Advanced Surgical Care

I am in receipt of a dispute document regarding our patient, [redacted] .Patient date of surgery was 04/03/ Claim was submitted to [redacted] on 04/10/ [redacted] paid on 04/24/2017, holding the patient responsible for $ Claim was submitted to his secondary insurance, [redacted] ( [redacted] ) on 04/27/ On 05/04/2017, claim was denied by [redacted] , as member of inactive on this date of service (see attachment) Balance was then transferred to the patient on 05/10/and a statement was sent to him on 05/16/ Patient then faxed a letter to the facility on 06/stating he had secondary coverage and to submit the claim BOM contacted the Central Billing Office, at which point, a Supervisor (***) contacted the Roofers Council and confirmed his coverage was re-instated and the previous claim would be re-processed We received correspondence today, 06/28/2017, stating that the faxed [redacted] EOB that they received was not legible, and the claim and EOB was refaxed We LM for the processor to confirm the fax was received, is legible, and is in processing, no return call has been received at this point.In summary, a claim has been submitted to the patient's secondary insurance on 4/27/and was denied because the member policy was inactive After the patient informed us that his coverage was now active, the claim was re-submitted on 6/21/

I had surgery at this facility April The company did bill my primary insurance,however they have not billed my secondary insuranceI have called and spoke to the office manager who said that they have done all they are going to do in terms of billing

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to meThe insurance company paid the bill so no further action needs to be taken thank you for your helpSincerely *** ***

I am in receipt of a dispute document regarding our patient, [redacted].Patient date of surgery was 04/03/2017.  Claim was submitted to [redacted] on 04/10/2017.  [redacted] paid on 04/24/2017, holding the patient responsible for $691.33.  Claim was submitted to his secondary...

insurance, [redacted]) on 04/27/2017.  On 05/04/2017, claim was denied by [redacted], as member of inactive on this date of service (see attachment).  Balance was then transferred to the patient on 05/10/2017 and a statement was sent to him on 05/16/2017.  Patient then faxed a letter to the facility on 06/20 stating he had secondary coverage and to submit the claim.  BOM contacted the Central Billing Office, at which point, a Supervisor ([redacted]) contacted the Roofers Council and confirmed his coverage was re-instated and the previous claim would be re-processed.  We received correspondence today, 06/28/2017, stating that the faxed [redacted] EOB that they received was not legible, and the claim and EOB was refaxed.  We LM for the processor  to confirm the fax was received, is legible, and is in processing, no return call has been received at this point.In summary, a claim has been submitted to the patient's secondary insurance on 4/27/17 and was denied because the member policy was inactive.  After the patient informed us that his coverage was now active, the claim was re-submitted on 6/21/17.