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Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this does not resolve my complaint For your reference, details of the offer I reviewed appear below [To assist us in bringing this matter to a close, we would like to know your view on the matter.] Regards, [redacted] The response from [redacted] BPS is the same exact letter my mother, [redacted] , received in the mail in September I am not quite understanding the thought process of responding to my complaint from a letter he cut and pasted I asked for a response from Radiology Associates MD *** What I asked was: I want a meeting with Radiology Associates MD [redacted] with an explanation of their policy and protocol with billing Even though [redacted] does their billing, Radiology Associates is still responsible for making sure the billing process is followed through [redacted] works for Radiology Associates and reflect them I want the billing information date of service, when was it sent to insurance company? I want a better explanation as to why the billing was not sent to the insurance company Did you contact the hospital for the insurance information? Was it not put one the billing due to clerical error? How did the insurance show up on 4-27-15? I want answers and a clear explanation of these bills and an apology on how I was treated It should not be that difficult in this day and age with computers doing all the work on tracking down these bills and finding out their history The explanation that you cannot identify where the information came from for my insurance on 4-27-is not acceptable If my records are not in the “active system” find them in the inactive system This should not be that difficult when every thing is on a hard drive As a customer of Radiology Associates I deserve a complete and clear picture of how my billings were handled by you [redacted]

The forwarded email is a response drafted by our contracted billing company [redacted] regarding the filed Revdex.com customer complaint (assigned ID [redacted] ) Our billing company had several professional interactions with the claimant in an attempt to resolve the dispute These actions are summarized in the email At Radiology Associates of Wausau, we value our interaction with and the opportunity to care for our patients We take great care to provide a valuable service to the community and we pride ourselves on our level of service We take patient and customer concerns very seriously Please review this summary of our interactions with this patient, and address any further inquiry to me.Thank you, [redacted] **

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this does not resolve my complaint For your reference, details of the offer I reviewed appear below.There is nothing saying that they have finally billed my insurance company correctlyThere is nothing in the letter about the fact that by contract, they never should have been contactin me anyway - they responded to NOTHINGI have made repeated attempts to contact them, sitting on hold every time I callMy insurance company has made the same attemptThe local Radiology Associates doesn't even bother taking care of this matterThey forwarded your complaint, and when my insurance company called them, the first time he was forwarded by them to someone who refused to even talk to him - the second time they didIs this bill paid? Are they going to continue billing me? Have they looked into this contract matter? Why would I accept this response? Regards, [redacted] ***

As you requested during our conversation of September 2, 2016, the following is a summary of our conversation.As we discussed, Radiology Associates of Wausau (RAW) had read a CT scan of the head on your son, ***, which was performed on 9/15/Information was sent to by the hospital so that we
could bill for the services provided by RAWThe information received did not indicate any medical insurance for your son and, as such, we billed him directlyWe sent the initial statement out on 11/13/14.Since we did not heard back from the first statement, we sent a second statement out on 12/1/This statement was returned to us by the USPS with a corrected address (N 2nd Ave, Wausau, WI 54401)We reset the aging on the account and sent an initial statement to the new address on 12/12/We sent a second statement out to the new address on 1/28/We placed a telephone call to the telephone number we had on record on 2/24/and left a message asking for a call backHaving received no communication form your son to the statements and telephone call, we transferred the account to collections, Tri-State Adjustment, Inc., on 4/18/15.On 4/27/15, we received a communication providing us with medical insurance information for your sonAs your son’s record is no longer on our active system, I cannot identify whether this information came from Tri-State, your son, or another sourceIn any event, we filed the claim to claim to Anthem on 4/27/We subsequently received a denial for the claim due to timely filing.Sometime in early July, we received a communication from *** *** for Aspirus Hospital Wausau asking that we contact you regarding your son’s accountAfter reviewing the account, I asked that the phone room associate, ***, whom you had spoken with previously, call you to review the above with youApparently after several calls, *** was advised that you would not return her call and would only speak with ***We spoke with *** and provided her a summary as indicated aboveAs I indicated during our call, our involvement regarding your son’s account at Tri-State only involved the account indicated aboveDuring our review of the account in July, I did contact Tri-State to ask that this account be placed on holdAt this time I was advised that there was a second account dating back to a service performed on 2/13/13’; the balance on this account was $I also asked that this account be placed on hold at Tri-StateUnfortunately, this service was billed by RAW’s old biller and we do not have any additional information regarding this accountYou will need to obtain additional information from Tri-State; you had indicated that you had already requested this information.As you requested, I have enclosed a copy of a statement which we recreated for the service provided on 9/15/and for which we billed.I apologize for the lack of promised follow up to your call to our Phone unit in JuneI have relayed your concerns about not having received a promised call back from a supervisor following your call(s) to the unit’s managerShe has assured me that she will follow up the involved individuals and take appropriate corrective actions.If I can be of assistance if the future, please let me know.Sincerely,*** *** BPS

As the billing agent for Radiology Associates of Wausau, I was asked that I respond to this complain on their behalf. First a brief overview of the account, the patient had the exam performed on 10/3/On 10/5/17, the claim was submitted to her medical insuranceOn 10/20/17, we received a
response from insurance advising that the claim had been processed and the allowable amount ($41.88) was applied to the patient deductibleWe sent the patient an initial statement on 10/25/advising her that her insurance had processed the claim and the balance was her responsibilityA second statement was sent out on 12/and a call was placed to the patient on 1/5/We did not receive any communication from the patient following any of these attempts to collect the outstanding balance and on 2/17/18, the account was transferred to collections. We checked to see if we had received any of the payments which the patient indicated that she made (on 11/3/17, 1/11/18, and 2/11/18)The only payment which we received was the last paymentThis payment was deposited into the lockbox account on 2/23/18, the payment was posted on 2/27/18, and acknowledgment of the payment was sent to the collection agency on 2/28/We have no idea why the first two payments did not reach us and, as noted above, we were not advised of the patient’s problems in submitting the payments until we received this complaint. We contacted Tri-State and confirmed that received the acknowledgement was received, the payment was posted (it was posted on 3/8/18), and the account is at a $balanceWe also confirmed that the account had not been reported to any credit bureausWe asked to please send out a letter to the patient advising that the account had been satisfied and that no reports had been forwarded to the credit bureausThey indicated that this letter would go out today. Please let me know if you need any further informationThank you TPaceResponding for Radiology Associates of Wausau

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
After reading this response, I can see that they are still not being truthful - which still calls into question how many bills they sent out the first time. And, as I said...they can call as many times as they want - but if they really want to talk to someone - they should leave a message. I cannot answer the phone when I drive in my city, it is illegal. I cannot answer my phone at work. A large chunk of the population has those restrictions. If all I have is a missed call from an 800 number, I have no idea if it is a telemarketer, Charter, a political call, or Radiology Associates. as for me saying they still aren't being truthful, I attached a copy of the bill they sent to me in MAY. according to their response, they resubmitted this bill after hearing from both myself and my insurance company in MARCH. Yet they billed me in MAY? By this time I was fed up, so my response was done by e-mail so I would have a copy. I sent my message to them on May 12, the day I got the bill...they responded back saying that the person working my account has received the notice to change the code to outpatient, and she would send the corrected claim early the following week. It also states that my account is placed on hold by [redacted].I wonder if any of this sounds familiar to them at Radiology Associates? Then, after that date, I never received an EOB from my insurance company stating they paid this claim. And they do send them. What reminded me to file this claim was getting yet another EOB on the ASPIRUS claim. Nothing from Radiology Associates, however... I have been dealing with this mess for almost a year, more than 6 months has gone by since they have said that they received those calls telling them how to resolve this. In the time since, I have not received an EOB saying its paid - yet I have been billed again, and been told that it wouldn't be billed until mid/late May at the earliest. They have come right out and lied to you in their last response. These people are deplorable. And all over $61.
Regards,
[redacted]

Dr [redacted] had responded to the initial complaint on August 24, 2016. As part of the response, Dr [redacted] had included a summary of my review of this situation. It appears that this summary, which contained much the information which Ms. [redacted] is asking about, was not included in the response posted by the Revdex.com. Please post the following summary in response to Ms. [redacted] comments: Our billing company, McKesson BPS,  had several interactions with the patient. The first part of complaint deals with our account #[redacted] for services rendered in May, 2015.  We billed the patient’s medical insurance, WPS, for this service. The insurance processed the claim, made a partial payment of the contracted amount, and advised that the remaining amount, $64.45,  was the patient’s co-pay. We sent statements to the patient on 6/29/15 and 8/13/15; we also called the patient on 9/8/15. We received no response to any to these actions and subsequently  transferred the  balance to collections on 11/21/15. This balance was paid on 12/17/15 and the account closed. The second matter involves billing for services rendered on 10/8/15. We again billed the medical insurance and subsequently received a denial for the service as they advised that authorization for the service had been time of the request for authorization. We contacted the insurance on 11/23/15 to confirm the denial and were advised that the denial was correct and advised to bill the patient as authorization was denied prior to the service being rendered. Following this direction, we sent Ms. [redacted] a statement on 11/30/16. On 1/14/16, a second statement was sent out. We received a call from the patient on 1/26/16; she advised that she was working with WPS to resolve the claim and the hospital had never sent the requested records. We advised the patient that we would reage the account to allow for her time to resolve this matter. On 2/9/16, the patient called again and advised that the service should have been billed as an out-patient service (the information we received from the hospital had indicated that the service was performed as in-patient). We advised Ms. [redacted] that we could not change how the service was billed without supporting documentation. On 3/9/16, we received a call from WPS who advised that the hospital had changed  the service to out-patient, The patient called the same day and asked if we had changed the account to out-patient. She was advised that the change needed to reviewed and made by the appropriate coding staff and that the account had been placed on hold pending this review. Following the coding review, the service was changed to out-patient and the claim refiled to WPS. Payment was received from WPS and the account is resolved and at a $0 balance. Radiology Associates of Wausau  understand Ms. [redacted] concern and are sorry that she encountered these difficulties in resolving this claim. The group values its interactions with the community  and the opportunity to care for our patients. They take pride in the level of service that they provide and take patient concerns very seriously. Thank you for your assistance in communicating this matter to us. If you require any further information, please let me know.  [redacted]
Client Management - Radiology 586.412-4546 telephone586.871-6186 cell phone916.267-6356 facsimile McKessonBusiness Performance Services44000 Garfield RoadClinton Township, MI 48038www.mckesson.com/bps

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below.There is nothing saying that they have finally billed my insurance company correctly. There is nothing in the letter about the fact that by contract, they never should have been contactin me anyway - they responded to NOTHING. I have made repeated attempts to contact them, sitting on hold every time I call. My insurance company has made the same attempt. The local Radiology Associates doesn't even bother taking care of this matter. They forwarded your complaint, and when my insurance company called them, the first time he was forwarded by them to someone who refused to even talk to him - the second time they did. Is this bill paid? Are they going to continue billing me? Have they looked into this contract matter? Why would I accept this response?
Regards,
[redacted]

The forwarded email is a response drafted by our contracted billing company [redacted] regarding the filed Revdex.com customer complaint (assigned ID [redacted]).  Our billing company had several professional interactions with the claimant in an attempt to resolve the dispute.  These actions are...

summarized in the email.  At Radiology Associates of Wausau, we value our interaction with and the opportunity to care for our patients.  We take great care to provide a valuable service to the community and we pride ourselves on our level of service.  We take patient and customer concerns very seriously.  Please review this summary of our interactions with this patient, and address any further inquiry to me.Thank you,[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
[To assist us in bringing this matter to a close, we would like to know your view on the matter.]
Regards,
[redacted]  The response from [redacted] BPS is the same exact letter my mother, [redacted], received in the mail in September 2016.  I am not quite understanding the thought process of responding to my complaint from a letter he cut and pasted.   I asked for a response from Radiology Associates MD [redacted].  What I asked was:   I want a meeting with Radiology Associates  MD [redacted] with an explanation of their policy and protocol with billing.  Even though [redacted] does their billing, Radiology Associates is still responsible for making sure the billing process is followed through. [redacted] works for Radiology Associates and reflect them.  I want the 2013 billing information date of service, when was it sent to insurance company?  I want a better explanation as to why the 2014 billing was not sent to the insurance company.  Did you contact the hospital for the insurance information?  Was it not put one the billing due to clerical error?  How did the insurance show up on 4-27-15?  I want answers and a clear explanation of these 2 bills and an apology on how I was treated.   It should not be that difficult in this day and age with computers doing all the work on tracking down these bills and finding out their history.  The explanation that you cannot identify where the information came from for my insurance on 4-27-15 is not acceptable.  If my records are not in the “active system”  find them in the inactive system.  This should not be that difficult when every thing is on a hard drive.  As a customer of Radiology Associates I deserve a complete and clear picture of how my billings were handled by you. [redacted]