Phoned and emailed the contract same day
Been a week. Haven't called back.
I don't know what their motivations are. We do have a hospital in town that takes care of prisoners. I think the funny thing about this is - there's no amount of money I will be paid that will be worth "complications" or weird issues like losing staff who don't want to see prisoners.
Slow pay is a real thing. I just got a claim back that took 5 months to send an EOB. Its one of those little companies that contracts the rate through another company who I have an awesome contract with through my IPA. Instead it paid at 45% of the contracted rate. I got their reps email through the IPA and after a month of wait time they acknowledged that I've been underpaid for all E&M, radiology, and CPT for over a year. They are processing, but catching this sort of stuff after the fact is killer.
I literally have piles of things like this going on:
-I have an in town contract that's supposed to pay at 175% of Medicare that's paying at sub-Medicare.
-I have the network above that's supposed to pay 185% of Medicare for CPT/radiology and is used by all sorts of small plans that is paying jack 6 months later.
-1/2 my Cigna contracts aren't paying in line with my IPA contract, 1/2 are. I've emailed the rep twice and he just says they are working on it.
-I had a large employer in town switch from Cigna to some sort of self insured plan. I wrote to them asking for the rates and after a month of waiting they said the rates are "above Medicare". Yes, I was aware of that because the card literally says "Provider, we pay above Medicare". How much though.
-I've finally been able to send in my United termination. They acknowledge that they've underpaid me for like 2.5 years. They were supposed to have fixed this and paid me a year ago but they simply never did. They refuse to pay for 1 of the years even though I called them on it but they claim I wasn't specific enough in my language. They say the list of underpaid claims with settlement is on the way.
-Tricare cut my rates. They restored the rates when I called and complained. My former office manager was told to do this and never did.
-Almost all of these claims above required me to sit down and pull EOBs, contracts etc and then email at least twice.
That said. I remain committed to seeing this garbage through and then hopefully going after Aetna next. Sub-Medicare bastards. In North Carolina Aetna has a "transparent" publically available fee schedule for teachers / state employees etc that pays 160% of Medicare. Blows my mind. Excel file on the internet.