This is a letter to a patient who has Empire Metropolitan insurance. This is a letter notifying the patient that Blue Shield was filed and informs them about their policies. This is a letter to a patient with Champus Insurance. CHAMPUS stands for Civilian Health and Medical Program of the Uniformed Services.
This is a letter to a patient who has Empire Metropolitan insurance.
Account # MA 8674
INCLUDE YOUR ACCOUNT # ON ALL CORRESPONDENCE
Jill Bennett, M.D. PC 08/02/2010
P.O. BOX 2759
Islip, NY 11751
800-828-2837 / 631-158-6030 Phone Hrs: Mon-Fri 10 AM To 1 PM
Richard/Marion Hall
35 Dover Lane
Bay Shore, NY 11706
For anesthesia or related services at Good Samaritan Medical Center
1000 Montauk Highway, West Islip, NY 11795
To Marion Hall On 07/06/2010 Amount $1,615.00
Payments received to date $1,502.40
Balance Due $112.60
A Claim has been submitted to the NYS Government Employees Health Plan (The Empire Plan) on your behalf.
Since we do not participate in The Empire Plan, the payment will be directly sent to you.
Upon receipt of the insurance benefit, please forward the payment received as a copy of the explanation of benefits. We will accept as full payment the monies received from The Empire Plan, including any deductible or coinsurance, if the funds are promptly forwarded to our office.
Should you require further clarification, please call our office at the telephone number listed above.
This is a letter notifying the patient that Blue Shield was filed and informs them about their policies.
Account # MA 8674
INCLUDE YOUR ACCOUNT # ON ALL CORRESPONDENCE
Jill Bennett, M.D. PC 08/02/2010
P.O. BOX 2759
Islip, NY 11751
800-828-2837 / 631-158-6030 Phone Hrs: Mon-Fri 10 AM To 1 PM
Richard/Marion Hall
35 Dover Lane
Bay Shore, NY 11706
For anesthesia or related services at Good Samaritan Medical Center
1000 Montauk Highway, West Islip, NY 11795
To Marion Hall On 07/06/2010 Amount $1,615.00
Payments received to date $1,502.40
Balance Due $112.60
A Blue Shield claim has been filed on your behalf.
Depending upon the contract you have, the benefit will be sent to you directly if the doctor does not participate in your plan. In that event, you are responsible for the full balance due.
If your receive of the benefit, send your check in full, and the explanation of benefits to our office.
If we receive the Blue Shield check, we will advise you of any balance due since there could be charges that are your responsibility even though we participate in the plan.
This is a letter to a patient with Champus Insurance. CHAMPUS stands for Civilian Health and Medical Program of the Uniformed Services.
Account # MA 8674
INCLUDE YOUR ACCOUNT # ON ALL CORRESPONDENCE
Jill Bennett, M.D. PC 08/02/2010
P.O. BOX 2759
Islip, NY 11751
800-828-2837 / 631-158-6030 Phone Hrs: Mon-Fri 10 AM To 1 PM
Richard/Marion Hall
35 Dover Lane
Bay Shore, NY 11706
For anesthesia or related services at Good Samaritan Medical Center
1000 Montauk Highway, West Islip, NY 11795
To Marion Hall On 07/06/2010 Amount $1,615.00
Payments received to date $1,502.40
Balance Due $112.60
You are responsible for allowing the doctor to collect any and all insurance benefits available to you.
Enclosed is a Blue Shield form – complete it and return it promptly if your coverage is through U.M.S.
If you have some other form of insurance, please obtain proper form and send it to this office for our completion.
Currently there are no comments related to "Medical Billing Letters to Patients with Blue Shield, Empire Metropolitan or Champus Insurance". You have a special honor to be the first commenter. Thanks!
Welcome to Authspot, the spot for creative writing.
Read some stories and poems, and be sure to subscribe to our feed!
