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Monday, October 1, 2012

"TMA'S JUNKYARD DOG" TAKES A BITE OUT OF INSURANCE SNAFU

Despite all the warnings and training and preparation on all sides, we knew we’d see some patient care problems during the transition from Blue Cross and Blue Shield of Texas (BCBSTX) to UnitedHealthcare for the huge state Employee Retirement System. And we knew TMA had to be ready to help. One Austin surgeon is grateful for the intervention of our Payment Advocacy Department, which he calls “TMA’s Junkyard Dog.” One phone call from our team reversed a decision that would have required major surgery on an outpatient basis and rehab in a skilled nursing facility. Woof!

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