Billing, Insurance Records & Subrogation Frequently Asked Questions

How can I obtain billing information/invoices from Leon Medical Centers, LLC?

Requests for billing information need to be directed to Leon Health, Inc., a Medicare Advantage Organization, not Leon Medical Centers, LLC. Payments made to Leon Medical Center by Leon Health are not made on a fee-for-service or claim-by-claim basis. Accordingly, there are no invoices/bills generated by Leon Medical Centers for members of Leon Health treated at the centers, rather the claims information is shared between the two entities, which is the information that will be shared with you, along with all other claims/insurance information related to the member, once a HIPAA authorization is received naming Leon Health, Inc., or a subpoena naming Leon Health, Inc. is properly served upon Leon Health, Inc.

To obtain insurance records for a member of Leon Health, Inc., please send a HIPAA authorization to ___________@leonhealth.com. The HIPAA authorization must name Leon Health, Inc., not Leon Medical Centers, LLC to be processed and must comply with all applicable requirements for a valid HIPAA authorization.

Subpoenas looking for insurance records for a member of Leon Health, Inc. need to name Leon Health, Inc., not Leon Medical Centers, LLC. Service to Leon Health, Inc. should be made at Leon Health, Inc., 8600 NW 41st Street, Suite 201, Doral, Florida, 33166.

Can I obtain billing/claims records from Leon Health, Inc. for services rendered at Leon Medical Centers, LLC prior to 01/01/2022?

No. 01/01/2022 is the earliest date Leon Health, Inc. offered plan services.

Do you have records for LMC Health Plans?

No. Cigna HealthSpring of Florida, d/b/a Leon Medical Centers Health Plans is a separate entity unaffiliated with Leon Health, Inc. If you need insurance records for an individual prior to becoming a member of our plan, please contact the individual’s prior health insurer.

How can I obtain medical records?

Medical records from health care providers must be obtained from the provider that generated the medical records. If you are seeking medical records from Leon Medical Centers, please contact Leon Medical Centers, LLC’s medical records department, by e-mailing HIMLegaldocuments@Leonmedicalcenters.com.

How can I contact Leon Health, Inc. for subrogation matters?

For subrogation matters, please refer to our vendor, Intellivo, who can be contacted by:

You may also visit Intellivo’s website to request that a case be opened: https://intellivo.com/refer-or-request-a-case/.

Leon Health, Inc. is a Medicare Advantage organization and, thus, is governed by the Medicare statutes and regulations. The same Medicare Secondary Payer priority rules apply as with traditional Medicare. We are entitled to be reimbursed when we have paid or provided benefits to our member due to an injury, illness or condition, and another party or insurance carrier is responsible for payment of the member’s medical expenses or benefits. The pertinent provisions governing a Medicare plan’s right of recovery can be found at 42 U.S.C. § 1395y (b)(3)(A), § 1395w-22(a)(4), and 42 CFR § 422.108. These provisions preempt state law and regulations.

Our recovery and reimbursement rights under the Medicare Secondary Payer rules apply to any amount now due or which may hereafter become payable out of any recovery or recoveries collected or to be collected by our member, whether by judgment, settlement, compromise, or any other type of recovery, from any party.