Author Topic: Narconon Insurance Billing (was Re: Narconon on WSB TV news)  (Read 41749 times)

Offline Mary_McConnell

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They used a billing service MedPro Billing. Per Wickstrom also used them, although I am not sure if he's still using them. I believe other Narconons use them as well.

MedPro Billing is owned and run by Melissa Zachariasz, who was charged in 2011 with possession of drugs. This state of FL case is open and pending a calendar call set for Feb 22nd. Here's her mugshot
http://www.lookwhogotbusted.com/fort-lauderdale-fl/zachariasz-melissa

Here are the court details
 
Broward County Case Number: 11019310CF10A   State Reporting Number: 062011CF019310A88810
Court Type: Drug Court   Case Type: Drug Court
Filing Date: 11/26/2011   Case Status: Pending
Court Location: Central Courthouse    Judge ID / Name: Porth - FR, Ari Abraham
Magistrate ID / Name: N/A   BCCN: 0802112
 
Style: State of Florida Vs. Zachariasz, Melissa   
Charge Citation/NTA Number Status Offense Date Statute Description
Filed On Filed By
1 OPEN 11/25/2011   893.03(4)(ee)   Possession Of Lorazepam   01/17/2012   Sunrise PD

This may or may not be related to the Narconon case but it sure doesn't paint a good picture.
I am a volunteer advocate for victims of the Narconon scam. I am a former scientologist. I post anonymously. Mary McConnell is my long time nom de plume. Feel free to contact me for assistance in righting the wrongs.

Offline mefree

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Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #1 on: February 10, 2013, 11:29 »
They used a billing service MedPro Billing. Per Wickstrom also used them, although I am not sure if he's still using them. I believe other Narconons use them as well.

MedPro Billing is owned and run by Melissa Zachariasz, who was charged in 2011 with possession of drugs. This state of FL case is open and pending a calendar call set for Feb 22nd. Here's her mugshot
http://www.lookwhogotbusted.com/fort-lauderdale-fl/zachariasz-melissa

Here are the court details
 
Broward County Case Number: 11019310CF10A   State Reporting Number: 062011CF019310A88810
Court Type: Drug Court   Case Type: Drug Court
Filing Date: 11/26/2011   Case Status: Pending
Court Location: Central Courthouse    Judge ID / Name: Porth - FR, Ari Abraham
Magistrate ID / Name: N/A   BCCN: 0802112
 
Style: State of Florida Vs. Zachariasz, Melissa   
Charge Citation/NTA Number Status Offense Date Statute Description
Filed On Filed By
1 OPEN 11/25/2011   893.03(4)(ee)   Possession Of Lorazepam   01/17/2012   Sunrise PD

This may or may not be related to the Narconon case but it sure doesn't paint a good picture.

Melissa has been busy.

Case Number      Party Type       Style                                                                 D.O.B            Case Type                                Filed    /    Status


11040735TI20A    Defendant   State of Florida Vs. Zachariasz, Melissa Gray   08/29/1966   Traffic Infraction Mandatory   06/17/2011  Disposed (Unlawful Speed) (Ins Require)

11019310CF10A    Defendant   State of Florida Vs. Zachariasz, Melissa   08/29/1966   Drug Court   11/26/2011 Pending (Possession Of Lorazepam)
 
13013006TI30A    Defendant   State of Florida Vs Zachariasz, Melissa Gray   08/29/1966   Traffic Infractions   02/07/2013 Pending ( Fail To Display Registration)
 
The ultimate authority must always rest with the individual's own reason and critical analysis.
-Dalai Lama

Offline ethercat

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Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #2 on: February 10, 2013, 13:30 »
I guess they let anyone do insurance billing these days. 
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Offline Mary_McConnell

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Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #3 on: February 10, 2013, 14:00 »
Funny you should post that, mefree. I just sent a reporter these notes I have accumulated recently:

Melissa Palm (Gray) Zachariasz ---Maiden name Gray

Melissa Zachariasz & the Medpro presentation of their new Flex EMR (Electronic Medical Records) cloud-based service offering.
http://www.slideshare.net/medpro/melissa-zachariasz-medpros-new-offerings
http://melissazachariasz.com/
http://melissazachariasz.net/

Melissa Zachariasz
President at Med Pro Billing
    Miami/Fort Lauderdale Area  Mental Health Care
http://www.linkedin.com/pub/melissa-zachariasz/21/976/35a

http://www.whosarrested.com/florida/broward-county/fort-lauderdale/bso/882334-melissa-zachariasz

Case Search Results
Search Criteria - Party Type: ALL | Last Name: Zachariasz | First Name: Melissa | Case Status: All
http://www.clerk-17th-flcourts.org/Clerkwebsite/BCCOC2/OdysseyPA/case_search_results.aspx?hidSearchType=party_case&txtLastName=Zachariasz&txtFirstName=Melissa&txtMiddleInitial=&txtBusinessEntity=&chkAdvSearch=0&cboCourtType=&txtDateFiledOnOrAfter=&txtDateFiledOnOrBefore=&sbmPublicParty=Submit&user_type=&DisplayCitation=yes&DisplayType=Criminal&StatusType=&AllStatusTypes=1&SearchType=&CaseType=

Case Summary
Broward County Case Number: 11019310CF10A
    State Reporting Number: 062011CF019310A88810
Court Type: Drug Court    Case Type: Drug Court
Filing Date: 11/26/2011    Case Status: Pending
Court Location: Central Courthouse     Judge ID / Name: Porth - FR, Ari Abraham
Magistrate ID / Name: N/A    BCCN: 0802112

Style: State of Florida Vs. Zachariasz, Melissa
   
Attorneys / BarID
Denotes Lead Attorney
Cash Bond Depositor
    Antonucci, Corinne    Female               
Defendant
    Zachariasz, Melissa    Female    White    08/29/1966    Ross, Alan Shelley   
Retained
BarID: 220868
State
    State of Florida                   

Future Scheduled Hearings
Date
   
Description
   
Additional Text
02/22/2013     Calendar Call     Hearing Time: 9:00 AM
Judicial Officer(s): Rothschild - FB, Michael Ian,
Location: Room 4870

    1         OPEN    11/25/2011    893.03(4)(ee)   
Possession Of Lorazepam    01/17/2012    Sunrise PD


Future Scheduled Hearings
Date
   
Description
   
Additional Text
02/22/2013     Calendar Call     Hearing Time: 9:00 AM
Judicial Officer(s): Lynch - FB, Thomas M, IV,
Location: Room 6900
01/03/2013     Hearing/Defense Motion to Suppress     Hearing Time: 1:30 PM
Judicial Officer(s): Lynch - FB, Thomas M, IV,
Location: Room 6900
01/03/2013     Hearing Defense Motion In Limine     Hearing Time: 1:30 PM
Judicial Officer(s): Lynch - FB, Thomas M, IV,
Location: Room 6900

http://www.clerk-17th-flcourts.org/Clerkwebsite/BCCOC2/OdysseyPA/CaseSummary.aspx?CaseID=5766742&hidSearchType=party_case&DisplayCitation=yes&CaseNumber=11019310CF10A&SearchType=

Case Summary
Broward County Case Number: 13013006TI30A
    State Reporting Number: 062013TR013006A88830
Court Type: Traffic Infractions    Case Type: Traffic Infractions
Filing Date: 02/07/2013    Case Status: Pending

Court Location: West Courthouse     Judge ID / Name: Clerk, Deputy
Magistrate ID / Name: N/A   

Style: State of Florida Vs Zachariasz, Melissa Gray
Attorneys / BarID
Denotes Lead Attorney
Defendant
    Zachariasz, Melissa Gray    Female    White    08/29/1966     
State
    State of Florida                   

Future Scheduled Hearings
Date
   
Description
   
Additional Text
03/06/2013     Must Comply By   

1    1998WPB    OPEN    02/01/2013    320.0605    Fail To Display Registration         Florida Highway Patrol-Ft Lauderdale

http://www.clerk-17th-flcourts.org/Clerkwebsite/BCCOC2/OdysseyPA/CaseSummary.aspx?CaseID=6480642&hidSearchType=party_case&DisplayCitation=yes&CaseNumber=13013006TI30A&SearchType=

Melissa Zachariasz
@MelissaZacharia
https://twitter.com/MelissaZacharia

http://www.medprobill.com



Company Name:     MED PRO BILLING, INC.
Status:     Active     Filing Date:     10/16/1996
Entity Type:     Domestic Profit Corporation     File Number:     P96000085360
Filing State:     Florida (FL)       
Company Age:     16 Years, 2 Months       
Principal Address:   
7200 W. Mcnab Road
Tamarac, FL 33321   
     
    Mailing Address:   
7200 W. Mcnab Road
Tamarac, FL 33321   
     
Registered Agent:   
Oppenheim Roy Desq
2500 Weston Rd Ste 404
Weston, FL 33331   
     
PRESIDENT
Zachariasz Melissa
13331 Sw 39th Street
Davie, FL 33330   
http://www.bizapedia.com/fl/MED-PRO-BILLING-INC.html     


13331 SW. 39th Street, Davie, FL 33330


Owner:
    Melissa G Zachariasz, M Melissa Zachariasz Ryszard (Revocable Trust)
City:
    Davie
Zip:
    33330
County:
    Broward County FL
Region:
    Broward
Neighborhood:
    Davie West
Subdivision:
    Imagination Farms
Street:
    SW 39th Street

775 is an Excellent credit score, what's yours?

Yr. Built:
    2001
Builder:
    Pasadena Homes
Sqft (land | living):
    42274 land | 7488 living
Bedrooms:
    N/A
Bathrooms:
    N/A
Property Taxes:
    $6,213.68 (2008)
Stories:
    1

Price     Type     Date     B-Buyer/S-Seller     Agent
$311,706     New Construction     02/25/2000     B: Ryszard M Zachariasz, Melissa Gray Zachariasz     BA: N/A
            S: Pasadena Imagination Farms Inc     SA: N/A
http://southflorida.blockshopper.com/property/504026071700/13331_sw_39th/

Case Summary
Broward County Case Number: FMCE04012321    State Reporting Number: 062004DR012321AXDVCE
Court Type: Civil Division - Domestic Violence Court     Case Type: Dating Violence
Incident Date: N/A    Filing Date: 06/21/2004
Court Location: Central Courthouse     Case Status: Disposition Entered
Magistrate ID / Name: N/A    Judge ID / Name: 59 Kaplan, Michael G.

Style: Daniel Alejandro Kasckarow Petitioner vs. Melissa Zachariasz Respondent

Party Detail
Party Type
   
Party Name
   
Sex
   
Race
   
D.O.B.
   
D.O.D.
   
Attorneys / BarID
Denotes Lead Attorney
Petitioner
    Kasckarow, Daniel Alejandro                        Pro Se   
Retained
 
Respondent
    Zachariasz, Melissa   

http://www.clerk-17th-flcourts.org/Clerkwebsite/BCCOC2/OdysseyPA/CaseSummary.aspx?CaseID=1320215&hidSearchType=party_case&DisplayCitation=no&CaseNumber=FMCE04012321&SearchType=               
------------

Designation:     Sexual Offender
Name:     DANIEL ALEJANDRO KASCKAROW
Status:     Released - Required to Register
Department of Corrections #:     L21974
Search the Dept of Corrections Website
Date of Birth:     05/30/1979
Race :     White
Sex:     Male
Hair:     Brown
Eyes:     Brown
Height:     6'00"
Weight:     175 lbs
Address     Address Source Information     Map Link
Out of State
BROOKLYN, NY 11235
UNKNOWN COUNTY     Source: Florida Dept. of Law Enforcement
Received: 06/19/2008
Type of Address: Permanent     Address not mappable
Crime Information - Qualifying Offenses
Adjudication Date     Crime Description     Court Case Number     Jurisdiction & State     Adjudication
06/04/1999     LEWD,LASCIVIOUS CHILD U/16; F.S. 800.04 (ACCESSORY)     9806156     BROWARD, FL     Adjudication Withheld
Victim Information
Gender:Female  Minor:Yes

http://offender.fdle.state.fl.us/offender/CallImage?imgID=395630
http://offender.fdle.state.fl.us/offender/flyer.do?personId=16903

Marriage License System - License Search

Application Number: (Year-Number)
ML-CE-1990-011995      Status:
MARRIED/RECORDED*      Application Date:
12-28-1990
Groom Name: (First Middle Last)
RYSZARD MICHAL ZACHARIASZ      Birth Date:
      Birth Place:

Groom Reside, City:
      County:
      State or Foreign Country:

Bride Name: (First Middle Last / Maiden)
MELISSA PALM GRAY      Birth Date:
      Birth Place:

Bride Reside, City:
      County:
      State or Foreign Country:

Married By:
      Marriage Date:
      Marriage Location:

ame/Aliases     Has lived in     Has worked at     Has studied at     Related to     DOB     Phone     Address
Melissa P Gray
Melissa Gray Zachariasz
    Miami, FL
Fort Lauderdale, FL
Pompano Beach, FL
Davie, FL     MedPro Billing
Billing         Ryszard Zachariasz
Richard Zachariasz
Laura Gray
-----------

Case Number    Party Type    Style    Party D.O.B or Year of D.O.B    Case Type    Filed / Status
10045057TI20A     Defendant    State of Florida Vs. Zachariasz, Ryszard Michal    09/29/1963    Traffic Infractions    06/25/2010
Disposed
   
Filed By
    1    3153GGZ    Disposition Entered    06/15/2010    316.0895(1)    Following Too Closely         Broward Sheriff Office

« Last Edit: February 10, 2013, 14:12 by Mary_McConnell »
I am a volunteer advocate for victims of the Narconon scam. I am a former scientologist. I post anonymously. Mary McConnell is my long time nom de plume. Feel free to contact me for assistance in righting the wrongs.

Offline mefree

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Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #4 on: February 10, 2013, 14:27 »
Quote
Ryszard Zachariasz
Richard Zachariasz

Interesting.
The ultimate authority must always rest with the individual's own reason and critical analysis.
-Dalai Lama

Offline BMF

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Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #5 on: February 10, 2013, 14:36 »
http://www.revenuerecoverysolutions.com/learn-more/about-our-president/

Not sure if there is a connection here, but this company is 15 minutes away from MedPro and the President's bio indicates she's worked elsewhere in the field and is on the board in other companies.  Her company handles St. Gregory, which is another non-traditional rehab.

Mary,

Do you know of any connection between these two companies?
"But now," says the Once-ler, "Now that you're here,
the word of the Lorax seems perfectly clear.
UNLESS someone like you,
cares a whole awful lot,
nothing is going to get better. Its not!"   - Dr. Seuss

Offline ethercat

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Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #6 on: February 11, 2013, 20:00 »
Just giving Mary a head start.
Not an answer, BMF, but here's an interesting question:
http://www.revenuerecoverysolutions.com/faq/
Quote
7. Should I be concerned if my billing service is generating claims with billed charges higher than industry averages?

Answer: Yes! If your billing service is generating higher-than-industry claim charges, you are susceptible to future charge backs and possible insurance fraud claims. At PRRS, we always protect our clients from any possible charge backs or of being accused of insurance fraud. Billing services tend to only care about their profitability, and that is the main reason for them billing out higher claim charges without consideration for their clients. Remember: Insurance carriers will always hold the provider of services accountable for billing fraud and charge backs. They never go after the billing provider. Yet PRRS’ goal is to be an extension of your financial department, and we do not take risks that would threaten your business.

http://www.thefreelibrary.com/Playing+the+game,+fighting+the+fight%3A+professional+billing...-a0305994971
Quote
The goal: "clean" claims

The package of capabilities offered by behavioral health billing companies, which include not only MedPro, but newer competitors including Medivance (Sunrise, Fla.) and Professional Resource Recovery Solutions (PRRS, Sunrise, Fla.) include billing and collections, behavioral health benefit verifications, and utilization review management.
...
According to Scott Delmarr, CEO of PRRS, service conversations usually begin when one organization hears that another is getting a higher level of reimbursement for a particular code or treatment. "Typically, an owner or an executive brings in the results of their billing group and says, 'What's the UCR (usual, customary, and reasonable fee) that you are getting for this procedure?' When we show them and when they see a difference, they think, 'maybe we should try this."

I find it interesting that the keywords for the http://medprobill.com/ site include:
<meta name="KEYWORDS" content="Medivance, Medivance billing service inc., behavioral health revenue specialist, 4750 Urcln Hiatus Road, 9547468232, Zarina Delmarr, Chin Zarina, Neisna carter, cliftun rocinquez, jon smith, medical billing, utilization review, electronic medical records">

but no mention of MedPro Billing or Melissa Zachariasz.   ???  I understand targetting your competitors' customers in keywords, but not including your own company's keywords??  Unless you don't want that info to be found...  ?

Not sure, but Luke may know some more about the use of meta-keywords.  There's a few more names in the keywords that could be checked out, too.
 
http://www.medivancebilling.com/
Neisha Zaffuto

http://www.corporationwiki.com/Florida/Sunrise/zarina-r-delmarr/25879728.aspx
http://www.corporationwiki.com/Florida/Sunrise/neisha-carter/26101550.aspx

http://www.indeed.com/forum/cmp/Medpro-Billing/s-company-culture-at-Medpro-Billing/t382609

There's a web here somewhere, but I'm uncertain what it is without further searching.
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Offline BMF

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Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #7 on: February 11, 2013, 21:12 »
Medivance is only 5 miles away from medpro.  Medivance has a shady looking website. 
"But now," says the Once-ler, "Now that you're here,
the word of the Lorax seems perfectly clear.
UNLESS someone like you,
cares a whole awful lot,
nothing is going to get better. Its not!"   - Dr. Seuss

Offline BMF

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  • Do or Do Not. There is no try.
Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #8 on: February 11, 2013, 21:23 »
Regardless if these companies are connected or not, they are a huge part of the problem with drug rehabs like narconon being able to take insurance.  If an insurance company wont cover inpatient costs for treatment, these guys bill for outpatient services or outrageous amounts of lab work.  Ive seen them charge $675 for one outpatient session and they charge insurance daily.  This along with labs and you have a nice little scam going.  If the rehab spend $10 to do a urinalysis test and then sends it to a lab who is in on the billing, they can charge $200 or so.  Guys like Per will drug test 3 to 5 times a week. 
"But now," says the Once-ler, "Now that you're here,
the word of the Lorax seems perfectly clear.
UNLESS someone like you,
cares a whole awful lot,
nothing is going to get better. Its not!"   - Dr. Seuss

Offline Mary_McConnell

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Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #9 on: February 11, 2013, 22:17 »
http://www.revenuerecoverysolutions.com/learn-more/about-our-president/

Not sure if there is a connection here, but this company is 15 minutes away from MedPro and the President's bio indicates she's worked elsewhere in the field and is on the board in other companies.  Her company handles St. Gregory, which is another non-traditional rehab.

Mary,

Do you know of any connection between these two companies?

I could find nothing except that they are competitors and in the same area of FL. She may have worked in the past with MedPro Billing but no evidence of that. From this statement on her website it seems she's been in the business for a while and president of another company before starting this company.:

Quote
Reimbursement expert Zarina R. Delmarr gained industry-wide praise for revolutionizing billing services in the mental health and substance abuse treatment industry. After retiring as president of a nationwide reimbursement firm, Zarina decided her work was not yet complete. The field is evolving, she concluded, and so should its billing service providers.


Here are corp and business document info on her past and current business activities

BEHAVIORAL REVENUE MANAGEMENT NETWORK LLC
Filing Information
Document Number   L12000115553
FEI/EIN Number   NONE
Date Filed   09/10/2012
State   FL
Status   ACTIVE
Effective Date   09/10/2012
Last Event   LC AMENDMENT
Event Date Filed   10/29/2012
Event Effective Date   NONE
Principal Address
13630 N.W. 8TH STREET
SUITE 220
SUNRISE FL 33325 US
Mailing Address
13630 N.W. 8TH STREET
SUITE 220
SUNRISE FL 33325 US
Registered Agent Name & Address
THE LAW OFFICES OF JEFF COHEN, P.A.
909 S.E. 5TH AVENUE
SUITE 200
DELRAY BEACH FL 33483 US
Manager/Member Detail
Name & Address
Title MGRM
DELMARR, ZARINA
13630 N.W. 8TH STREET, SUITE 220
SUNRISE FL 33325 US
Title MGRM
DELMARR, SCOTT
13630 N.W. 8TH STREET, SUITE 220
SUNRISE FL 33325 US
http://sunbiz.org/scripts/cordet.exe?action=DETFIL&inq_doc_number=L12000115553&inq_came_from=OFFFWD&cor_web_names_seq_number=0001&names_name_ind=P&ret_names_cor_number=&ret_cor_web_names_seq_number=&ret_names_name_ind=&ret_names_comp_name=&ret_names_filing_type=&ret_cor_web_princ_seq=&ret_princ_comp_name=DELMARRZARINA&ret_princ_type=


Zarina DELMARR is recently married to Scott Delmarr. This is her maiden name:

Zarina R Nagrani   Sunrise, FL  |  30 years old
   
Previous Locations    Sunrise, FL  |  Plantation, FL  |  North Lauderdale, FL  |  Fort Lauderdale, FL  |  Cooper City, FL  |  N Lauderdale, FL
View full addresses >>
Aliases    Zarina R Chin  |  Zarina Chin  |  Zarina Renee Delmarr  |  R Nagrani  |  Zarina Nagrani  |  Zarina Nagranichin
Relatives    Zarina R Nagrani


She ran this company

Fictitious Name Detail
Fictitious Name
MEDIVANCE BILLING
Filing Information
Registration Number   G04160900044
Status   EXPIRED
Filed Date   06/07/2004
Expiration Date   12/31/2009
Current Owners   1
County   BROWARD
Total Pages   1
Events Filed   NONE
FEI/EIN Number   77-0637002
Mailing Address
760 NW 68TH AVENUE
PLANTATION, FL 33317

Owner Information
NAGRANI, ZARINA R
760 NW 68TH AVENUE
PLANTATION, FL 33317
FEI/EIN Number: NONE
Document Number: NONE

MEDIVANCE BILLING SERVICES, INC.
Filing Information
Document Number   P04000091331
FEI/EIN Number   NONE
Date Filed   06/14/2004
State   FL
Status   INACTIVE
Last Event   ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed   09/16/2005
Event Effective Date   NONE
Officer/Director Detail
Name & Address
Title CEO
NAGRANI, ZARINA R
760 NW 68TH AVE.
PLANTATION FL 33317
Title PCD
NAGRANI, ZARINA R
760 NW 68TH AVE.
PLANTATION FL 33317
Title VSD
NAGRANI, ZARINA R
760 NW 68TH AVE.
PLANTATION FL 33317
Title D
RODRIGUEZ, CLIFTON H CPA
3146 NW 68 ST.
FT. LAUDERDALE FL 33309
http://sunbiz.org/scripts/cordet.exe?action=DETFIL&inq_doc_number=P04000091331&inq_came_from=OFFFWD&cor_web_names_seq_number=0001&names_name_ind=P&ret_names_cor_number=&ret_cor_web_names_seq_number=&ret_names_name_ind=&ret_names_comp_name=&ret_names_filing_type=&ret_cor_web_princ_seq=&ret_princ_comp_name=NAGRANIZARINA&ret_princ_type=
http://www.revenuerecoverysolutions.com/learn-more/
I am a volunteer advocate for victims of the Narconon scam. I am a former scientologist. I post anonymously. Mary McConnell is my long time nom de plume. Feel free to contact me for assistance in righting the wrongs.

Offline ethercat

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Re: Narconon Insurance Billing
« Reply #10 on: February 12, 2013, 14:53 »
This thread has been split from the WSB discussion related to Narconon of Georgia, since it's a complete topic in its own right, and related to more NNs than just Georgia.


Narconon Freedom Center's Contract (bolding is mine):
http://www.freedomdrugrehab.com/wp-content/themes/freedomdrugrehab/images/contract.pdf
Quote
INSURANCE BILLING INFORMATION
FREEDOM CENTER will automatically provide insurance billing at a service fee of 15% of the recovered amount. We will make every attempt to get reimbursement for the maximum benefit allowable by your insurance company's contractual benefits.

In order to correctly process the insurance we will need the insurance information given to us in advance. This is so we have the time needed to prepare for the submission of the claim. Then MedPro billing will create a claim and submit it to the insurance company of the student for processing. MedPro will follow up to ensure they receive it and have all data needed to begin processing the claim. Insurance companies usually take another 30 days before they will even begin to process.

Prior approval or precertification by the member may be required in some instances, especially if the treatment program is out of state. It is the guarantor’s responsibility to check with the insurance company on whether this is required. If so, feel free to contact our medical biller with any questions on how to proceed or simply verify approval prior to the student’s arrival.

Once the claim has been processed, a check will be sent payable to us for all benefits. The Finance department will deposit the check and a new check will be issued to the guarantor for 85% of the amount received, not to exceed the program fee total. Of course, FREEDOM CENTER cannot guarantee that any insurance company or any other source of funding will pay, but can only make estimations or suggestions based on what information the insurance company provides to us. The responsible party understands that if insurance does not pay they are liable for all fees.

If you wish to check status of the claim, you should contact your Insurance Company's customer service department on the back of the card. Should you choose to waive this insurance billing service, please inform us in writing. We will instead, provide you with a claim to process on your own at a fee of $398.00. We assume no responsibility for any and all insurance billing. If insurance does not pay, it is the responsibility of the responsible party to pay the balance due for the program.

I'd be interested to hear what others think about the reimbursement of 85% instead of 100%, and also the $398.00 fee for giving the client a claim for them to submit on their own.  This seems highly irregular to me.  Most people would hear that $398 figure, and say, "ok you file it for me", but in reality, NN can possibly be getting much, much more than that, even if they're honest about the 85%/15% split!

Backup copy of contract here: http://alley.ethercat.com/storage/NarcononFreedomCenter-contract.pdf just in case.

medprobill.com
 Administrative Contact:
      Shaheed, Anelia  ashaheed@medprobill.com
      Med Pro Billing
      7200 W McNab Road
      Tamarac, Florida 33321
      United States
      +1.9545877771      Fax -- +1.9547279859

   Technical Contact:
      Shaheed, Anelia  ashaheed@medprobill.com
      Med Pro Billing
      7200 W McNab Road
      Tamarac, Florida 33321
      United States
      +1.9545877771      Fax -- +1.9547279859


http://www.linkedin.com/pub/dwight-gayle/26/4a1/796
Dwight Gayle
Medical Biller at Med pro billing
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Offline mefree

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Re: Narconon Insurance Billing
« Reply #11 on: February 12, 2013, 21:40 »
Narconon Freedom Center's Contract (bolding is mine):
http://www.freedomdrugrehab.com/wp-content/themes/freedomdrugrehab/images/contract.pdf
Quote
INSURANCE BILLING INFORMATION
FREEDOM CENTER will automatically provide insurance billing at a service fee of 15% of the recovered amount. We will make every attempt to get reimbursement for the maximum benefit allowable by your insurance company's contractual benefits.

In order to correctly process the insurance we will need the insurance information given to us in advance. This is so we have the time needed to prepare for the submission of the claim. Then MedPro billing will create a claim and submit it to the insurance company of the student for processing. MedPro will follow up to ensure they receive it and have all data needed to begin processing the claim. Insurance companies usually take another 30 days before they will even begin to process.

Prior approval or precertification by the member may be required in some instances, especially if the treatment program is out of state. It is the guarantor’s responsibility to check with the insurance company on whether this is required. If so, feel free to contact our medical biller with any questions on how to proceed or simply verify approval prior to the student’s arrival.

Once the claim has been processed, a check will be sent payable to us for all benefits. The Finance department will deposit the check and a new check will be issued to the guarantor for 85% of the amount received, not to exceed the program fee total. Of course, FREEDOM CENTER cannot guarantee that any insurance company or any other source of funding will pay, but can only make estimations or suggestions based on what information the insurance company provides to us. The responsible party understands that if insurance does not pay they are liable for all fees.

If you wish to check status of the claim, you should contact your Insurance Company's customer service department on the back of the card. Should you choose to waive this insurance billing service, please inform us in writing. We will instead, provide you with a claim to process on your own at a fee of $398.00. We assume no responsibility for any and all insurance billing. If insurance does not pay, it is the responsibility of the responsible party to pay the balance due for the program.

I'd be interested to hear what others think about the reimbursement of 85% instead of 100%, and also the $398.00 fee for giving the client a claim for them to submit on their own.  This seems highly irregular to me.  Most people would hear that $398 figure, and say, "ok you file it for me", but in reality, NN can possibly be getting much, much more than that, even if they're honest about the 85%/15% split!

Backup copy of contract here: http://alley.ethercat.com/storage/NarcononFreedomCenter-contract.pdf just in case.

medprobill.com
 Administrative Contact:
      Shaheed, Anelia  ashaheed@medprobill.com
      Med Pro Billing
      7200 W McNab Road
      Tamarac, Florida 33321
      United States
      +1.9545877771      Fax -- +1.9547279859

   Technical Contact:
      Shaheed, Anelia  ashaheed@medprobill.com
      Med Pro Billing
      7200 W McNab Road
      Tamarac, Florida 33321
      United States
      +1.9545877771      Fax -- +1.9547279859


http://www.linkedin.com/pub/dwight-gayle/26/4a1/796
Dwight Gayle
Medical Biller at Med pro billing

Oh what a crock, crook this is!

All across the U.S. facilities precertify and file claims at no charge to the patient. This proves that money is the priority (not that I needed proof).

I'm feeling a bit ^:-P^ and this is where they are going when they get caught. ||||o|||| Hopefully, the Georgia investigation into insurance fraud has spread like wildfire to all of the Narconon facilities.
The ultimate authority must always rest with the individual's own reason and critical analysis.
-Dalai Lama

Offline BMF

  • Potential Trouble Source
  • Posts: 240
  • Do or Do Not. There is no try.
Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #12 on: February 12, 2013, 22:01 »
Its not reimbursement if they are taking 15%.  Its scamontolgy.  Why take 15%?  They are already overcharging and making shit up to milk the insurance companies.  Fortunately they are greedy and this always gets people caught.  Its only a matter of time....
"But now," says the Once-ler, "Now that you're here,
the word of the Lorax seems perfectly clear.
UNLESS someone like you,
cares a whole awful lot,
nothing is going to get better. Its not!"   - Dr. Seuss

Offline ethercat

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Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #13 on: February 12, 2013, 22:14 »
Just for some perspective, I'm going to toss this link in here:
http://www.thefix.com/content/have-you-had-trouble-getting-your-insurance-company-pay-treatment

Wear your flame-retardant suits, though; those people in that discussion are not the ladies and gentlemen that we are, and apparently The Fix has no moderators.   ;D
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Offline ethercat

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Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #14 on: February 12, 2013, 22:16 »
Its not reimbursement if they are taking 15%.  Its scamontolgy.  Why take 15%?  They are already overcharging and making shit up to milk the insurance companies.  Fortunately they are greedy and this always gets people caught.  Its only a matter of time....

Maybe they hope the math will confuse people, so they don't realize they're really taking way more than 15%.  Do you know how many people can't calculate percentages?   :(
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Offline BMF

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  • Do or Do Not. There is no try.
Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #15 on: February 12, 2013, 22:27 »
Just for some perspective, I'm going to toss this link in here:
http://www.thefix.com/content/have-you-had-trouble-getting-your-insurance-company-pay-treatment

Wear your flame-retardant suits, though; those people in that discussion are not the ladies and gentlemen that we are, and apparently The Fix has no moderators.   ;D

They are meanies over there.
"But now," says the Once-ler, "Now that you're here,
the word of the Lorax seems perfectly clear.
UNLESS someone like you,
cares a whole awful lot,
nothing is going to get better. Its not!"   - Dr. Seuss

Offline who me?

  • Joker and Degrader
  • Posts: 109
Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #16 on: February 12, 2013, 23:01 »
So, I decided to google the phone number (954-587-7111) for MedPro (with and without "HIPAA" as another key word) and got 18 businesses and several have the NPI information (why I include the "HIPAA" keyword). So why would so many separate entities have the same phone number (and there are shared fax numbers between some of these)?

1.       [PDF] 
1730339771 NPI number - HIPAASpace
www.hipaaspace.com/Medical_Billing/.../NPI_1730339771.pdf
File Format: PDF/Adobe Acrobat - Quick View
HIPAASpace NPI Form ... 954-587-7771 ... HIPAASpace.com in case you need the assistance in obtaining the official contacts of corresponding government ...
2.   




[PDF] 
national provider identifier (npi) form - HIPAASpace 
www.hipaaspace.com/Medical_Billing/.../NPI_1710189634.pdf
File Format: PDF/Adobe Acrobat - Quick View
HIPAASpace NPI Form ... 954-587-7771 ... HIPAASpace.com in case you need the assistance in obtaining the official contacts of corresponding government ...
3.   




DOCTORS GROUP OF THE PALM BEACHES - HIPAASpace
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
Follow HIPAASpace on Twitter ... Telephone Number, : 954-587-7771 ... You can reach the authorized official at the following phone number 954-587-7771.
4.   




RECOVERY PHYSICIAN GROUP OF CALIFORNIA ... - HIPAASpace 
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
HIPAASpace Facebook Wall. Follow HIPAASpace on Twitter · Tweet ... Phone 954-587-7771. Fax. The provider's official mailing address is: PO BOX 2323 ...
5.   




RECOVERY PHYSICIAN GROUP OF TENNESSEE ... - HIPAASpace 
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
HIPAASpace Facebook Wall. Follow HIPAASpace on Twitter · Tweet ... Phone 954-587-7771. Fax. The provider's official mailing address is: PO BOX 2323 ...
6.       PHYSICIANS MEDICAL ASSOCIATES, LLC - HIPAASpace 
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
Follow HIPAASpace on Twitter ... Telephone Number, : 954-587-7771 ... You can reach the authorized official at the following phone number 954-587-7771.
7.       @Florida Rehabilitation Hospital : : Results 1-100
www.e-physician.info/FL-hospitals-rehabilitation-hospital/
Results 1 - 100 – Center For Alcohol And Drug Studies, Inc, 321 Northlake Blvd Suite 214 N Palm Beach FL 33408-5422, 954-587-7771, 283X00000X ...
8.   




Med PRO Billing, Davie FL 33314 
www.merchantcircle.com › FL  › Davie  › 33314 
Tel: 954-587-7771. Get Maps, Driving Directions, Phone #, Reviews, for Med PRO Billing in Davie. Search MerchantCircle to Find Local Businesses, Coupons ...
9.        Precise Business Billing, Davie FL 33324 
www.merchantcircle.com › FL  › Davie  › 33324 
Training, Billing, Hippa . Get Maps, Driving Directions, Phone #, Reviews, for Precise ... 954-587-7771. Davie, FL, 33314. 0.0. Associates Investments. 954- 321- ...
10.   1710189634 NPI NUMBER - PALM PARTNERS LLC 
healthprovidersdata.com › NPI Lookup 
Sep 29, 2011 – ZIP 33444. Practice Location Phone Number, (954) 587-7771. Provider Taxonomy Code, 283X00000X - Rehabilitation Hospital. Specialization ...
11.   1730339771 NPI NUMBER - NARCONON OF OKLAHOMA INC 
healthprovidersdata.com › NPI Lookup 
Sep 26, 2008 – Practice Location Phone Number, (954) 587-7771. Provider Taxonomy Code, 324500000X - Substance Abuse Rehabilitation Facility ...
12.   recovery physician group of tennessee llc - Health Providers Data 
healthprovidersdata.com › NPI Lookup 
Aug 11, 2008 – ZIP 38115. Practice Location Phone Number, (954) 587-7771. Provider Taxonomy Code, 103TA0400X - Psychologist. Specialization, Addiction ...
13.   Med Pro Billing - Tamarac, FL (Florida) | (954) 587-7771 
www.manta.com/c/mx79rbh/med-pro-billing
MedPro has been providing quality nationwide medical billing and patient management solutions for the Mental Health and Substance Abuse community sinc.
14.   PHYSICIANS MEDICAL ASSOCIATES, LLC - HIPAASpace 
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
Follow HIPAASpace on Twitter ... Telephone Number, : 954-587-7771 ... You can reach the authorized official at the following phone number 954-587-7771.
15.   THE TAJ MEMORIAL HEALTH CENTER - HIPAASpace 
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
HIPAASpace Facebook Wall. Follow HIPAASpace on Twitter · Tweet .... Practice Phone: 954-587-7771. Practice Fax: 954-252-2346. 1912145525 in HTML ...
16.   ADDICTION SOLUTIONS BY THE SEA - HIPAASpace 
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
HIPAASpace Facebook Wall. Follow HIPAASpace on Twitter · Tweet ... Practice Phone: 954-587-7771. Practice Fax: 954-727-9864. 1669631594 in HTML ...
17.   WADEN E EMERY III MDPA - HIPAASpace 
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
HIPAASpace Facebook Wall. Follow HIPAASpace on Twitter · Tweet .... Practice Phone: 954-587-7771. Practice Fax: 954-727-9864. 1669631594 in HTML ...
18.   SERENITY HOUSE DETOX - HIPAASpace 
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
33313-7811. Practice Phone: 954-587-7771. Practice Fax: 954-252-2346. 1871731356 in HTML format HTML | 1871731356 in PDF (Portable Document Format) ...
« Last Edit: February 12, 2013, 23:09 by who me? »

Offline ethercat

  • Global Moderator
  • High Value Target
  • Posts: 3,768
Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #17 on: February 12, 2013, 23:24 »
So, I decided to google the phone number (954-587-7111) for MedPro (with and without "HIPAA" as another key word) and got 18 businesses and several have the NPI information (why I include the "HIPAA" keyword). So why would so many separate entities have the same phone number (and there are shared fax numbers between some of these)?

Good question, who me?

There must have been some kind of funky character interfering with your post being complete.  Look what all I turned up when I quoted you:
Quote
1.  [PDF] 
1730339771 NPI number - HIPAASpace
www.hipaaspace.com/Medical_Billing/.../NPI_1730339771.pdf
File Format: PDF/Adobe Acrobat - Quick View
HIPAASpace NPI Form ... 954-587-7771 ... HIPAASpace.com in case you need the assistance in obtaining the official contacts of corresponding government ...

2. [PDF] 
national provider identifier (npi) form - HIPAASpace 
www.hipaaspace.com/Medical_Billing/.../NPI_1710189634.pdf
File Format: PDF/Adobe Acrobat - Quick View
HIPAASpace NPI Form ... 954-587-7771 ... HIPAASpace.com in case you need the assistance in obtaining the official contacts of corresponding government ...

3.   DOCTORS GROUP OF THE PALM BEACHES - HIPAASpace
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
Follow HIPAASpace on Twitter ... Telephone Number, : 954-587-7771 ... You can reach the authorized official at the following phone number 954-587-7771.

4.   RECOVERY PHYSICIAN GROUP OF CALIFORNIA ... - HIPAASpace 
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
HIPAASpace Facebook Wall. Follow HIPAASpace on Twitter · Tweet ... Phone 954-587-7771. Fax. The provider's official mailing address is: PO BOX 2323 ...

5.   RECOVERY PHYSICIAN GROUP OF TENNESSEE ... - HIPAASpace 
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
HIPAASpace Facebook Wall. Follow HIPAASpace on Twitter · Tweet ... Phone 954-587-7771. Fax. The provider's official mailing address is: PO BOX 2323 ...

6.       PHYSICIANS MEDICAL ASSOCIATES, LLC - HIPAASpace 
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
Follow HIPAASpace on Twitter ... Telephone Number, : 954-587-7771 ... You can reach the authorized official at the following phone number 954-587-7771.

7.   @Florida Rehabilitation Hospital : : Results 1-100
www.e-physician.info/FL-hospitals-rehabilitation-hospital/
Results 1 - 100 – Center For Alcohol And Drug Studies, Inc, 321 Northlake Blvd Suite 214 N Palm Beach FL 33408-5422, 954-587-7771, 283X00000X ...

8.   Med PRO Billing, Davie FL 33314 
www.merchantcircle.com › FL  › Davie  › 33314 
Tel: 954-587-7771. Get Maps, Driving Directions, Phone #, Reviews, for Med PRO Billing in Davie. Search MerchantCircle to Find Local Businesses, Coupons ...

9.        Precise Business Billing, Davie FL 33324 
www.merchantcircle.com › FL  › Davie  › 33324 
Training, Billing, Hippa . Get Maps, Driving Directions, Phone #, Reviews, for Precise ... 954-587-7771. Davie, FL, 33314. 0.0. Associates Investments. 954- 321- ...

10.   1710189634 NPI NUMBER - PALM PARTNERS LLC 
healthprovidersdata.com › NPI Lookup 
Sep 29, 2011 – ZIP 33444. Practice Location Phone Number, (954) 587-7771. Provider Taxonomy Code, 283X00000X - Rehabilitation Hospital. Specialization ...

11.   1730339771 NPI NUMBER - NARCONON OF OKLAHOMA INC 
healthprovidersdata.com › NPI Lookup 
Sep 26, 2008 – Practice Location Phone Number, (954) 587-7771. Provider Taxonomy Code, 324500000X - Substance Abuse Rehabilitation Facility ...

12.   recovery physician group of tennessee llc - Health Providers Data 
healthprovidersdata.com › NPI Lookup 
Aug 11, 2008 – ZIP 38115. Practice Location Phone Number, (954) 587-7771. Provider Taxonomy Code, 103TA0400X - Psychologist. Specialization, Addiction ...

13.   Med Pro Billing - Tamarac, FL (Florida) | (954) 587-7771 
www.manta.com/c/mx79rbh/med-pro-billing
MedPro has been providing quality nationwide medical billing and patient management solutions for the Mental Health and Substance Abuse community sinc.

14.   PHYSICIANS MEDICAL ASSOCIATES, LLC - HIPAASpace 
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
Follow HIPAASpace on Twitter ... Telephone Number, : 954-587-7771 ... You can reach the authorized official at the following phone number 954-587-7771.

15.   THE TAJ MEMORIAL HEALTH CENTER - HIPAASpace 
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
HIPAASpace Facebook Wall. Follow HIPAASpace on Twitter · Tweet .... Practice Phone: 954-587-7771. Practice Fax: 954-252-2346. 1912145525 in HTML ...

16.   ADDICTION SOLUTIONS BY THE SEA - HIPAASpace 
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
HIPAASpace Facebook Wall. Follow HIPAASpace on Twitter · Tweet ... Practice Phone: 954-587-7771. Practice Fax: 954-727-9864. 1669631594 in HTML ...

17.   WADEN E EMERY III MDPA - HIPAASpace 
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
HIPAASpace Facebook Wall. Follow HIPAASpace on Twitter · Tweet .... Practice Phone: 954-587-7771. Practice Fax: 954-727-9864. 1669631594 in HTML ...

18.   SERENITY HOUSE DETOX - HIPAASpace 
www.hipaaspace.com › Healthcare Lookup Services  › NPI Lookup 
33313-7811. Practice Phone: 954-587-7771. Practice Fax: 954-252-2346. 1871731356 in HTML format HTML | 1871731356 in PDF (Portable Document Format) ...
   Narconon Reviews
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Offline ethercat

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Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #18 on: February 12, 2013, 23:31 »
xxxx Database Record For 954-587-7771

Caller ID: MED PRO BILLING

Original Telephone Company:
Bellsouth Telecomm Inc Dba Southern Bell Tel & Tel

Original Telephone Company Type:
Regional Bell Operating Company (RBOC)

Estimated City:
Plantation

Estimated Region:
Florida

Estimated Postal Code:
33317

Equipment Location Code:
FTLDFLPLDS0

This file has been accessed a total of 1 times. 
Last accessed on Tuesday, February 12, 2013 11:47:12PM EST.
« Last Edit: February 12, 2013, 23:40 by ethercat »
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Offline BMF

  • Potential Trouble Source
  • Posts: 240
  • Do or Do Not. There is no try.
Re: Narconon Insurance Billing (was Re: Narconon on WSB TV news)
« Reply #19 on: February 12, 2013, 23:37 »
Maybe they post the number on their sites as med pro is the biller for them?  I dont know but it sure as hell looks fishy to me.  Is this a standard practice?
"But now," says the Once-ler, "Now that you're here,
the word of the Lorax seems perfectly clear.
UNLESS someone like you,
cares a whole awful lot,
nothing is going to get better. Its not!"   - Dr. Seuss