az foundation tt tim sd clm in process clm# 2091951945 . john 07/23/09 cld az foundation tt tami sd clm processed and send to mmsi on 07/17/09. cld mmsi tt nancy sd clm in 1007200900173 . john 07/29/09 cld mmsi tt mary sd clm in process 1007200900173 . john 08/07/09 Cld to the pt. Danny jordan ph#928 757 0662 tt his wife patty she sd they received a bill in the amt of $456.54 which was for the dos 07/01/09 but she sd they are hospital employees and the provider is an contracted provider so she sd they should not have a balance of $456.64 she sd their balance should only be $100 or less than that so she sd we need to verify with the dr. office and need to send them a correct statement.-sam 10/05/09 Cld to the pt. Danny jordan ph# 928 263 1270 he sd he received a bill in the amt of $85 which was for the dos 07/01/09 but he sd dr. Alkhatib accepts whatever the payment made by the insurance and a $15 copay as the payment in full and nothing should be billed to the patient so he sd the bill sent to him in the amt of $85 was incorrect. so he sd we need to verify this with the dr. office and adjust the balance.-sam 11/05/09

cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10

Cld ae tt lisa sd clm is nis , this policy eff from 08/01/2007 to still active . payer id 53589 . i verify the mailing add. john 08/19/08 Cld aei tt mony sd clm nis. member policy is effective from 08/01/07 and still active. verified the mailing address is correct. payor id # 53589. need to refile the clm again. michael 08/20/08 Cld to the pt. Francis chavez ph#928 753 0736 extn:4116 tt his wife terri she sd she received a bill in the amt of $93.92 but she sd she already made a payment in the amt of $73.92 with the chk#3702 on 09/19/08 and the chk was cashed in october but she dont know the exact cashed date. so she sd she should currently owe only $20 so she sd we need to verify this with the dr. office and post the payment on this pt. account.-sam 12/17/08 Received a voice msg from the pt. Francis chavez ph#928 757 4810 his wife terri stated that they received a bill in the amt of $93.72 couple of months before and they sent 2 payments one in the amt of $73.92 with the chk#3702 dated 09/19/08 and another payment in the amt of $20 with the chk#3800 dated 01/23/09 so she sd she paid everything and she should not owe any balance. but again now they received a bill in the amt of $140 which she stated is incorrect. i verified her account and found that the $20 payment she made on 01/23/09 was not yet received from the dr. office and the rest of the due is for the 2007 clms so i cld her to give this info. but the phone line reached the voice mail box. left voice msg asking her to give us a call back.-sam 02/09/09

Cld to the pt. William riddle ph#928 692 4784 he sd he received a bill in the amt of $33 which was for the copay balance for the dos 05/24/10 but during this visit he got the info. from dr. office that this is an follow up visit for the stint putin and so he need not want to pay any copays for this follow up visit and the copay will be adjusted but now he is receiving a bill for the copay for a follow up visit so he sd we need to verify this with the dr. office and adjust the $33 balance.-sam 08/09/10 Cld to the pt. William riddle ph#928 692 4784 he sd he received a bill in the amt of $33 which was for the copay balance for the dos 05/24/10 but during this visit he got the info. from dr. office that this is an follow up visit for the stint putin and so he need not want to pay any copays for this follow up visit and the copay will be adjusted but now he is receiving a bill for the copay for a follow up visit so he sd we need to verify this with the dr. office and adjust the $33 balance.-sam 08/09/10

chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10

chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10

cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08

cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08 cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08

cld az foundation tt tim sd clm in process clm# 2091951945 . john 07/23/09 cld az foundation tt tami sd clm processed and send to mmsi on 07/17/09. cld mmsi tt nancy sd clm in 1007200900173 . john 07/29/09 cld mmsi tt mary sd clm in process 1007200900173 . john 08/07/09 Cld to the pt. Danny jordan ph#928 757 0662 tt his wife patty she sd they received a bill in the amt of $456.54 which was for the dos 07/01/09 but she sd they are hospital employees and the provider is an contracted provider so she sd they should not have a balance of $456.64 she sd their balance should only be $100 or less than that so she sd we need to verify with the dr. office and need to send them a correct statement.-sam 10/05/09 Cld to the pt. Danny jordan ph# 928 263 1270 he sd he received a bill in the amt of $85 which was for the dos 07/01/09 but he sd dr. Alkhatib accepts whatever the payment made by the insurance and a $15 copay as the payment in full and nothing should be billed to the patient so he sd the bill sent to him in the amt of $85 was incorrect. so he sd we need to verify this with the dr. office and adjust the balance.-sam 11/05/09

cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10

Cld ae tt lisa sd clm is nis , this policy eff from 08/01/2007 to still active . payer id 53589 . i verify the mailing add. john 08/19/08 Cld aei tt mony sd clm nis. member policy is effective from 08/01/07 and still active. verified the mailing address is correct. payor id # 53589. need to refile the clm again. michael 08/20/08 Cld to the pt. Francis chavez ph#928 753 0736 extn:4116 tt his wife terri she sd she received a bill in the amt of $93.92 but she sd she already made a payment in the amt of $73.92 with the chk#3702 on 09/19/08 and the chk was cashed in october but she dont know the exact cashed date. so she sd she should currently owe only $20 so she sd we need to verify this with the dr. office and post the payment on this pt. account.-sam 12/17/08 Received a voice msg from the pt. Francis chavez ph#928 757 4810 his wife terri stated that they received a bill in the amt of $93.72 couple of months before and they sent 2 payments one in the amt of $73.92 with the chk#3702 dated 09/19/08 and another payment in the amt of $20 with the chk#3800 dated 01/23/09 so she sd she paid everything and she should not owe any balance. but again now they received a bill in the amt of $140 which she stated is incorrect. i verified her account and found that the $20 payment she made on 01/23/09 was not yet received from the dr. office and the rest of the due is for the 2007 clms so i cld her to give this info. but the phone line reached the voice mail box. left voice msg asking her to give us a call back.-sam 02/09/09

chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10

chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10

cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08

cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08 cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08

cld az foundation tt tim sd clm in process clm# 2091951945 . john 07/23/09 cld az foundation tt tami sd clm processed and send to mmsi on 07/17/09. cld mmsi tt nancy sd clm in 1007200900173 . john 07/29/09 cld mmsi tt mary sd clm in process 1007200900173 . john 08/07/09 Cld to the pt. Danny jordan ph#928 757 0662 tt his wife patty she sd they received a bill in the amt of $456.54 which was for the dos 07/01/09 but she sd they are hospital employees and the provider is an contracted provider so she sd they should not have a balance of $456.64 she sd their balance should only be $100 or less than that so she sd we need to verify with the dr. office and need to send them a correct statement.-sam 10/05/09 Cld to the pt. Danny jordan ph# 928 263 1270 he sd he received a bill in the amt of $85 which was for the dos 07/01/09 but he sd dr. Alkhatib accepts whatever the payment made by the insurance and a $15 copay as the payment in full and nothing should be billed to the patient so he sd the bill sent to him in the amt of $85 was incorrect. so he sd we need to verify this with the dr. office and adjust the balance.-sam 11/05/09

cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10

Cld ae tt lisa sd clm is nis , this policy eff from 08/01/2007 to still active . payer id 53589 . i verify the mailing add. john 08/19/08 Cld aei tt mony sd clm nis. member policy is effective from 08/01/07 and still active. verified the mailing address is correct. payor id # 53589. need to refile the clm again. michael 08/20/08 Cld to the pt. Francis chavez ph#928 753 0736 extn:4116 tt his wife terri she sd she received a bill in the amt of $93.92 but she sd she already made a payment in the amt of $73.92 with the chk#3702 on 09/19/08 and the chk was cashed in october but she dont know the exact cashed date. so she sd she should currently owe only $20 so she sd we need to verify this with the dr. office and post the payment on this pt. account.-sam 12/17/08 Received a voice msg from the pt. Francis chavez ph#928 757 4810 his wife terri stated that they received a bill in the amt of $93.72 couple of months before and they sent 2 payments one in the amt of $73.92 with the chk#3702 dated 09/19/08 and another payment in the amt of $20 with the chk#3800 dated 01/23/09 so she sd she paid everything and she should not owe any balance. but again now they received a bill in the amt of $140 which she stated is incorrect. i verified her account and found that the $20 payment she made on 01/23/09 was not yet received from the dr. office and the rest of the due is for the 2007 clms so i cld her to give this info. but the phone line reached the voice mail box. left voice msg asking her to give us a call back.-sam 02/09/09

chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10

chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10

cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 062907 cld desert canyon tt chris sd clm not on file and the eff date of the policy isfrm 070106 and stil active.-james 081307 Cld Desert Canyon tt angela sd the clm is nis,need to re the member policy is eff from 07/01/2006 to still active and the mailling address also correct.mady 08/15/07 Cld Desert Canyon tt livatha sd the clm is nis, the member policy is eff from 07/01/2006 and still active and also verified mailling address,i explained her that the clm was refiled on 08/16/07 ,she sd that the clm nis for this DOS and charge amount.kevin 110907 Cld desertcanyon avr sd clm processed on 06/15/07 pd$ 06.10 chq#10007450 clm#2007061199900565 . john 08/22/08 Cld desert canyon tt oliver sd they have not received a clm for $80 but he sd they received a clm only for $10 which is for the cpt 36415 and that clm was procesed on 06/15/07 and pd $6.10 chk#10007450 bulk amt $5902.02 clm#2007061199900565. he sd we need to refile the clm again for the other 3 cpts with proof of timely filing.-sam 09/23/08 chk desert canyon website refiled clm nis, need to refile.-mark 11/11/08

cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08 cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08

cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10

Cld ae tt lisa sd clm is nis , this policy eff from 08/01/2007 to still active . payer id 53589 . i verify the mailing add. john 08/19/08 Cld aei tt mony sd clm nis. member policy is effective from 08/01/07 and still active. verified the mailing address is correct. payor id # 53589. need to refile the clm again. michael 08/20/08 Cld to the pt. Francis chavez ph#928 753 0736 extn:4116 tt his wife terri she sd she received a bill in the amt of $93.92 but she sd she already made a payment in the amt of $73.92 with the chk#3702 on 09/19/08 and the chk was cashed in october but she dont know the exact cashed date. so she sd she should currently owe only $20 so she sd we need to verify this with the dr. office and post the payment on this pt. account.-sam 12/17/08 Received a voice msg from the pt. Francis chavez ph#928 757 4810 his wife terri stated that they received a bill in the amt of $93.72 couple of months before and they sent 2 payments one in the amt of $73.92 with the chk#3702 dated 09/19/08 and another payment in the amt of $20 with the chk#3800 dated 01/23/09 so she sd she paid everything and she should not owe any balance. but again now they received a bill in the amt of $140 which she stated is incorrect. i verified her account and found that the $20 payment she made on 01/23/09 was not yet received from the dr. office and the rest of the due is for the 2007 clms so i cld her to give this info. but the phone line reached the voice mail box. left voice msg asking her to give us a call back.-sam 02/09/09

chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10

chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 chk in aei website clm nis the policy eff from 01/01/92 to still active. john 11/19/09 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10

cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08 cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08

cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10

Cld ae tt lisa sd clm is nis , this policy eff from 08/01/2007 to still active . payer id 53589 . i verify the mailing add. john 08/19/08 Cld aei tt mony sd clm nis. member policy is effective from 08/01/07 and still active. verified the mailing address is correct. payor id # 53589. need to refile the clm again. michael 08/20/08 Cld to the pt. Francis chavez ph#928 753 0736 extn:4116 tt his wife terri she sd she received a bill in the amt of $93.92 but she sd she already made a payment in the amt of $73.92 with the chk#3702 on 09/19/08 and the chk was cashed in october but she dont know the exact cashed date. so she sd she should currently owe only $20 so she sd we need to verify this with the dr. office and post the payment on this pt. account.-sam 12/17/08 Received a voice msg from the pt. Francis chavez ph#928 757 4810 his wife terri stated that they received a bill in the amt of $93.72 couple of months before and they sent 2 payments one in the amt of $73.92 with the chk#3702 dated 09/19/08 and another payment in the amt of $20 with the chk#3800 dated 01/23/09 so she sd she paid everything and she should not owe any balance. but again now they received a bill in the amt of $140 which she stated is incorrect. i verified her account and found that the $20 payment she made on 01/23/09 was not yet received from the dr. office and the rest of the due is for the 2007 clms so i cld her to give this info. but the phone line reached the voice mail box. left voice msg asking her to give us a call back.-sam 02/09/09

chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10

cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08 cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08

cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10

Cld ae tt lisa sd clm is nis , this policy eff from 08/01/2007 to still active . payer id 53589 . i verify the mailing add. john 08/19/08 Cld aei tt mony sd clm nis. member policy is effective from 08/01/07 and still active. verified the mailing address is correct. payor id # 53589. need to refile the clm again. michael 08/20/08 Cld to the pt. Francis chavez ph#928 753 0736 extn:4116 tt his wife terri she sd she received a bill in the amt of $93.92 but she sd she already made a payment in the amt of $73.92 with the chk#3702 on 09/19/08 and the chk was cashed in october but she dont know the exact cashed date. so she sd she should currently owe only $20 so she sd we need to verify this with the dr. office and post the payment on this pt. account.-sam 12/17/08 Received a voice msg from the pt. Francis chavez ph#928 757 4810 his wife terri stated that they received a bill in the amt of $93.72 couple of months before and they sent 2 payments one in the amt of $73.92 with the chk#3702 dated 09/19/08 and another payment in the amt of $20 with the chk#3800 dated 01/23/09 so she sd she paid everything and she should not owe any balance. but again now they received a bill in the amt of $140 which she stated is incorrect. i verified her account and found that the $20 payment she made on 01/23/09 was not yet received from the dr. office and the rest of the due is for the 2007 clms so i cld her to give this info. but the phone line reached the voice mail box. left voice msg asking her to give us a call back.-sam 02/09/09

chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10

cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld unicare tt nancy.f sd clm processed on 071807 awl$721.42 pd$696.42 co-pay$25 its a single chk chk#500281256 clm#071920201100.-james 080307 Cld unicare tt susanne she sd the chk was not yet cashed because they took the paymnent back on 05/28/08 as they paid incorrectly to the wrong provider. again the chk was reissued on 06/02/08 but she sd this time it was sent to krmc mailing add. and returned back to them so i asked her to reissue the chk to our correct payto add. also updated our correct payto add. with them. she sd she will reissue the chk to the correct payto add. and it will take 30 days for us to receive the chk.-sam 091908 cld unicare tt randi,requested EOB copy thru fax,i given our fax# ,we will receive it shortly.kevin 013009 Cld unicare tt lovesa sd that this clm was paid directly to the member on 07/18/07 in the amt of $696.42 and we need to get the payment from the member. i explained her that we previously cld on 09/19/08 and got the info. that the chk was sent to the incorrect add. so they sd they will reissue the chk again to us but she sd it was already paid to the member and we need to contact the member for the payment details and she cannot release anyother info. on this clm. clm#071920201100-sam 02/23/09 Cld to the pt. Doreen saffeels ph#928 757 9283 she sd she recieved a bill in the amt of $955.51 which was for the dos 05/31/07 so she asked the reason for the bill. i verified her account and explained her that this clm was first paid by the ins. unicare on 07/18/07 later they took back the payment on 05/28/08 as it was paid to he wrong provider so they sd they will reissue the chk again but till now we have not received the payment on this clm. so we cld them again on 02/23/09 and at that time the rep lovesa stated that the payment was made directly to the member and we need to contact the member for the details. because of this we sent the bill to her. then she sd she will contact the ins. to check on this. she cld again and stated that she checked with unicare and they stated the same thing that they paid it directly to her and gave the chk details. then she sd now she remember the chk and she also sd she gave the chk to the dr. office directly she also sd she requested a copy of the chk from unicare and as soon as she receive that she sd she will mail it to the dr. office and we can check it.-sam 04/07/09 Cld unicare tt kathy sd the the clm was processed and paid directly to the member on 07/18/2007 in the amt of $696.42 and the member also have a copay of $25 so she sd we need to contact the member for the payment details. but i explained her that the payment made in the amt of $692.46 is for the hospital charges and not for the provider charges but she sd the payment made was only for the provider charges in the amt of $692.46 and it is not for hospital charges so she sd we need to contact the member to get the providers payment. clm#071920201100-sam 06/11/09 Cld unicare tt joyce she sd the hospital payment in the amt of $849.52 was paid directly to the hospital and no recoupment was made on the hospital paymnet and she also sd the the provider payment in the amt of $696.42 was paid directly to the member and she also sd no recoupment was taken on the provider payment also. she sd the pt. got the provider payment and we need to get the payment from the member. she also sd if the member says any recoupment was made or she needs any clarification on this clm then she need to contact the member services directly to clarifiy on this-sam 07/06/09cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08 cld bcbs tt debra sd the clm for the cpt 99233 was dnd as they require pre auth. asked her to verify the auth#01a2tc9b whether it is valid or not but she sd she cannot verify that info.-sam 082407 Cld bcbs tt cathy sd clm dnd as the home plan requires pre auth for the cpt 99233 for this cpt to get paid. she also sd if we need more details need to contact the home plan directly. cld bcbs homeplan tt gerald sd cpt 99233 require auth to process the clm. he also sd that they have the auth for dos 10/08/07-10/09/07 alone and there is no auth found for the dos 05/08/07 - 05/09/07. explained him that we previously got the info that authorization is not required for automation but he sd they require pre auth for automation he also we need to contact pre certification dept to check on this. Cld bcbs pre certification @ 866-776-4793 tt catherine asked her verify the auth #01a2tc9b is correct or not. she sd cannot chk this bcoz she dont have access to chk this.-michael 08/29/08 Cld to the pt. Carol rappleye ph#928 727 8801 she sd she received a bill in the amt of $1632.30 which was for the dos 05/08/07 - 05/09/07 & 10/08/07 but she sd the cpt code 37215 billed on 10/08/07 was billed incorrectly to the ins. she sd on that day she had stint putting in her heart which is covered under her plan but the cpt code was billed incorrectly as experimental or investigational procedure she also sd the same thing had happened on 05/09/07 also. so she sd we need to check with the dr. office for the correct cpt code and need to rebill the clms again to bcbs with the correct cpt code for payment.-sam 12/15/08

cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10 cld aetna avr sd the member policy eff from 07/08/2005 to still active.-mark 02/17/09 cld aetna avr sd clm was processed on 02/18/09 and alwd$169.71 to be pd$104.60 chq not yet issued copay$38.96 coins$26.15.kevin 030409 Received a voice msg from the pt. Lynn kite ph#928 692 9660 she stated that she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she stated that she did not had any service with dr. Kalanithi on 02/05/09 she just saw the dr. for 2 seconds but she received a bill in the amt of $65.11 she also sd she already paid her copay of $40 for this visit and so she sd she should not receive any other bills other than the $40 for the dos 02/05/09 for which she did not had any service with dr. kalanithi. so she sd we need to verify this with dr. office and adjust the balance. i cld her back to the ph# several times but it reached the voice mail box. left voice msg asking her to give us a call back.-sam 11/03/09 Cld to the pt. Lynn kite ph#928 692 9660 she sd she received a bill in the amt of $65.11 which was for the dos 02/05/09 but she sd the bill we sent is incorrect because on the dos 02/05/09 she just saw the dr. for 5 mins and she did not had any service on that day she also sd she paid her copay of $40 on the dos and she should not owe anything more than $40 but in the bill which she received it was stated that she had Myocardial perfusion ima & Myocardial perfusion stu but she never had those services on that day so she sd we need to verify this with the dr. office and adjust the balance also stated that we need to post $40 on this dos which she already paid. -sam 01/05/10

chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10

chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10chk in aei web site clm nis . john 01/20/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Cld to the pt. Charles kaiser ph# 928 692 2533 he sd he received a bill in the amt of $135.92 which was for the dos starting from 10/19/09 - 12/12/09 but he sd he didnt have any services on any of these dos and he also stated that he dont know any of the dr. names printed on the bills and his insurance company is not Administrative enterprises. so he sd the bill was incorrectly sent to him to his add. and so he sd we need to verify this with the dr. office and we need to send the bill to correct pt. also verified the dob and ssn# we have on file but he sd its not his ssn# and his dob.-sam 04/05/10 Received a call again from this pt. Charles kaiser ph#925 890 3517 he previously cld us and stated that the bill sent to him was incorrect and the dob and insurance details we have does not belongs to him so he sd we need send the statement to the correct pt. add. but again he received the same bill dated 05/04/10 so he sd we need to check with the dr. office and need to send the bill to the correct pt. add. and he should not receive this bill again. pls do the needful.-Sam 05/12/10