Allergy Asthma & Immunology Center of Alaska LLC

I conducted an audit of your account and have attached a spreadsheet and supporting documentsI believe there are a couple of things that may be confusing and I would like to speak to thoseThis audit begins with the date of serviceOn April 15, 2015, the mailing address for statements was [redacted] Statements for 4.15, 4.29, 5.06, 5.21, 6.08, and dates of service were mailed to this addressThe patient balance due for those dates of service, after Blue Cross paid, was a total of $33.60.On July 8, 2015, the mailing address for statements was changed to [redacted] *** From that point forward, statements were mailed to this addressAll subsequent dates of service were billed to the [redacted] address but the previous dates of service statements continued to be mailed to [redacted] In January, you mailed a check in the amount of $That payment was applied to patient balances starting with the oldest date of serviceIn this case – 4.15, 4.29, 5.06, 5.21, 6.08, and 6.25, and Those first payment applications were reflected in the statements that were being mailed to [redacted] The 7th payment application was reflected on the statements that were being mailed to [redacted] ***A subsequent credit card payment was also applied to the date of service and is also reflected on the statements mailed to [redacted] ***You are absolutely correct when you say you do not have accounts, but splitting the mailing addresses made it appear as if there were accountsIt caused some confusion but when you have all those paper statements in hand, it is easier to followIn the world of medical billing; charges, adjustments, payments – are all focused around date of service and individual chargesPlease find attached the statements from April through May I highlighted the addresses and the account number on each statementI have attached a spreadsheet that shows each date of service, billed charge, Blue Cross payment, patient portion due and patient paymentsThis spreadsheet also shows where we applied your payments and the method of payment, plus any balance still dueI have also attached a form that we call an account inquiryThere is a separate inquiry form for each date of serviceThis is one more way to see the actual accounting from inside our billing softwareEach inquiry shows date of service, charge amount, procedure code billed, Blue Cross payment, amount of financial responsibility assigned from Blue Cross to the patient, and patient payment This represents the complete accounting picture for account # [redacted] I have spent considerable time and effort on this audit and I hope that you will review the information presentedIt is also my hope that if after reviewing this you still have questions, that you will feel comfortable calling meI would be more than happy to go over this with you on the phone anytimeBecause this has caused you and your wife distress, I am forgiving the $balance due and will be mailing you a final statement that reflects a zero balanceThis clinic practices exemplary medical care and we work extremely hard each and every day for our administrative support to reach that same gold standardIt was important to me, before forgiving this balance, that I be able to you show you that we have a clear paper trail of all transactions and a transparent billing processThank you for bringing this matter to our attentionI hope that we have been helpfulEileen

I conducted an audit of your account and have attached a spreadsheet and supporting documents. I believe...

there are a couple of things that may be confusing and I would like to speak to those. This audit begins with the 4.15.2015 date of service. On April 15, 2015, the mailing address for statements was [redacted]. Statements for 4.15, 4.29, 5.06, 5.21, 6.08, and 6.25 dates of service were mailed to this address. The patient balance due for those dates of service, after Blue Cross paid, was a total of $33.60.On July 8, 2015, the mailing address for statements was changed to [redacted].  From that point forward, statements were mailed to this address. All subsequent dates of service were billed to the [redacted] address but the previous dates of service statements continued to be mailed to [redacted].  In January, 2016 you mailed a check in the amount of $58.80. That payment was applied to patient balances starting with the oldest date of service. In this case – 4.15, 4.29, 5.06, 5.21, 6.08, and 6.25, and 7.08. Those first 6 payment applications were reflected in the statements that were being mailed to [redacted]. The 7th payment application was reflected on the statements that were being mailed to [redacted]. A subsequent credit card payment was also applied to the 7.08 date of service and is also reflected on the statements mailed to [redacted]. You are absolutely correct when you say you do not have 2 accounts, but splitting the mailing addresses made it appear as if there were 2 accounts. It caused some confusion but when you have all those paper statements in hand, it is easier to follow. In the world of medical billing; charges, adjustments, payments – are all focused around date of service and individual charges. Please find attached the statements from April 2015 through May 2016. I highlighted the addresses and the account number on each statement. I have attached a spreadsheet that shows each date of service, billed charge, Blue Cross payment, patient portion due and patient payments. This spreadsheet also shows where we applied your payments and the method of payment, plus any balance still due. I have also attached a form that we call an account inquiry. There is a separate inquiry form for each date of service. This is one more way to see the actual accounting from inside our billing software. Each inquiry shows date of service, charge amount, procedure code billed, Blue Cross payment, amount of financial responsibility assigned from Blue Cross to the patient, and patient payment.  This represents the complete accounting picture for account #[redacted]. I have spent considerable time and effort on this audit and I hope that you will review the information presented. It is also my hope that if after reviewing this you still have questions, that you will feel comfortable calling me. I would be more than happy to go over this with you on the phone anytime. Because this has caused you and your wife distress, I am forgiving the $33.60 balance due and will be mailing you a final statement that reflects a zero balance. This clinic practices exemplary medical care and we work extremely hard each and every day for our administrative support to reach that same gold standard. It was important to me, before forgiving this balance, that I be able to you show you that we have a clear paper trail of all transactions and a transparent billing process. Thank you for bringing this matter to our attention. I hope that we have been helpful. Eileen

Mr. [redacted],
I am going to conduct a complete audit of your account. Please give me 24 hours to complete this audit. I will report back tomorrow. Thank you for expressing your concerns, eileen