Anchorage Sleep Center, LLC

Complaint: [redacted] I am partially rejecting this response because: I wanted to communicate over email so everything would be documentable They did not want to communicate this way I still think it is unprofessional they way they bill I had to correct them three different times on my new insurances I made every effort to notify them as soon as I received a new insurance Their explanation will have to do Sincerely, [redacted]

[redacted] Please See Attached Documents [redacted] Re: [redacted] Dear Sir or Madam:January 21, 16We have received Revdex.com con·cspondence regarding Complaint lD [redacted] We respondbriefly and within the constraints imposed by Alaska and federal law applicable to the nature ofthe service provided.The Revdex.com is an inappropriate forum to discuss and resolve a complaint between ahealthcare provider and a patientHere the complainant received professional diagnostic servicesof a physician and a prescription for durable medical equipment to treat a medical conditionAllservices were provided in accordance with the applicable medical standard of careAllinformation related to the patient, diagnosis, prescription, equipment and payment is ProtectedHealth Information (PHI) under Alaska and federal lawTo the extent that the complainantdisclosed some PHI to the Revdex.com, we are not in receipt of a valid HIPAA disclosure authorizationfrom the patient and therefore we are prohibited from discussing or disclosing any of thesignificant amount ofpatient records pertaining to this personTo the extent that the Revdex.comreceived any PHI from the complainant, the Revdex.com is now under an affirmative duty to protect andsafeguard that PHI in accordance with applicable law.We will respond in writing separately to complainant so that we may refer to PHI in ourdetailed responseThere are some allegations in the complaint to which we can respond.The complainant complains that statements published on a Facebook page belonging toAlaska Sleep Clinic arc inconsistent with her experience with Anchorage Sleep Center, LLC'sWasilla Sleep CenterAlaska Sleep Center is not our organizationWe have no knowledge of orcontrol over the content of Alaska Sleep Center's Facebook page.The complainant complains about valid charges and the amount paid by the complainant'sinsurerInsurance coverage is a matter between the policyholder and the insurer and any disputeof this nature cannot be resolved by usWe possess the appropriate paperwork, billing and paypaths that demonstrate the complainant's allegations regarding timeframe and charges areunfounded and we will communicate these materials directly to the complainant.The complainant complains of a lack of prescriptionOur treating physicians prepare aprescription when appropriateThe complainant has previously received her medical recordswhich include any prescriptionThese records remain available to the complainant in accordance with applicable lawSeveral phone calls were made in an attempt to resolve the complainant'sconcems, but a person or persons at her residence refused to accept our customer service calls.The complainant complains of a balance dueA balance, if any, is a result of thecomplainant's request for and receipt of services and equipment and applicable insurancecoverageAgain, insurance coverage cannot be resolved by Anchorage Sleep Center, LLC,however, we arc happy to resolve any balance remaining directly with the complainant toeliminate any amount due.Sincerely,Mark H***Managing MemberAnchorage Sleep Center, LLC

We have made numerous attempts at contacting the patient to discuss his complaint regarding the billing of his BiPAP machine so as to come to a mutually acceptable agreement, but unfortunately we have yet to speak to him directlyAs we were unable to reach him both at home and at work by telephone,
we invited him to call one of our manager’s phone numbersThe second invitation by email has so far gone unanswered
With regards to the billing of the BiPAP, insurance requires monthly rental up to the purchase price of the machineSince the start of that rental process in March of 2015, the patient changed insurance twice (three different insurance companies during the rental span)This complicated the billing process as the patient’s second insurance required documentation from the patient which we did not obtain until November of That insurance, Moda, required a prior authorization before the rental could be coveredThat was finally received after the termination date of coverage under that insurance (see attached below), and the date span was for July, August and September of 2016, not
The disputed amount that the patient reports in his complaint is $2070, which is what insurance has paid on the BiPAP (***) since the startThe patient has paid $in coinsurance in the first three months of that rental
There was indeed a gap in the rental schedule after June of due to the patient’s second insurance requiring further documentation that was not obtained until November of that yearThat insurance mistakenly gave our office a prior authorization for continuing the rental billing for July, August and September of 2016, which explains for why the machine was billed for those monthsWhen it became evident that the patient was no longer covered under that insurance but instead had a new, third insurance, the claim was submitted to that company
Unfortunately, our invitation to speak with the patient has gone without response in the past two weeksWhile we have not had the chance to discuss the complaint directly, the Anchorage Sleep Center is willing to discontinue any further billing for the BiPAP without its purchase price being met and to not hold the patient responsible for any remaining balance (coinsurance from July, August and September of 2016) for that particular item (***)
If the patient finds this arrangement satisfactory, he may let us know by contacting our office at 907-743-or by responding to the emails we have sent him already

Revdex.com:I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to meSincerely, *** ***

[redacted] Please See Attached Documents [redacted]
Re: [redacted]Dear Sir or Madam:January 21, 20 16We have received Revdex.com con·cspondence regarding Complaint lD [redacted]. We respondbriefly and within the constraints imposed by Alaska and federal law applicable to the nature ofthe service provided.The Revdex.com is an...

inappropriate forum to discuss and resolve a complaint between ahealthcare provider and a patient. Here the complainant received professional diagnostic servicesof a physician and a prescription for durable medical equipment to treat a medical condition. Allservices were provided in accordance with the applicable medical standard of care. Allinformation related to the patient, diagnosis, prescription, equipment and payment is ProtectedHealth Information (PHI) under Alaska and federal law. To the extent that the complainantdisclosed some PHI to the Revdex.com, we are not in receipt of a valid HIPAA disclosure authorizationfrom the patient and therefore we are prohibited from discussing or disclosing any of thesignificant amount ofpatient records pertaining to this person. To the extent that the Revdex.comreceived any PHI from the complainant, the Revdex.com is now under an affirmative duty to protect andsafeguard that PHI in accordance with applicable law.We will respond in writing separately to complainant so that we may refer to PHI in ourdetailed response. There are some allegations in the complaint to which we can respond.The complainant complains that statements published on a Facebook page belonging toAlaska Sleep Clinic arc inconsistent with her experience with Anchorage Sleep Center, LLC'sWasilla Sleep Center. Alaska Sleep Center is not our organization. We have no knowledge of orcontrol over the content of Alaska Sleep Center's Facebook page.The complainant complains about valid charges and the amount paid by the complainant'sinsurer. Insurance coverage is a matter between the policyholder and the insurer and any disputeof this nature cannot be resolved by us. We possess the appropriate paperwork, billing and paypaths that demonstrate the complainant's allegations regarding timeframe and charges areunfounded and we will communicate these materials directly to the complainant.The complainant complains of a lack of prescription. Our treating physicians prepare aprescription when appropriate. The complainant has previously received her medical recordswhich include any prescription. These records remain available to the complainant in accordance
with applicable law. Several phone calls were made in an attempt to resolve the complainant'sconcems, but a person or persons at her residence refused to accept our customer service calls.The complainant complains of a balance due. A balance, if any, is a result of thecomplainant's request for and receipt of services and equipment and applicable insurancecoverage. Again, insurance coverage cannot be resolved by Anchorage Sleep Center, LLC,however, we arc happy to resolve any balance remaining directly with the complainant toeliminate any amount due.Sincerely,Mark H[redacted]Managing MemberAnchorage Sleep Center, LLC

Complaint: [redacted]I am partially rejecting this response because:
 
I wanted to communicate over email so everything would be documentable.  They did not want to communicate this way.  I still think it is unprofessional they way they bill.  I had to correct them three different times on my new insurances.  I made every effort to notify them as soon as I received a new insurance.  Their explanation will have to do.  Sincerely,[redacted]