Reply to Humana Military - TRICARE Claims

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[quote=Anonymous]Does anyone know who the gov't representative is for the Humana Military East contract? I had medical services at an in-network provider that was pre-approved and authorized. They denied the claim on the basis that I had other health insurance, which ended at the beginning of this year. I sent in the required form to say that we have no other health insurance as of 1/1/18. I called Humana, they confirmed that they received the form and that the system is updated, and that the denied claims will be re-processed. However, the provider is asking for payment which is of course a lot higher than the allowable charges. To add insult to injury, I received a letter from TRICARE to say that I may need refund them for the other claims they processed and paid because I have other health insurance. This is after I went through the entire process to prove I don't have other health insurance (I filled out the form and sent them a copy of the letter from the other health insurance showing the other coverage termination date). [/quote]

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