jiajia0131
能帮我看看保险公司给我的信吗？
628
3
2008-01-14 17:15:00
儿子8月27日去看病，11月份保险公司给我寄了信，写了total charges是497。00，provider discount :290.07,Benefits Paid:206.93，并说了支票号码。这是不是指钱保险公司已经付了。
但是今天又收到信，同样的事情，却写了total charges：497。00，provider discount :0.00,Benefits Paid:0.00,non-covered services:497.00，这是不是指这钱要我付了？这封信的claim number和上封信不同，不过信上写了一句：Duplicate of charges previously considered on claim #*****(上封信上的claim number)。
我不是很明白，还望大家指点。谢谢啦！
This means that for your son's service on 8/27, the hospital sent in duplicate claims for payments. Your insurance company paid the claim the first time, so it denied the second claim, which is reasonable.
My guess is that the second duplicate claim was sent after the insurance company sent the payment but before the hospital received it. Keep the first explanation of benefits, which shows that insurance company already made payment. Ignore the second one for now. Usually the hospital's record will adjust to show payment.
"Duplicate of charges previously considered on claim #*****" is the insurance company's reason for denying the claim.
Thank you very much:)
到底了
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