Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution would be satisfactory to me I will wait until for the business to perform this action and, if it does, will consider this complaint resolved Regards, [redacted]
This is in regards to [redacted] complaint ID# [redacted] This patient had services on 8/22/and we bill Anthem according to our findingsHer insurance applied the balance to her deductible because the screening diagnosis Anthem wanted was not listed as the 1st diagnosis on the claimThe claim was coded correctly with the screening diagnosis billed to Anthem on the first submissionIn November we were able to review and make the screening diagnosis primary so we then re-submitted the claim to AnthemThey paid the claim on 12/24/The refund to the patient's credit card was prepared on 12/24/When the credit card was refunded the adjustment wasn't performed and therefore it left a balance to the patientIn February our Customer Service received a call from Anthem stating there is no patient responsibility and that representative requested the EOB's to be faxedShe didn't receive themOn March 16th the patient called because she received another statementThis was escalated to the Team Lead of Customer Service who reached out to me for assistanceOn March 16th, I reviewed the account and adjusted the balanceI called the patient to inform her of what had happened and that I adjusted the accountI also sent her a zero dollar invoice showing that the balance had been clearedThanks, Pamela [redacted] I Back End Billing Supervisor
This is in regards to [redacted] complaint ID# [redacted].
letter-spacing: -0.35pt;">This patient had services on 8/22/14 and we bill Anthem according to our findings. Her insurance applied the balance to her deductible because the screening diagnosis Anthem wanted was not listed as the 1st diagnosis on the claim. The claim was coded correctly with the screening diagnosis billed to Anthem on the first submission. In November we were able to review and make the screening diagnosis primary so we then re-submitted the claim to Anthem. They paid the claim on 12/24/14. The refund to the patient's credit card was prepared on 12/24/14. When the credit card was refunded the adjustment wasn't performed and therefore it left a balance to the patient.
In February 2015 our Customer Service received a call from Anthem stating there is no patient responsibility and that representative requested the EOB's to be faxed. She didn't receive them.
On March 16th the patient called because she received another statement. This was escalated to the Team Lead of Customer Service who reached out to me for assistance.
On March 16th, I reviewed the account and adjusted the balance. I called the patient to inform her of what had happened and that I adjusted the account. I also sent her a zero dollar invoice showing that the balance had been cleared.
Thanks,
Pamela [redacted] I Back End Billing Supervisor
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me. I will wait until for the business to perform this action and, if it does, will consider this complaint resolved.
Regards,
[redacted]
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution would be satisfactory to me I will wait until for the business to perform this action and, if it does, will consider this complaint resolved Regards, [redacted]
This is in regards to [redacted] complaint ID# [redacted] This patient had services on 8/22/and we bill Anthem according to our findingsHer insurance applied the balance to her deductible because the screening diagnosis Anthem wanted was not listed as the 1st diagnosis on the claimThe claim was coded correctly with the screening diagnosis billed to Anthem on the first submissionIn November we were able to review and make the screening diagnosis primary so we then re-submitted the claim to AnthemThey paid the claim on 12/24/The refund to the patient's credit card was prepared on 12/24/When the credit card was refunded the adjustment wasn't performed and therefore it left a balance to the patientIn February our Customer Service received a call from Anthem stating there is no patient responsibility and that representative requested the EOB's to be faxedShe didn't receive themOn March 16th the patient called because she received another statementThis was escalated to the Team Lead of Customer Service who reached out to me for assistanceOn March 16th, I reviewed the account and adjusted the balanceI called the patient to inform her of what had happened and that I adjusted the accountI also sent her a zero dollar invoice showing that the balance had been clearedThanks, Pamela [redacted] I Back End Billing Supervisor
This is in regards to [redacted] complaint ID# [redacted].
letter-spacing: -0.35pt;">This patient had services on 8/22/14 and we bill Anthem according to our findings. Her insurance applied the balance to her deductible because the screening diagnosis Anthem wanted was not listed as the 1st diagnosis on the claim. The claim was coded correctly with the screening diagnosis billed to Anthem on the first submission. In November we were able to review and make the screening diagnosis primary so we then re-submitted the claim to Anthem. They paid the claim on 12/24/14. The refund to the patient's credit card was prepared on 12/24/14. When the credit card was refunded the adjustment wasn't performed and therefore it left a balance to the patient.
In February 2015 our Customer Service received a call from Anthem stating there is no patient responsibility and that representative requested the EOB's to be faxed. She didn't receive them.
On March 16th the patient called because she received another statement. This was escalated to the Team Lead of Customer Service who reached out to me for assistance.
On March 16th, I reviewed the account and adjusted the balance. I called the patient to inform her of what had happened and that I adjusted the account. I also sent her a zero dollar invoice showing that the balance had been cleared.
Thanks,
Pamela [redacted] I Back End Billing Supervisor
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me. I will wait until for the business to perform this action and, if it does, will consider this complaint resolved.
Regards,
[redacted]