I did not see a response to your post.
We do have several contacts that have helped us previously they are out of the Philadelphia area but they may be able to get you someone in your region.
These contacts are continuously changing; I am not sure if they are still active, but it may be a good place to start.
I will list them below
Mike Taylor
Provider Data Senior Associate
PH 267-238-5672
Michael.Taylor2@healthspring.comAnne.Frank@healthspring.comSean Cosgrove, Manager of Contracting for PA and Mid-Atlantic
PH 267-238-5860
Good Luck!
Holly
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Holly DeCamp
Director of Credentialing
Medical Billing & Management Services
State College PA
(814) 235-6682
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Original Message:
Sent: 08-16-2018 14:46
From: Vicki Parikh
Subject: Cigna HealthSpring
Hi,
We have received a number of remits from Cigna HealthSpring that show a "WO" reduction in payment stating it is a "recovery of a previous overpayment," but it is showing on claims that have not previously been paid, so a previous overpayment is not possible. It also references the check that is connected to the remit, not a previous check number. Basically, we are getting paid less than the Medicare allowed amount on these claims with no apparent reason. We also have not received any refund requests from the payer.
All attempts to contact someone at Cigna Healthspring regarding this issue have been unsuccessful. Has anyone else encountered this problem? Or does anyone have a contact at Cigna Healthspring they'd be willing to share? We have tried to go through our local Medical Society, but even they are having trouble finding a contact.
Thanks,
Vicki
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Vicki Parikh
Practice Administrator
Mid-Delaware Imaging
Dover DE
3027349888
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