Allen Eye Associates

June 8, 2015Revdex.comBryant Woods SouthAmherst, NY14228ATTN: *** Complaint Handler ext***RE: ID ***Dear ***,Thank you for submitting information regarding out patient, ** ***We understand that *** *** is unclear regarding her balance and I would like to
take the opportunity to clear that up. *** *** received an eye exam on 10/21/She was not eligible for an exam through her insurance carrier (***) until 11/1/Because she was not eligible, we submitted the claim to her medical insurance (*** ***) as a courtesyThis claim was denied as the insurance reported that she did not have coverage.*** *** also ordered to pairs of glasses from our optical (Rx #*** and Rx#***)As *** *** reports, after month of use, she had a follow up with her Doctorin our office and it was found that although the prescription in Rx #*** was accurate, *** *** was not adapting to the prescription in the frame that she choseAs our policy states, we allowed *** *** to choose an alternate frame at no additional chargeHowever, there was no refund due as the new frames were not less expensive according to our recordsThis was an even exchange. On the following page is a breakdown of charges and payments for these encounters that will show the balance owed by *** *** is accurate.10/21/Comprehensive Exam $Denied by *** and *** Refraction $Denied by Insand waived by Practice Patient Owes $Patient Paid $Check Number 161110/21/Eyewear Rx #*** $*** Material discounts applied Patient Owes $Including copays for glasses Patient Paid $Check Number Patient Paid $Check Number 1616***The patient did not adapt to the prescription in this frame; New glasses were created and dispensed to patient at no additional charge.10/ 21/Eyewear Rx #*** $213.22 Multiple Pair Discount Applied Patient Owes $213.22 Patient Paid $144.60 Balance of Check #Remaining Balance $68.62 Patient has not paidWith each payment that was made, *** *** would have received a receipt with a breakdown of chargesI,have included those receipts and have removed identifiable information. The optical department followed company policy and the patient was not charged any fees erroneously. All payments were applied appropriately and all insurances were checked for eligibilityAt th is time, thePractice feels that it has done everything possible to re search *** ***s claims that she is owed a refund and we find that no refund is due at this timePayment for *** ***'s outstanding balance is due payable immediately. We apologize for any confusion that *** *** may have had regarding her billAs the manager of the Practice, this is the first time have heard about this issue and am pleased to have the opportunity to clear up any issues.Thank you,*** ***, PHRBusiness Operations Manager