Blue Cross payment error

Hi Tim,

I received the attached payment summary from Blue Cross. We are an
authorized service provider for them and have had a handful of veteran
Clients that have paid us through Blue Cross. I reached out to Blue Cross
after I received this document because we haven't had this Client since
2020 so I was very confused. Essentially, what they are telling me is that
they realized that this Client didn't qualify for all the hours they paid
us from March to July of 2020 - the total amount being $12,694.91. This is
completely their error and they have made the Client aware of this. They
said our options are either to a)cut them a cheque for the full amount by
getting the money from the Client or b)for any future clients we have with
them, they won't be paying out until the total equivalent amount is
covered. It's actually quite shocking that they are only realizing their
error after over 2 years. In addition, if they had made the Client aware of
the fact back then that they don't qualify for care, it is highly doubtful
that they would have even proceeded with the care as they can't afford it
on their own.

So the way I see it, our options are:
1. Ignore this since this is not our error, we have been fully paid and we
have no current Clients that pay us through them. This option though will
mean that we probably won't be able to accept any future Blue Cross
clients (we have had 3 or 4 in the last 12 years) since they won't pay us
until they recoup that amount.
2. Call the Client and try to claim the full amount from them so we can pay
Blue Cross. THis option is highly unlikely given that we already know the
Client was experiencing financial hardship back then.

I don't know if legal needs to get involved with this or not but just
wanted to make you aware of the situation and will wait for your guidance
on this.

Warm regards,

Carolina

Carolina Orosa
Consultant
Home Care Assistance
1861 Marine Drive,
West Vancouver, BC V7V1J7
ph:   (778) 279-3634
fax:  (778) 279-3635
website: *www.homecareassistancevancouver.ca
<http://homecareassistancevancouver.ca/>*
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