30 Oct, 2019 → by ClaimboUser579943
Money laundering/Fraud
I work for a provider company. CareCentrix is a third party biller for us and the health plan. CCX is the middle man between health plan and our provider company. I was notified that the health plan paid CareCentrix almost half a million dollars which is suppose to be for hundreds of patients that we sent claims in to CareCentrix, In return are suppose to be paid for by health plan, but through CCX. CCX is suppose to forward the Money paid on patient claims to the provider- Yet, the provider never received a dime of the check and when I called CareCentrix and asked about the check, they said they couldn’t tell me where the check went and said they would call me back. I have the check number, date is was paid, exact dollar that was paid, gave all of it to the CCX rep. and yet she CANT TELL ME WHERE THE ALMOST HALF A MILLION DOLLARS WENT?