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Signed in as Nathan Wilde
VP Revenue Cycle
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Marcus BellOxygen rental · billing review
Over-billedCorrect billing
$214.00
52 days aged
Review
INSURANCE
Anthem PPO
CONSENT
SMS opt-in · 2024-03-30
CONTACT HISTORY
0 SMS · 2 statements mailed
POLICY IN FORCE · v3.2
Min $75
Max 4mo
Autopay opt-in
Charity on
Activity log
Every touch on this account, in order, across every channel, with the reason, the guardrail, and the signals it cites. Signal chips jump you to the Intelligence tab.
Tue May 20
MAIL
Verse, mailedMailed
Statement #1, $214
Verse billing statement · no response
Why First statement, mailed by the old process before the agent took the account. No response.
Wed Jun 18
MAIL
Verse, mailedMailed
Statement #2, $214
Second notice · no response
Why Second statement, also unanswered. Two silent statements is exactly the pattern that hides a billing error.
Mon Jul 7
AGENT
Internal step11:02a
Two statements mailed, no response. Before a third touch, re-check his benefits against the charge, because a balance nobody can explain is a balance nobody should pay.
CALL
Verse, outbound11:03aRECEIPT
Benefit re-check
Agent pulled the payer EOB before reaching out
Why Pulled the payer EOB for this oxygen-rental month and compared it to his plan's accumulator.
AGENT
Internal step11:03aRE-DETERMINED
He hit his out-of-pocket max on Apr 30. After that date the plan owes 100%, patient responsibility on this charge is $0. Re-routing it to the insurer.
SMS
Verse11:05a
Hi Marcus, this is Verse Medical about your oxygen equipment. Good news, I checked your plan and you'd already hit your out-of-pocket max for the year, so you don't actually owe the $214 we mailed you. I've sent it to your insurer instead. Nothing for you to do, and your supplies keep coming.
Why Says it plainly and takes the action for him. We'd rather be right than bill twice.
SMS
Patient11:07a
Wait, really? I'd been dreading opening those. Thank you.
AGENT
Internal step11:07a
The risk here wasn't a write-off, it was over-billing a patient who owed nothing. Correcting it protects the relationship and makes every other charge we send credible.