Monday, March 20, 2023

Humana Scam!

Michelle Jones

IF YOU BILL SERVICES TO HUMANA, PLEASE READ!!! THERE APPEARS TO BE A
SCAM!!!

Hello, all.

I don’t usually post anything on the listserv, as I am an insurance
specialist & mainly use it to garner information related to coding &
billing.

I thought this warranted sending a notification to anybody that bills
services to Humana.

We received a phone call today from a lady claiming to be from Humana. The
phone number was 212-307-2000 & it came up on our caller ID as EXL PLA ALL
CAP

She said she was requesting medical records to complete processing of a
claim. She had our patient name, ID, date of birth & date of service.

I asked her to please fax a request to us. I had my suspicions, as Humana
NEVER calls us for medical records to process a claim.

I received what appeared to be a legitimate fax with Humana’s logo &
address. I was still suspicious because the phone number attached to the
sender was a mobile phone & the fax could not be identified, but was located
in Wisconsin. Humana is in Kentucky. To add to that, the fax request said to
respond by Friday, February 3 @ 12:00 pm. No insurance company ever gives
us such a short turnaround time.

I called Humana & questioned the validity of the medical record request.
Humana made no such request!

PLEASE BE AWARE THAT THE PHONE CALL SOUNDED VALID & THE FAX APPEARED TO BE
VALID!

WE ARE GOING TO BE VERY DILIGENT IN CHECKING REQUESTS FOR MEDICAL RECORDS
FROM ALL PAYERS IN THE FUTURE!

Michelle Jones

Progressive Prosthetic & Orthopedic Services, Inc.

380 Cleveland Place

Virginia Beach, VA 23462

Phone: (757) 456-5501

Fax: (757) 671-7525

Email: [email protected]

RECENT NEWS

Get unlimited access!

Join EDGE ADVANTAGE and unlock The O&P EDGE's vast library of archived content.

O&P JOBS

Welcome Back!

Login to your account below

Retrieve your password

Please enter your username or email address to reset your password.

The O&P EDGE Magazine
Are you sure want to unlock this post?
Unlock left : 0
Are you sure want to cancel subscription?