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Winthrop Pulmonary Associates

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Reviews Winthrop Pulmonary Associates

Winthrop Pulmonary Associates Reviews (5)

[redacted] first came to our office in June of presenting to us his insurance as [redacted] Primary and [redacted] 2nd.We submitted his claims as such for the dates of service 6.**.14, 07.**.14, 07.**.14, and 09.**.14.The problem was that instead of [redacted] denying because they weren’t the primary they paid[redacted] then asked for a refund because it was determined that [redacted] was the primary.We then billed [redacted] and begun the process to refund ***At this point though we didn’t have the patient’s 2nd insurance which covers the 20% [redacted] doesn’t pay.So when [redacted] paid we then sent a bill to the patient for the 20% balanceWhen we got the 2nd insurance (***) information we billed them and currently that is the statusWe have claims outstanding to [redacted] and of refunds have gone to *** [redacted] does not owe anything and only received a bill at the time because we did not have his 2nd insurance (***)In reference to his comment about speaking to an [redacted] or [redacted] he did say that he had spoken with that person while talking to me but I told him that I was the only [redacted] in the office and my last name was [redacted] I was confused at that point but as long as his issue was being addressed I didn’t pursue that item with him further[redacted] specifically requested a letter indicating that he did not have a balance which I provided along with a copy of his patient ledger indicating as suchThe Patient indicated that he wants [redacted] refunded but we can’t do that [redacted] was his primary and by federal law we have to bill [redacted] as such for his servicesWe can’t contractually accept and hold money from [redacted] if we know that to not be his insuranceThis is why we began refunding [redacted] and billed [redacted]

Revdex.com: I have reviewed the response made by the business in reference to complaint ID# [redacted] , and have determined that my complaint has NOT been resolved because: [Your Answer Here] This is total fabrication [redacted] , [redacted] is a fountain of misinformationIf [redacted] was primary and paid bill in full as they told me then there was no reason to seek other coverage optionsHe also called me using [redacted] as a nameI did not call him, he called meBottom line is that I could not use or recommend this practice to anyone who has a brainI will tell my story to anyone who will listen now after this Practices like this one seem to be the norm and the public should be protected In order for the Revdex.com to appropriately process your response, you MUST answer the question above Sincerely, [redacted]

[redacted] first came to our office in June of 2014 presenting to us his insurance as [redacted] Primary and [redacted] 2nd.We submitted his claims as such for the dates of service 6.**.14, 07.**.14, 07.**.14, and 09.**.14.The problem was that instead of [redacted] denying because they...

weren’t the primary they paid.[redacted] then asked for a refund because it was determined that [redacted] was the primary.We then billed [redacted] and begun the process to refund [redacted]. At this point though we didn’t have the patient’s 2nd insurance which covers the 20% [redacted] doesn’t pay.So when [redacted] paid we then sent a bill to the patient for the 20% balance. When we got the 2nd insurance ([redacted]) information we billed them and currently that is the status. We have 2 claims outstanding to [redacted] and 3 of 4 refunds have gone to [redacted]. [redacted] does not owe anything and only received a bill at the time because we did not have his 2nd insurance ([redacted]). In reference to his comment about speaking to an [redacted] or [redacted] he did say that he had spoken with that person while talking to me but I told him that I was the only [redacted] in the office and my last name was [redacted]. I was confused at that point but as long as his issue was being addressed I didn’t pursue that item with him further.[redacted] specifically requested a letter indicating that he did not have a balance which I provided along with a copy of his patient ledger indicating as such. The Patient indicated that he wants [redacted] refunded but we can’t do that. [redacted] was his primary and by federal law we have to bill [redacted] as such for his services. We can’t contractually accept and hold money from [redacted] if we know that to not be his insurance. This is why we began refunding [redacted] and billed [redacted].

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

[Your Answer Here]
 This is total fabrication. [redacted], [redacted] is a fountain of misinformation. If [redacted] was primary and paid bill in full as they told me then there was no reason to seek other coverage options. He also called me using [redacted] as a name. I did not call him, he called me. Bottom line is that I could not use or recommend this practice to anyone who has a brain. I will tell my story to anyone who will listen now after this . Practices like this one seem to be the norm and the public should be protected.
 
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

Review: They received a full payment from my then health coverage [redacted] on june** and sept * visits but then submitted to [redacted] who paid again. They billed me for added amounts. I called them at ###-###-#### but was told by clerk that check was sent back. I wanted to talk to someone ; who called later. Her name was [redacted]. She said there was a human error and hung up on me. I then got a call from a person named [redacted] who apologized. I wanted assurance that this bill was paid and asked for a letter to verify this. Three weeks went by and no letter. I got another call from a blocked number from a [redacted] or [redacted] who again apologized. I told him I got a call [redacted], he said that was him. Very underhanded. He says a letter will be mailed that day. It is now 10 days later. They got paid from [redacted] according to [redacted] or [redacted]. I would like that they reimburse [redacted] and my supplement if they get paid from them also. This practice is fraud on any level and is a practice used by many of these billers who will take advantage of seniors. Why should [redacted] and supplement handle claims that were paid already. They lost a patient. Please help!!!Desired Settlement: Send back payment made by [redacted] and my supplement to [redacted] and [redacted]. Investigate this common practice made by these billers who take advantage of seniors under guise of a mistake. I want a letter from them explaining what they did wrong and that my account is zero; as I was promised . Let them make mistakes on their own bills. What are these people paid for to bilk, and double bill. Mistakes in this business should be zero. I have a phone that they could have called if they were confused.

Business

Response:

[redacted] first came to our office in June of 2014 presenting to us his insurance as [redacted] Primary and [redacted] 2nd.We submitted his claims as such for the dates of service 6.**.14, 07.**.14, 07.**.14, and 09.**.14.The problem was that instead of [redacted] denying because they weren’t the primary they paid.[redacted] then asked for a refund because it was determined that [redacted] was the primary.We then billed [redacted] and begun the process to refund [redacted]. At this point though we didn’t have the patient’s 2nd insurance which covers the 20% [redacted] doesn’t pay.So when [redacted] paid we then sent a bill to the patient for the 20% balance. When we got the 2nd insurance ([redacted]) information we billed them and currently that is the status. We have 2 claims outstanding to [redacted] and 3 of 4 refunds have gone to [redacted] does not owe anything and only received a bill at the time because we did not have his 2nd insurance ([redacted]). In reference to his comment about speaking to an [redacted] or [redacted] he did say that he had spoken with that person while talking to me but I told him that I was the only [redacted] in the office and my last name was [redacted]. I was confused at that point but as long as his issue was being addressed I didn’t pursue that item with him further.[redacted] specifically requested a letter indicating that he did not have a balance which I provided along with a copy of his patient ledger indicating as such. The Patient indicated that he wants [redacted] refunded but we can’t do that. [redacted] was his primary and by federal law we have to bill [redacted] as such for his services. We can’t contractually accept and hold money from [redacted] if we know that to not be his insurance. This is why we began refunding [redacted] and billed [redacted].

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Description: PHYSICIANS & SURGEONS- PULMONARY DISEASES

Address: 222 Station Plaza North Suite 400, Mineola, New York, United States, 11501-3893

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