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TakeCare reconciles 5 years of CHC claims
TAMUNING, Guam— TakeCare would like to announce the completion of reconciliation of the Commonwealth Healthcare Corp.’s claims from 2012 to June 30, 2017, that were submitted in June 2017.
As reported in the media, CHCC has historically failed to bill either TakeCare or its members for services in a timely fashion, which has led to the recent issues and dispute between TakeCare and CHCC.
In August, TakeCare made a good-faith advance payment of $1 million to CHCC to assist CHCC operationally as well as allow both parties more time to reconcile five years’ worth of claims from CHCC.
As of today, TakeCare has found that there is still an unapplied balance of $226, 653.50 from the original advance of $1 million made to CHCC. As this balance is considered an excess payment to CHCC, TakeCare does not owe any further payments for historical claims.
TakeCare has received notification that the Commonwealth Health Center “will no longer serve as a network provider to patients with TakeCare Insurance.” TakeCare would like to make clear, despite CHC sending bills for services rendered directly to TakeCare, TakeCare members have always been self-pay patients at CHC as both parties have not entered into a provider service agreement.
However, as a professional courtesy and as a matter of convenience for CHC, TakeCare has customarily accepted billings from CHC for covered services rendered to its members, and made payment to CHC subject to policy limitations and the benefit terms of its policies.
It is our sincere hope that CHC will continue to work with TakeCare to address the claims process, including working on terms of a direct payer agreement.
About TakeCare
TakeCare’s health plans effectively cover its 30,000-plus members’ needs with exceptional, member-patient focused services. With over 40 years in the industry, TakeCare continues to uphold the highest standards of excellence for accredited provider networks, patient management expertise, and end-to-end quality control processes. (PR)
