Advanced OBGYN Associates

I have received and read the letter from the Revdex.com regarding complaint ID ***In reading the letter the billing manager and her staff followed protocol when addressing the husbandWedo charge for processing paperworkAfter the patient’s husband called, the billing staff looked into thehusband’s
statement and investigatedIt was then determined that yes, there would not be a charge forthe paperwork.With any patient, if there is no proof of insurance we see the patient as self-payUpon verification ofinsurance any monies collected are refunded to the patient in a timely mannerIn regards to this patient,the approval for payment was given on 9116/but the monies were not received into our office untilOctober 1,Once the monies were received, it started the process for refunding the paUentsmoniesOur office protocol is to do monthly refunds, We review charts and make any and all necessaryrefunds at that time based on the informationOnce these refunds are generated by our billing departmentthen they are sent to the Practice Administrator for a check to be written.In talking with my billing manager, refunds for the month of October are in process and should be on mydesk this weekOnce received checks should go out accordingly.If you should have any further questions, please do not hesitate to contact us.Regards,Practice Administrator

I have received and read the letter from the Revdex.com regarding complaint ID [redacted]In reading the letter the billing manager and her staff followed protocol when addressing the husband. Wedo charge for processing paperwork. After the patient’s husband called, the billing staff looked into...

thehusband’s statement and investigated. It was then determined that yes, there would not be a charge forthe paperwork.With any patient, if there is no proof of insurance we see the patient as self-pay. Upon verification ofinsurance any monies collected are refunded to the patient in a timely manner. In regards to this patient,the approval for payment was given on 9116/2015 but the monies were not received into our office untilOctober 1,2015. Once the monies were received, it started the process for refunding the paUentsmonies. Our office protocol is to do monthly refunds, We review charts and make any and all necessaryrefunds at that time based on the information. Once these refunds are generated by our billing departmentthen they are sent to the Practice Administrator for a check to be written.In talking with my billing manager, refunds for the month of October are in process and should be on mydesk this week. Once received checks should go out accordingly.If you should have any further questions, please do not hesitate to contact us.Regards,Practice Administrator

Review: This office has the worst medical billing office I have ever had the misfortune of doing business with. On one occasion, I questioned why I was being charged to have some paperwork filled out. I was told the fee would be waived, and I accepted the paperwork. Later, the billing office informed me that there was no way I would have been told the fee was waived, because that is absolutely against the office policy. When Samantha in the billing office noted that the paperwork had been released to me already, they finally acknowledged that the problem wasn't on my end, and they properly waived the fee. The current issue is that the office made my wife pay up front for medical services because our state Medical Assistance cards had not come in the mail yet. She just had a baby - we needed her to be checked then, not whenever the state decided to mail the cards. The claim was later submitted to the state for payment. After speaking to the state's Recipient Services center, I learned that the claim was set to be paid. I then contacted Advanced OBGYN, and was told that office policy would be to review the account for refund at the end of the month in which payment was actually received. Today, the state notified me that the claim was paid out on September 16, but Lucy in billing has informed me that the payment didn't show in their system until sometime in October. However, in direct contradiction to their stated policy, I was told this would likely not be refunded until the end of November. Lucy informed me that she personally handles the refunds. If the discrepancy between state and business was small, I would not be so angry, but the discrepancy is mid-September until mid-October - a month! Pathetic! How does this place stay in business? And now, despite having waited through September hoping the refund would come somewhere in October, the office decides to contradict themselves and wait until November. Will I ever get my money back?Desired Settlement: I paid nearly $80 to this business and they have since been paid by the state of Pennsylvania for the same services. They have been double paid, and they refuse to issue a timely refund. Their system shows payment from the state a month after the state shows payment, so there is obviously some issue in their system. Their STATED POLICY is to refund at the end of the month in which payment is received, and I am now being told this will take until the end of November. I want my money back NOW.

Business

Response:

I have received and read the letter from the Revdex.com regarding complaint ID [redacted]In reading the letter the billing manager and her staff followed protocol when addressing the husband. Wedo charge for processing paperwork. After the patient’s husband called, the billing staff looked into thehusband’s statement and investigated. It was then determined that yes, there would not be a charge forthe paperwork.With any patient, if there is no proof of insurance we see the patient as self-pay. Upon verification ofinsurance any monies collected are refunded to the patient in a timely manner. In regards to this patient,the approval for payment was given on 9116/2015 but the monies were not received into our office untilOctober 1,2015. Once the monies were received, it started the process for refunding the paUentsmonies. Our office protocol is to do monthly refunds, We review charts and make any and all necessaryrefunds at that time based on the information. Once these refunds are generated by our billing departmentthen they are sent to the Practice Administrator for a check to be written.In talking with my billing manager, refunds for the month of October are in process and should be on mydesk this week. Once received checks should go out accordingly.If you should have any further questions, please do not hesitate to contact us.Regards,Practice Administrator