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Monday, April 25, 2011

TMA HASSLE FACTOR LOG HELPS MEMBER PRACTICES RECOVER MILLIONS

Thanks to intervention from TMA’s Hassle Factor Log program, a $32,000 check from UnitedHealthcare arrived earlier this year at Grand Parkway Pediatrics in Sugar Land. We helped the three-physician practice overcome a slew of claims United had incorrectly rejected as having been filed too late. In another Hassle Factor Log case, Cancer Specialists of South Texas recovered more than $28,000 in claims from Blue Cross and Blue Shield of Texas (BCBSTX) for a patient whose injections for treatment of hypogammaglobulinemia BCBSTX had denied. Since 2009, TMA’s Hassle Factor Log program has helped physicians’ practices across the state recover more than $1.1 million in unpaid claims, including more than $706,000 already in 2011. Look for details in the June Texas Medicine, and submit your own hassles at www.texmed.org/hasslefactorlog.aspx.

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