AdvaCare Clinics

I am rejecting this response because: Please see my attached letter entitled "Revdex.comclaim" with my supporting evidence in the other two attachments provided.Thank you

June 13, 2017 To Whom It May Concern: This is in response to a claim made by [redacted] . Ms. [redacted] ’s claims that she did not receive any communication from us are false. I have already provided that documentation on my earlier response. Due to HIPPA requirements, I cannot address some of the items in her letter, as I do not have a signed release to do so. The smartest thing for her to do was to stay with a work comp attorney. She would have been completely protected, meaning if she lost the case, she would not be responsible. Insurance companies have deadlines in which we must abide. We cannot go back and bill her health insurance as it was too late after she made a decision to stop work comp. As to not responding to her phone call, I simple can’t. Once it is placed in collections, it is out of my hands. We gave her a year to contact us, sending letters and emails. She chose not to respond to those other inquiries. In addition, when she decided not to go work comp, after 5 months, I told her she would be responsible for the bill and she agreed. In hindsight, I should have written up a memo of understanding and had her sign it. But she was in the office a total of five minutes that day and a little shocked that she would put herself in that situation. My collection company did contact her that same day I spoke to her. As to her letter to Medica, I have no idea when that was sent as there is no date written on it, for all we know, it was just typed up last week. As far as her claims about Dean [redacted] , I cannot answer them as I was not there. However, I don’t believe I have ever heard him say that before. We would be willing to work with Ms. [redacted] on the bill, or she can try and re-open the claim with Dean [redacted] . Sincerely, Michelle [redacted]

Ms. [redacted] initiated care on 1/5/2016 with regards to an injury sustained on the job.  She agreed to start and continue with care. After we received the initial denial from the work comp carrier, she retained the services of Dean [redacted], attorney at law.  We followed work comp...

guidelines and filed a Motion to Intervene.  As part of this motion, copies are sent to all parties, including the patient.  In May 2016 she abruptly discontinued care and released (fired) Mr. [redacted] as her attorney.  Both Mr. [redacted] and I sent her emails explaining that she would be “covered” under work comp guidelines even if it went to trial and the case was denied.  Meaning, if it still was completely denied, she would not be responsible for payments, even to her attorney. However, since she dismissed the attorney, she was now liable for the bill.  Which I again explained to her in an email.  We also followed up with letters addressed to her Eagan address.  Her claims that we did not attempt to contact her are false. Our next step was to send her to collections.  Because this was a work comp case, we cannot submit to her health insurance.  In addition to that, by the time we received the denial of care, and notification that she did not want to pursue it legally, it was too late to even attempt to submit to insurance.  Her medical insurance also had a substantial deductible and would only cover 15 adjustments per year and we are out of network for Physical Therapy and Medical Doctor.  Is essence, she has no coverage, even if we could bill. Please see the attached documents that include emails and letters sent to Ms. [redacted].Respectfully,Michelle [redacted]Clinic Manager

June 13, 2017 To Whom It May Concern: This is in response to a claim made by [redacted]. Ms. [redacted]’s claims that she did not receive any communication from us are false.  I have already provided that documentation on my earlier response. Due to HIPPA requirements, I cannot address some of the items in her letter, as I do not have a signed release to do so. The smartest thing for her to do was to stay with a work comp attorney.  She would have been completely protected, meaning if she lost the case, she would not be responsible. Insurance companies have deadlines in which we must abide.  We cannot go back and bill her health insurance as it was too late after she made a decision to stop work comp. As to not responding to her phone call, I simple can’t.  Once it is placed in collections, it is out of my hands.  We gave her a year to contact us, sending letters and emails.  She chose not to respond to those other inquiries.  In addition, when she decided not to go work comp, after 5 months, I told her she would be responsible for the bill and she agreed.  In hindsight, I should have written up a memo of understanding and had her sign it.  But she was in the office a total of five minutes that day and a little shocked that she would put herself in that situation.  My collection company did contact her that same day I spoke to her. As to her letter to Medica, I have no idea when that was sent as there is no date written on it, for all we know, it was just typed up last week. As far as her claims about Dean [redacted], I cannot answer them as I was not there.  However, I don’t believe I have ever heard him say that before. We would be willing to work with Ms. [redacted] on the bill, or she can try and re-open the claim with Dean [redacted]. Sincerely, Michelle [redacted]

I am rejecting this response because:
Please see my attached letter entitled "Revdex.comclaim" with my supporting evidence in the other two attachments provided.Thank you.