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Originally Posted by BrianL99
Someone in the medical business would know better, but I believe the "coding" and billing process is completely different for Advantage insurers, vs Supplemental insurers.
Again, just an educated guess ... with a Supplemental Plan, the consumer/patient is more involved in the process, up and through billing. Depending on the specifics of the supposed "computer error", it's likely that it would have been caught sooner with a Supplemental plan ... the billing is more transparent.
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Actually, you are more correct than you might think. TVH is paid on a diagnostic complexity per patient per month basis, different from straight Medicare.