Esposito Construction

Dear Sirs,We will as a customer courtesy adjust off the amountI checked with my billing department and this is their response Patient Account was sent to Collection on 10/31/ We did not receive any return mail due to bad address I reviewed the patient address and I do show that her address was updated from [redacted] ** at the clinic on 7/11/(Date of Service) and then again on 11/2/(Date Of Service) Changed from [redacted] *** Per EHR – The patient did provide the correct address but was entered incorrrectly at the time of service as shown below.I will have it removed from collection but do you want the balance to be adjusted as well Thank you,Ronnie H [redacted]

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint For your reference, details of the offer I reviewed appear below As of 8/24/15, my insurance company, Assurant Health, does not show any record of having received the informationWe do NOT have Aetna insurance as indicated by the response from NextCareMy insurance is Assurant HealthPerhaps they are filing the claim with the wrong insurance company Regards, [redacted] ***

Dear Sirs, I sent this to our billing department to reevaluate and this is the response: [redacted] , This patient called in today and we have explained that the claim was submitted to the correct insurance She does have Assurant but it is under the Aetna umbrella, so the claim has been submitted but has not been processed yet The patient will give this some more time and give us a call back in a week or so.Sincerely,Debbie M [redacted] Collections Supervisor

I had a conversation with Ms. ***. Her concerns are being addressed she was pleased at end of our call. Ronnie H [redacted] Patient LiaisonNextCare Holdings

Dear SirsReceived from manager today patient [redacted] I talked to Lab Corp and I am going to have to pay the bill from the [redacted] clinicI told them to send it to meI’ll let you know when this is completeBest Regards, [redacted] Clinic Manager IISincerely, [redacted] ***Patient Liaison NextCare Holdings [redacted] Caring, Excellence, Integrity and Results

I reached out to clinic manager below is her response and I feel everything was done appropriately:Ronnie H [redacted] Patient Liaison Hello, My front office called me while this patient was in the clinic as he refused to give any demographic information to her including his identificationHe wanted to pay cash for the visitI advised her to put the clinic address in for him but that we needed his n**e and DOBHe did ask for the price of his visit up front and he was advised that a visit with no other services rendered could be anywhere from $160-$based on how the visit was coded by the providerHe never asked for a price list and we did no other testing to give him any charges prior to running anything since we didn’t run anythingThe visit was coded and billed at $with no testing ranThe patient never said he would only pay $and we gave him the fee range for the visit up front before he went in the backWe did offer the discount plans to make his visit cheaper but told him he would need to fill out the form for itHe did not want us to have any of his information and even told the provider not to put him in the computer more than once which she told him that she had to complete a chart which was in the computer The billing department called me on 11/22/stating the patient was upset about his bill and wanted a refundI agreed to offer him the discount plan as I had on the day he was seen which he refused at time of serviceOtherwise the bill is correct and he was made aware at the time of service

The charges were correct however since we have patient information I will approve the refund of $as a customer courtesy onlyI have informed my billing deptThis could have all been prevented if we had the information up front as requested Thank you,Ronnie H** Patient Liaison

Dear Sirs, I have had this reviewed by our billing department this is their response:*** *** Patient Liaison.***, I’m not sure why she is stating that we wouldn’t bill her insurance. The claim was sent in initially on
7/8/15. She was seen on 7/3/ It appears that Aetna never received the claim for some reason (no EOB on file). Patient called in on 8/14/and we resubmitted at that point. I don’t see anywhere noted that she was told we would not bill the claim. We also only did charge her the Case Rate for Aetna, which is all she paid. She didn’t pay full charges.Sincerely, Debbie M*** Collections Supervisor

As a one-time only customer courtesy due to patients level of dissatisfaction we will refund copay and adjust off any balance Thank you, Ronnie H** Patient Liaison

As a customer courtesy we will refund patient Thank you

This business coded the office visit I received at a higher level careThe level of care I received is much lower and at a lower priceThe code I was billed for is a higher level of care with a higher priceSince I was paying cash I was billed at the higher rate after I authorized for their serviceThis business provided a lower level of care and billed for a higher level of care resulting in an inflated cost for what they providedI had no choice but to pay the inflated price that I did not authorize.Insurance companies and government agencies need to be made aware of their practices so they can audit for this problemI as a consumer have no choice but to pay

this matter has been reviewed clinic manager reached out to patient and balance was adjust offThank you Ronnie H** Patient Liaison

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
As of 8/24/15, my insurance company, Assurant Health, does not show any record of having received the information. We do NOT have Aetna insurance as indicated by the response from NextCare. My insurance is Assurant Health. Perhaps they are filing the claim with the wrong insurance company.
Regards,
[redacted]

Dear Sirs,We will as a customer courtesy adjust off the amount. I checked with my billing department and this is their response...  Patient Account was sent to Collection on 10/31/17.  We did not receive any return mail due to bad address.  I reviewed the patient address and I do...

show that her address was updated from [redacted] [redacted] [redacted] at the clinic on 7/11/17 (Date of Service) and then again on 11/2/17 (Date Of Service) Changed from [redacted] [redacted] [redacted] Per EHR – The patient did provide the correct address but was entered incorrrectly at the time of service as shown below.I will have it removed from collection but do you want the balance to be adjusted as well.  Thank you,Ronnie H[redacted]

Dear Sirs. Received from manager today 9.22.15  patient [redacted]. I talked to Lab Corp and I am going to have to pay the bill from the [redacted] clinic. I told them to send it to me. I’ll let you know when this is complete. Best Regards, [redacted] Clinic Manager...

IISincerely, [redacted]Patient Liaison NextCare Holdings [redacted]
[redacted]
[redacted]
[redacted] Caring, Excellence, Integrity and Results

I reached out to clinic manager below is her response and I feel everything was done appropriately:Ronnie H** Patient Liaison Hello, My front office called me while this patient was in the clinic as he refused to give any demographic information to her including his identification. He...

wanted to pay cash for the visit. I advised her to put the clinic address in for him but that we needed his n**e and DOB. He did ask for the price of his visit up front and he was advised that a visit with no other services rendered could be anywhere from $160-$300 based on how the visit was coded by the provider. He never asked for a price list and we did no other testing to give him any charges prior to running anything since we didn’t run anything. The visit was coded and billed at $260 with no testing ran. The patient never said he would only pay $160 and we gave him the fee range for the visit up front before he went in the back. We did offer the discount plans to make his visit cheaper but told him he would need to fill out the form for it. He did not want us to have any of his information and even told the provider not to put him in the computer more than once which she told him that she had to complete a chart which was in the computer.  The billing department called me on 11/22/17 stating the patient was upset about his bill and wanted a refund. I agreed to offer him the discount plan as I had on the day he was seen which he refused at time of service. Otherwise the bill is correct and he was made aware at the time of service.

I had a conversation with Ms. [redacted]. Her concerns are being addressed she was pleased at end of our call. Ronnie H** Patient LiaisonNextCare Holdings

Dear Sirs, I sent this to our billing department to reevaluate and this is the response:[redacted],           This patient called in today and we have explained that the claim was submitted to the correct insurance.   She does have Assurant but it is under the Aetna umbrella, so the claim has been submitted but has not been processed yet.          The patient will give this some more time and give us a call back in a week or so.Sincerely,Debbie M[redacted]Collections Supervisor

Dear Sirs, Patient is responsible for payment. I checked with my billing department this is their response below...Thank you, Ro[redacted] Patient LiaisionHi R[redacted], Date of Service 7/4/17Insurance Processed claim on 7/12/17 and applied 70.15 to his Deductible and 4.89 to his coinsurance. For...

total patient balance of $75.04.Patient Paid $11.90 at the time of service.We sent 4 statements 7/21/17, 8/22/17, 9/22/17 and 10/24/17. No Return Mail.  The address listed below is the same address we have in his profile.