Antioch Construction

Revdex.com of WisconsinSeptember 9 2015RE: Aurora Health Care complaint [redacted]Revdex.com personnel,We have received [redacted]'s rejection of our reply to his complaint and though he disagrees with our findings, our position on this matter remains unchanged.In our initial reply we fully acknowledged there were errors on the first claims sent to his insurance and we corrected those errors and sent new claims. Visits cannot be coded just so insurance will pay a claim; the claim has to accurately reflect services provided with supporting documentation. Prior to contacting [redacted] for this complaint, he contacted our office still disputing the account balance and another review was initiated and has since been completed. Our findings confirm that all necessary corrections have already been made on this matter so at this time there is no further action left for Aurora to take. We respectfully disagree with [redacted] that he is being forced to correct our errors as there are no errors that need correcting. He still has the option of getting the records for he and his wife's visit and working with our medical record department if he feels the information is inaccurate and he can set up a payment plan to pay the balance over time but he continues to refuse those options he risks this account being placed with a third party collection agency.Respectfully, we ask the Revdex.com to close this complaint at this time.

Revdex.com of WisconsinSeptember 30 2015RE: Aurora Health Care complaint [redacted]Revdex.com personnel,As he stated in his complaint, [redacted] has contacted our office several times regarding the $108 charge for the cutting of his toenails and we have consistently informed him that it is a valid charge for services...

that were performed. That response still holds true for this complaint as well.It must be pointed out that [redacted] has not yet been billed $108 from Aurora but he has received his Explanation of Benefits from his insurance indicating they denied the charge and he can be billed for it. On a prior call to our office regarding this concern we conducted a review of his visit and based on the information contained in [redacted]'s medical record, the initial physician was very specific with her concerns for the condition of [redacted]'s feet and thus gave the referral [redacted] mentioned. The podiatrist also noted concerns with [redacted]'s feet and proceeded to cut his toenails to help address those concerns.Nail debridement is not a service that is covered by Medicare and [redacted]'s second insurance also didn't provide any benefit; this is likely how and why they informed him the $108 charge will be his responsibility to pay. Once that charge is billed to him we will be happy to work with [redacted] on an arrangement to allow him to pay the balance over time if needed.Please accept this response to his complaint and our respectful request to close this complaint.

This complaint was received in our office and we have sent an acknowledgement letter and release consent to Christopher.

This complaint was received in our office yesterday. An acknowledgement letter and consent release has been mailed to Mrs. Tasha [redacted] today.

Our office has received this complaint and we have sent a letter and release consent to Kristin. Please accept this acknowledgement.

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.
Aurora needs to do the right thing and remove the double charge for one visit with the Doctor. The amounts billed $364 and $333 for a total of $697 (4/13/16 visit) are clearly shown in the billing statement and those are the facts. As I mentioned before, this is not the first time I’ve had issues with Aurora’s billing. In the past they tried to charge me for services that were never performed by the Doctor. This time it is double billing. Unfortunately, it looks like Aurora wants to continue their deceptive billing practices.
Regards,
[redacted] Sankpal

Revdex.com of WisconsinSeptember 20 2016RE: Aurora Health Care complaint [redacted] Revdex.com, We have been unable to reach Julie to discuss the concerns she raised in her complaint and we have not received the necessary authorization to provide a more detailed response. The attached letter...

has been sent asking her to contact our office at her convenience so we can address this matter. Please accept this notice as our attempted resolution.

Revdex.com of WisconsinJuly 8 2016RE: Aurora Health Care complaint [redacted] Revdex.com, We have contacted James regarding his complaint and believe this matter has been addressed.As stated in his complaint, James had a balance he was making incremental payments on and that balance was placed with...

a third party collection agency. He was under the impression that sending payment on the balance would prevent collections from happening but regrettably, he was mistaken.In our billing system, once a patient has a balance it will be billed to them for a minimum of four consecutive months. After the first bill statement, all following statements will include a message that the account is past due and encourage the patient to either pay the balance in full or contact us to establish a payment plan. The bill statement message is Aurora's way of notifying patients of the possibility of collections and after four months, any remaining balance after any payments received will be placed with an external agency.James understood the explanation given to him to but was disappointed that the account will remain in collections. He acknowledged getting monthly bill statements but didn't think setting up a payment plan was necessary. James has also been in contact with the collection agency regarding arrangements but remained concerned that he may not be able to pay off the balance before his credit is impacted; something neither he nor Aurora can confirm at this time.Please accept this response as we respectfully ask for this complaint to be closed.

Revdex.com of WisconsinOctober 6 2015RE: Aurora Health Care complaint [redacted]Revdex.com,We see that [redacted] has rejected our response to his complaint but his rejection does not change our position.As we shared previously, on his visit with both the MD and podiatrist both doctors noted concerns with the condition of [redacted]'s feet; if the MD didn't have any concerns there wouldn't have been a referral to the podiatrist. If [redacted] disagrees that either or both doctors had concerns he is welcome to obtain a copy of his medical records and he will see the specific concerns each doctor documented on each visit.It is also worth noting that [redacted] has not denied receiving the service but rather the amount he expects to be billed for it. In his rejection he also made mention that actual service provided was very brief and didn't require a significant amount of time. Aurora does not bill services based solely on time but instead on the services themselves. Since there is no disagreement that the services were indeed provided we will look to [redacted] for payment when he is billed for them.Once again, we now respectfully ask the Revdex.com to accept this response and close this complaint. We are still willing to extend payment arrangements to [redacted] if needed when the balance is billed to him but outside of that there is nothing further we can offer on this matter.

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.
Bill Date: 12/31/2015 Balance - $0.40; paid on 1/8/2016Bill date: 1/8/17 Balance $314.00; magically disappeared after first Revdex.com complaintTransaction Date: 3/24/2017 Date of Service - $211.00; has since magically disappeared since this Revdex.com complaintThe court agreed with me that the amount you were requesting was unreasonable which is why the judge asked me what I could afford and set the wage assignment to that amount, which is what they should have done in the first place.  
Regards,
Angela [redacted]

This complaint was received and we have sent the necessary correspondence to Virginia.

[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.]
Better Business...

Bureau:
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,
Chris [redacted]

Revdex.com of WisconsinAugust 9 2016RE: Aurora Health Care complaint 11575238 Revdex.com personnel, We have been unable to reach [redacted] to discuss the concerns she mentioned in this complaint. The attached letter has been sent asking her to contact our office at her convenience so we can address...

this matter. Please accept this notice as our attempted resolution.

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

Revdex.com of WisconsinSeptember 4 2015RE: Aurora Health Care complaint [redacted]Revdex.com personnel,We have received [redacted]’s complaint and are aware he still disputes the $1728.96 amount charged for service but this matter has already been addressed.As stated in his complaint, [redacted] says he was under the...

impression that services provided by a physician’s assistant would not becharged the same rate as service provided by an MD. This concern was initially raised in January this year and since that time we have conducted several reviews of the charges in question, found no errors in our billing and communicated our results to [redacted] in writing on more than one occasion.There is no difference in the amount charged for service provided by a PA or MD and we were unable to verify how [redacted] would have been told otherwise. Eventually, [redacted]’s concern was brought to the attention of our clinical Risk Management; Risk completed another review of all information available and replied to [redacted] via letter that an adjustment for the disputedbalance was not warranted and would not be given. Aurora does not settle on balances owed and the review by Risk is also the highest level review available so this decision will stand.Lastly, [redacted] is likely unaware but the $1728.96 amount in question was also unfortunately placed with third party collection agency Americollect as of August 31. This was not an intentional act to punish [redacted] but rather a result of the billing system since the balance was unpaid and no financial arrangements were made either. The agency will be sending a letter informing him of placement with their agency so all payment and or arrangements would be handled by them at this time. It is very important to note however that [redacted]’s credit has not been affected; during the first thirty days of placement with an agency there is no negative credit impact if arrangements are made so we would encourage [redacted] to contact Americollect at his earliestconvenience.Having given our position on this matter, we respectfully consider it to be closed and ask for the Revdex.com to do the same.

Revdex.com of Wisconsin
July 8 2015
RE: Aurora Health Care complaint [redacted]
 
Revdex.com,
 
In his complaint [redacted] says after his wife [redacted]'s visit to Aurora, they received an Explanation of Benefits (EOB) from their insurance indicating a $20 patient responsibility for her...

office visit. The $20 was a copay amount assessed by their insurance which they did pay but the $30 billed is a separate charge billed for a separate service that same day and this is where the dispute arises.
We have spoken with [redacted] and attempted to explain to him that the second service billed visit had a $30 charge that their insurance denied. As a result the charge was then billed to them but he rejected that explanation. [redacted] insists that the EOB only indicated a $20 responsibility and unless he has an EOB indicating they owe the $30 they won't pay it. He also refused to contact their insurance to verify the $30 billed is accurate. Since the insurance provides the EOB and he won't take the step of contacting them, there is no further action we can take on this matter. The balance will remain as is and there is also a risk of it being placed with an external collection agency if it remains unpaid but [redacted] ended the conversation before that information was shared with him.
Having presented the information above we now respectfully ask for this complaint to be closed.

Revdex.com of WisconsinJanuary 19, 2018RE: Aurora Health Care complaint [redacted] Revdex.com personnel, With Michael again rejecting...

our response to his complaint, we have reached an impasse. We have reviewed his account and found no errors in the billing or services he received and communicated this information to him. Despite his objection, Michael is not owed a refund and we have now reached a point where there is nothing more that we can do to assist him. Respectfully, there is no further action for Aurora to take on this matter.

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.]Below is what I received from Anthem which agrees with what I have been indicating since the first misbilling:Message Subject: ComplaintsCustomer Service Representative:Sent: 07/21/201502:18 PM  Dear Mr. [redacted]: Thank you for your e-mail inquiry dated July 14, 2015. We contacted Aurora Health Care and talked to [redacted] (###-###-####), I had advised her that the $30 is supposed to be a provider write off and that the member should not be billed.  She said she will send the claim for re evaluation and she will contact you once a determination is made.  I also advised her that since they are in network with Anthem, to contact the Network Specialist with Blue Cross if we need to adjust the claim on our end. It is our pleasure to assist you through the Message Center. No reply is necessary unless you require further assistance. If you do have any additional questions, please write back to us at your convenience. Follow us on Twitter to get timely tips and tools to better understand how to use your health care plan. Sincerely, [redacted]Customer Service Advocate
Regards,
[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.Thanks Revdex.com for your role in facilitating this. As has been acknowledged by Aurora there has been multiple rounds of fixing the errors and there are still errors which are currently being reviewed by Aurora. It's premature of Aurora to claim everything has been resolved when they haven't acted up on my request for review yet. Furthermore , the person from Aurora who contacted me pretended that everything is fixed without checking the facts first . Later that person did acknowledge that things are still under  review. As I mentioned in my complaint and to Aurora representative I want all my bills to be thoroughly reviewed for errors. Just requesting documentation is not going to help if there are errors in process for documentation. Auroras billing process is full of errors and its Aurora's responsibilities and duty to fix those instead of asking customers to chase those errors and get them fixed. If there is an error on insurance side of things , I will take responsibilities for those errors and get them fixed working with an insurance company but it's unethical for Aurora to force customers fix Aurora's billing error. Hope Aurora realizes that they need to take ownership for these errors and fix them  
Regards,
[redacted]

Aurora Health Care has received complaint #[redacted]. An authorization/consent form has been sent to the patient.