tag:blogger.com,1999:blog-2447438783001404385.post3958887835042660625..comments2024-03-29T04:35:04.384-05:00Comments on Jackson Jambalaya: Blue Cross Pays Up to Advanced Infusion ServicesKingfishhttp://www.blogger.com/profile/06184990110961727404noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-2447438783001404385.post-60339707253918904352023-08-01T17:14:31.593-05:002023-08-01T17:14:31.593-05:00AIS has been fraudulently billing insurances for y...AIS has been fraudulently billing insurances for years! Several years ago, I switched to a Humana Medicare plan. AIS and my pain physician had an agreement that intrathecal pump patients receiving their compounded medications from AIS and who had Medicare only,would pay AIS $45 for roughly, a 3 month supply. Medicare does not cover the intrathecal pump meds. But when I switched to Humana, all of a sudden,I started receiving bills for exorbitant amounts i.e.$400+ for the same amount of medications. When I questioned AIS and looked at their billing practices and procedure codes, I realized they were using the code for a home healthcare nurse to come to my home, and administer the medication(s). I was getting my pump refilled in my physician's office and not at home! I complained to Humana, Medicare, Attorney General, etc. because this was insurance fraud, plain and simple! Did I mention I was a retired nurse with 25 yrs of insurance experience?! My complaints fell on deaf ears! Long story short, they billed Humana tens of thousands of dollars and Humana paid! Even after I had spoken with supervisors, managers, etc.! I even filed a complaint with their fraud dept.! Nothing worked! No one listened! To this day, I refuse a Medicare advantage plan because AIS said they will continue to bill in this fashion. They did write off all the monies (my 20%) that they said I owed them! Wonder why? I'd love to have one of those plans again because of the vision and dental benefits and I can't. I can't watch AIS continue to use fraudulent billing practices! I hope the FBI shuts these crooks down! I'll get my pump meds some way, some how. Hopefully from a company nothing like AIS!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2447438783001404385.post-45456284804681298362023-07-17T12:37:15.026-05:002023-07-17T12:37:15.026-05:00As one who uses AIS compounding pharmacy services ...As one who uses AIS compounding pharmacy services for the medication in my intrathecal pump. Their charges are absurd! I mean absolutely mind blowingly , astronomical and that’s before BCBS pays a huge portion. Which leaves me over a barrel with a huge payment due because I have no choice in the matter!Frustrated Consumerhttps://www.blogger.com/profile/04312761825414042653noreply@blogger.comtag:blogger.com,1999:blog-2447438783001404385.post-67710804937687555722023-03-05T14:26:49.221-06:002023-03-05T14:26:49.221-06:00Bill Dees...
The Alex Murtaugh case? Are you seri...Bill Dees...<br /><br />The Alex Murtaugh case? Are you serious? There was a whole lot more than circumstantial evidence in that situation. Terrible example Bill.<br /><br />UMMC cried uncle first because they were hemorrhaging money, and BCBS just let them up so they could get back to business, on BCBS's terms. If they had pursued their litigation of UMMC afterwards, they would have looked like the bad guy you think they are. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2447438783001404385.post-67866507241228958202023-03-05T12:19:45.969-06:002023-03-05T12:19:45.969-06:00@7:08 AM The circumstantial evidence is overwhelm...@7:08 AM The circumstantial evidence is overwhelming. (see e.g. Alex Murtaugh) BC/BS does not give up like this unless they know they're wrong. An apology? Seriously? The apology, in this context, means "We are REALLY GLAD we didn't get popped for punitive damages." Bill Deeshttps://www.blogger.com/profile/05783439083705405079noreply@blogger.comtag:blogger.com,1999:blog-2447438783001404385.post-85918707399706859862023-03-05T07:08:18.063-06:002023-03-05T07:08:18.063-06:00Please clarify your proof that BCBS "knew the...Please clarify your proof that BCBS "knew they were wrong and apologized" or concede you're making things up. UMMC was on the ropes if you recall, and still is after losing the burn center. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2447438783001404385.post-63578154333979634882023-03-03T17:56:04.234-06:002023-03-03T17:56:04.234-06:00@5:10 pm.
the medical offices filing fraudulent cl...@5:10 pm.<br />the medical offices filing fraudulent claims should be reported to AG office under anonymous reported. <br />There are many!<br />I could give you a few names ..... but I will wait.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2447438783001404385.post-58093970090870622162023-03-03T17:10:40.981-06:002023-03-03T17:10:40.981-06:00I wish the FBI would raid BCBS! They deserve it!I wish the FBI would raid BCBS! They deserve it!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2447438783001404385.post-22551008275172061472023-03-03T17:05:18.851-06:002023-03-03T17:05:18.851-06:00Ahhh…..a “pain clinic patient” is upset
But bam t...Ahhh…..a “pain clinic patient” is upset<br /><br />But bam the weed, y’all Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2447438783001404385.post-92014844260507656952023-03-03T12:21:10.471-06:002023-03-03T12:21:10.471-06:00Reminder that the same people who will tell you th...Reminder that the same people who will tell you that cannabis isn’t medicine are always silent about their preferred vices! The don’t mind the “medicines” that Perdue Pharma knew would get America hooked and earn them trillions!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2447438783001404385.post-33333588266882082562023-03-03T11:00:11.074-06:002023-03-03T11:00:11.074-06:00BC/BS Mississippi knows how to fight long and hard...BC/BS Mississippi knows how to fight long and hard. (e.g. UMMC) They settled this case and apologized because they knew they were wrong. There has to be more to the FBI's involvement than the allegations in this federal lawsuit.Bill Deeshttps://www.blogger.com/profile/05783439083705405079noreply@blogger.comtag:blogger.com,1999:blog-2447438783001404385.post-39024629719317881182023-03-03T10:27:27.873-06:002023-03-03T10:27:27.873-06:00Where there is smoke there is fire-Where there is smoke there is fire-Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-2447438783001404385.post-71657330396810124132023-03-03T10:24:42.977-06:002023-03-03T10:24:42.977-06:00Mess with the cross and you’ll get the shieldMess with the cross and you’ll get the shieldAnonymousnoreply@blogger.com