If this were isolated, that would be one thing. Either way, we should not have been billed anything, much less have had any collection agency call us demanding $2,000. VA generally pays Medicare rates, which is substantially lower than the normal amount a hospital bills insurance, so if the $15,000, who really knows that the final tally comes to. While we still do not know the full amount of the mistake when deducted against the primary insurance company, the amount missed by the adjudicator is obviously a lot given the $2,000 bill we received from the collection agency. One VA clerk from ChampVA confirmed a VA adjudicator screwed up processing the insurance claim, but the amount of the scope of the mistake was illuminating.Īpparently, the previous adjudicator failed to review the billing statements and only paid the amount listed on the bottom of each document without considering the other amounts on the itemized bill, like he was supposed to.Īs a result of the mistake, for a $15,000 bill, VA only paid $16. I faxed a notice to the collection agency contesting any liability.Īgain, we have two forms of insurance, and VA is required to cover any remaining liability for any normal medical bills. The company granted us a grace period to resolving the issue citing previous knowledge that VA might not be processing claims properly. I called collections to find out what happened. That means we should normally receive no bill from any health care provider. The problem with this scenario is my wife has a primary insurer through her employer, and ChampVA is secondary. My wife and I were contacted by an area collection agency for $2,000 in unpaid hospital charges related to the early birth of our son last year. ChampVA, the insurance for dependents of qualified veterans, paid a whopping $16 toward a $15,000 bill before it was sent to collections.
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