Alltech Computers, Inc.

BioReference first contacted [redacted]  Per "[redacted]" at UHC (reference #[redacted]), many of the tests ordered did not fall into the category of preventive care and were therefore applied to the patient's deductible.  We were instructed to contact the ordering physician for more...

information.  We did so today, and the ordering physician provided additional information.  We have resubmitted the claim to [redacted] and will await their redetermination of benefits.  I apologize for the multiple, unsuccessful attempts that the patient made to get this resolved.  Please give the patient my direct contact information and I will follow up with any new details and answer his questions personally.  My e-mail address is [redacted].  Thank you.

I was able to locate the accounts in question.  It appears that, after the patient sent in the payments from her insurance company, the contractual allowance balance was not adjusted.  This was our error.  I have had that accounts properly adjusted to zero.  There is no further...

patient responsibility.  I apologize for the inconvenience.  If the patient has any questions, she can reach me at [redacted].  Thank you.

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.
Regards,
[redacted]

BioReference reached out to Ms. [redacted] and we believe that we have resolved the problem.  Please have Ms. [redacted] contact me at [redacted] if she has any further issues.

BioReference was successful in the resubmission of the corrected claim.  However, the multiple attempts at updating this resulted in multiple electronic records being received and overlapping each other.  Due to this, I am manually adjusting the account balance to zero.  I apologize for the inconvenience.  If the patient has any further questions, they can reach me at [redacted].  Thank you.

[A default letter is provided here which indicates your acceptance of the...

business's response.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.
It should also be noted I finally recieved my refund check. Thank you Revdex.com. I couldn't have done it without you!
Regards,
[redacted]

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.
Regards,
[redacted]

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and although the issue was not resolved by the Revdex.com or by the respondant from the agency, there is no longer an issue on the table. GenPath/Bioreference was unable to find prior communication or invoices despite their constant harassment.
Regards,
[redacted]

I have researched the complaint provided by the patient.  Her account was updated to bill her insurance with the corrected information on December 29, 2016.  We will await their determination.  I apologize for the long wait times that the patient experienced when calling our Billing...

Customer Service Department.  We have installed new billing software which has created longer than normal wait times while our staff is trained.  If the patient would like to follow up to receive a status on her claim, she can e-mail me personally at [redacted] and I will assist her.  Please have her supply her account number which is [redacted].  Thank you.

I have queried our billing system and cannot locate any charges for [redacted], nor can I locate any zero balance accounts with a December 2016 date of service.  I would like for you to provide my e-mail address to the person who made this complaint so I can ask them for more information...

to locate their account and resolve the issue.  Please have the patient contact me at [redacted] and I will reply.

I apologize for the time it took to reply to this complaint.  We have had billing system problems which have prevented us from sending a corrected invoice to the patient.  It was originally billed to the patient's insurance and, since we are not in network with his plan but we are in...

network for other plans from the same carrier, our system automatically adjusted the patient's account to zero.  When the patient contacted us, we reversed the adjustment but the claim went back out to insurance.  Since this is no fault of the patient, I am re-adjusting his account to zero.  There will be no balance and no patient responsibility.   I apologize for the inconvenience.  If the patient would like a confirmation e-mail from me showing that the balance on his account is zero, you can give his my e-mail address.  It is [redacted].  Thank you.

The patient reached out to other members of our management team at BioReference.  Our director of Customer Service indicated that the date of birth that we had on file was incorrect, and that the patient provided the correct date of birth.  The claim has been resubmitted and passed...

eligibility.  We will await the response from the insurance company.  We apologize for the inconvenience.  If the patient would like to correspond with me directly, my e-mail address is [redacted].  Thank you.

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.
Regards,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted] and find that this resolution is satisfactory to me.

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.
Regards,
[redacted]

I contacted the doctor's office that ordered the testing for this patient.  "Fanny", at the doctor's office, verified that the diagnostic information that was provided to BioReference was correct.  The office visit was routine and also, non-routine, as there were two medical conditions that the patient needed to have checked.  Therefore, the testing, the insurance company's processing of the claim and the amount owed to BioReference is correct.  I cannot provide the details of this information as it will violate HIPAA regulations.  Again, if the patient would like to discuss this further, I can be reached at [redacted].  Thank you.

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. If possible, it would be helpful to receive a confirmation via email or mail that my bills are paid in full, as I received another bill from BioReference a couple of days ago.
Regards,
[redacted]

I was able to locate all of the accounts for Mr. [redacted].  All have been billed to Medicare, and all but two are already paid.  The other two are awaiting payment from Medicare.  There are no accounts, including the October 26, 2016 date of service, that are in a bill to patient...

status. The address that is used is the one in which the patient resided at the time of the blood draw.  After Medicare pays, there will be no secondary balance.  If there are any questions, please give the patient of his representative my e-mail address: [redacted].

Complaint: [redacted]
I am rejecting this response because:I have not received a voice mail message. In addition I have provided my insurance information on the company's website. 
Regards,
[redacted]

I was able to speak with the patient.  There was an issue with our electronic eligibility which caused this rejection and subsequent patient invoice.  I verified the coverage with the patient and successfully resubmitted the claim to her insurance.  We will await the insurance company's response.  If the patient has any further questions, she can reach me at [redacted]  I apologize for the inconvenience.