I started CPAP in September 2011 with lincare as DME. Now 11-10-12 I get a bill from them for $52. It is a truncated list going through 12-11-11 to 11-10-12. What is striking is that the "allowed insurance amount" stated by them is more than the actual amount stated by Anthem by about $2 or$3 per item. The difference is clearly the amount they say I owe. Has anyone else had this problem and what was the outcome or resolution. Its a small enough amount not to be the end of the world but the pricipal is what bothers me. Next year it may be $500 for all I know. Thanks in advance for any help.
-Airplane
Licare Billing
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Airplaneman
- Posts: 18
- Joined: Fri Sep 16, 2011 6:28 pm
Licare Billing
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| Mask: Quattro™ FX Full Face CPAP Mask with Headgear |
| Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
| Additional Comments: I have the Escape Auto machine. Yes I know the pitfalls. |
- chunkyfrog
- Posts: 34545
- Joined: Mon Jul 12, 2010 5:10 pm
- Location: Nowhere special--this year in particular.
Re: Licare Billing
Send a copy to your insurance, with your concerns.
If they are pulling a fast one on you, they may be trying the same (only BIGGER) with your insurance.
If they are pulling a fast one on you, they may be trying the same (only BIGGER) with your insurance.
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| Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear |
| Additional Comments: Airsense 10 Autoset for Her |
Re: Licare Billing
In most insurance cases, you get an "EOB" Explanation Of Benefits from the insurance company stating how much they paid and "how much you may owe the provider." Don't pay more than that amount.
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| Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear |
| Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control |
| Additional Comments: Also SleepyHead, PRS1 Auto, Respironics Auto M series, Legacy Auto, and Legacy Plus |
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Click here for information on the most common alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check for yourself.
Useful Links.

