Division of Rehabilitation and Liquidation

Claims Information - MD Medicare Choice, Inc. ("MDMC")

I am owed money for services provided before MDMC was liquidated. What is the procedure for payment of these claims?

Claims such as these are referred to as pre-insolvency claims. Claims for services or goods provided to or on behalf of the MDMC subscribers prior to October 1, 2008 must be filed with the Receiver in order to be considered for payment. At a later date, the Receiver will provide additional instructions to all known subscribers, medical providers, and other creditors of MDMC regarding the filing process. The deadline for filing claims in the MDMC receivership proceeding is September 30, 2009.

The procedure for the filing and evaluation of claims in a receivership is set out in Part I, Chapter 631, Florida Statutes. Assuming there are sufficient assets in the receivership, the Receiver will evaluate claims in order of their priority as set out in Section 631.271, Florida Statutes. This statute establishes a system of priorities in paying claims. When the evaluation process has been completed, the Receiver will file a report with the Court setting out our recommendations as to the amounts, if any, which should be allowed on each of the claims evaluated. Notice of the Receiver’s recommendations and the deadline for filing any objections to the recommendations will then be provided to the claimants. It is unlikely that claimants will receive any correspondence or other communication from the Receiver until that time unless the Receiver has questions regarding the claim which has been filed. This is because the Receiver is trying to minimize the claims’ processing costs in order to maximize potential distribution to the claimants.

During the claims evaluation period, the Receiver also commences litigation and/or takes whatever other action is necessary to collect and maximize the assets of the receivership estate. Please note: it may be several years before distributions, if any, are made in this receivership. Distributions of assets are made on a pro rata basis in accordance with the priority of claims which is set out in Section 631.271, Florida Statutes. Those whose claims fall into lower priorities are paid only if there is money left after paying the higher priority claims. It is too early in the receivership process for the Receiver to provide any estimate as to the timing and/or the pro rata percentage of the distributions, if any, which may be made in this receivership.

I recently received payment from MDMC for services provided and the check bounced. What do I do now?

Unfortunately due to the cash flow position of MDMC, some vendors have experienced some returned check items. Vendors may file claims in the receivership proceeding for these unpaid items. At a later date, the Receiver will provide additional instructions to all known subscribers, medical providers, and other creditors of MDMC regarding the filing process. The deadline for filing claims in the MDMC receivership proceeding is September 30, 2009.

I have provided services on or after October 1, 2008 to a former subscriber of MDMC. Who is responsible for paying these bills?

All claims for medical services provided to a former MDMC member on or after October 1, 2008 are the responsibility of Humana, Inc. If you have additional questions regarding their claim filing processes, call Humana at 1-800-758-4043.

To submit an invoice for medical services rendered on or after October 1, 2008, send it to the following address:

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Division of Rehabilitation and Liquidation · 2020 Capital Circle SE
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