TRI CARE and VA COMMUNITY REFERALS TAKE WARNING THIS PLACE IS NOT FOR YOU!
Since November this Tri-Care Participent has NOT been able to get bills into the claim system and has been coming after Me to "pay in full".
A quick call to Tri-Care shows they are FULL participating providers and agreed to accepting TRICARE as full payment.
How do you get paid if you can't submit the claim? (HECK, I can do it for them....)
NOW THE FUN PART AND OUR CLASS ACTION AGAINST ST. MARY'S - They, St. Mary's are going to try collecting from you for what Tri-Care does not allow and the billing office says they do this all the time with TriCare, Medicaid and Medicare holders.
I queried if it was collecting Copay OR Deductible and was told they collect for any penny remaining after PARTICIPATING AND ACCEPTING what Tricare covers.
FOR TRICARE THIS IS ILLEGAL! They agreed to the terms and must accept Tricare payment in FULL after your Copays and deductible is met....
Don't bother calling thier east coast billing office, they have NO clue and take 30 days just to resend claims to TriCare that they say don't "go through".
Use RIVERSIDE stay away from these idiots who screw Vet's and illegally take collection action against us..... read more