[BrianL99]

Originally Posted by Rainger99

I always thought that TVH didn’t take Medicare - only Advantage plans.

I am on Advantage and as far as I know, TVH sends the bills to UHC - not to Medicare. Does anyone know how Medicare could have been over billed?

And if Medicare was over billed, wouldn’t UHC, Blue Cross, etc., also be over billed?

And would the over billing impact patients requiring them to have higher co-pays and deductibles?

If you are on a Medicare Advantage Plan, Medicare is still paying for your health care and your Medicare Advantage Plan is managing it for Medicare .... for a %. The actual healthcare provider is essentially a "pass through', but it would seem the insurer must have some liability and/or responsibility for lack of oversight?

It's inconceivable that TV Health could have done almost $100M/year in direct medicare billings, for non-Advantage Emergency Care.

I don't see how BCBS could be involved, as TV Health doesn't accept supplemental insurance.