Pharmacy Lien Claimant billed $3,314.40 in prescription charges, but a detailed Argus West SIU SPEAR Lien Unit review uncovered two critical issues: the provider lacked a valid FBN for all dates of service and billed in excess of the Pharmacy Fee Schedule. Despite multiple attempts to obtain proper documentation, the provider failed to comply.

Before the lien conference, the lien claimant withdrew its lien in full—resulting in a $0 payment!

The Argus West SIU SPEAR Lien Unit’s early investigative efforts drove this outcome. Through repeated requests for supporting documents, demands, and representation records, the team confirmed that the lien claimant did not possess a valid FBN for the dates billed and had charged beyond the Pharmacy Fee Schedule. This analysis established that the provider could not legally collect, ultimately prompting the full withdrawal and closure of the file.

This matter demonstrates how proactive investigation and careful billing review continue to deliver strong, cost-efficient results under the Argus West SIU SPEAR Program.