Apex Emergency Group PC

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 meThank you for reaching out to this companyThey did not return any of the multiple calls I had made until you reached out to themI so appreciated your helpThere documentation of the incident is vastly incorrect, as I returned ALL phone calls I received from themHowever, I am not going to collections and my insurance has been updated so I am happy with the resolutionThank you for your help Sincerely, [redacted]

Initial Business Response /* (1000, 7, 2015/10/23) */
Patient was seen in the ER Dept on 8/12/and has *** insuranceThis ER is not contacted with ***As a courtesy we filed a claim for the services rendered with *** on 8/25/for paymentOn 9/11/we then billed the patient for the
full balance due because of our non contracted status with this ins co*** will not pay our practice rather reimburses the patient for any coverage amountsOn 10/14/our office was notified by *** that on 8/31/this claim processed and the patient was paid directlyOn 10/16/after the patient had still not paid our company what was paid to them we transferred the account to a collection agency as another patient statement was sent out on 10/9/with again no response or paymentOn 10/20/the patient went on line and made a partial payment on the balanceThis was several days after placement with the agencyUpon the patients wife calling our office on 10/21/I reviewed the account and explained in order for our us to cancel collections she must pay us in full the same amount she was paid by her insuranceShe agreed to do this on 10/21/That same day we withdrew the account from the agency as well as setup a payment plan for the remaining balance due post insurance processingIt is our understanding this case is resolved with the patient
Initial Consumer Rebuttal /* (3000, 9, 2015/10/27) */
(The consumer indicated he/she DID NOT accept the response from the business.)
First, we received the account payment information letter on on 10/15/2015, I set up through the navicure website which was on the bill a payment planIt was set to draft $monthly from my account on the 20thThey did not send a letter stating that it would go to collectionWhen contacted by the collection agency on the 10/20/were we notified they automatically sent it to collectionsOn 10/20/15, I contact APEX and they would not remove form collection even though my bank account was drafted for $When I discussed with the customer care agent they said elevated to manager for approval would need additional moneyI wanted to speak to the manager who was not in that day*** contacted me on 10/21/and said the only way to be removed from collections was to pay the amount that *** sent meI said can pay that additional $She also stated that the monthly payment plan would be honored that I had previously set upI did not agree to pay in full the accountI agreed to monthly payment plan I originally set upI also authorized only for them to take out an additional $from the checking account to be able to keep current planAs of 10/27/2015, they have not taken the additional $from checking account that I authorized on 10/21/
Final Business Response /* (4000, 13, 2015/10/28) */
Again, we have canceled this account with the collection agency after agreeing to the monthly payment arrangement we set up with Mrs*** of $per monthThe account was turned as she did not pay Premier Emergency the amount they were paid by their insurance and as she stated to our office staff "spent the money on other things"It is our policy to turn accounts to our collection agency when patients opt to keep the funds their insurance pays them for using an out of network provider vs paying the balance they owe our practiceIn order for this account to remain out of collections she will need to continue to honor the payment arrangement she established with our officeAt this point we don't know what further can be done to resolve this caseIt was a matter of the account turning to collections the same week the patient opted to make a payment after having had the funds since early September as verified with her insuranceAs requested by the complaint the account is no longer with our collection agency, no credit reporting as been done and we have accepted her request for a monthly payment arrangement

On June 23, our company submitted a refund as requested to *** ***, the patients insurance, as *** informed our office they processed the clam in error for the service date of 7/14/2016. The only insurance we had on file that was sent to us by the facility was the *** policy.
The patient was billed with this information explaining the insurance has now denied the claim. The patient then contacted our administrative office as the legacy APEX billing company closed in March as the company has merged with ** *** *** ***. Upon contact to our office it was explained to the patient that we could not file a claim with another insurance as the company had been closed and the APEX Tax ID no longer exists. She became very angry and was difficult to work with demanding to talk with staff of a company that had closed. After multiple phone calls trying to explain the situation between myself and our admin assistant we ultimately left a message informing her that the bill was written off and no balance was due. She again called our office wondering why she was sent to collections which she was not and will not be sent to collections with no return call. Again as of 8/8/this balance was written off and no balance is due from the patient nor her insurance company. Thank you

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. Thank you for reaching out to this company. They did not return any of the multiple calls I had made until you reached out to them. I so appreciated your help. There documentation of the incident is vastly incorrect, as I returned ALL phone calls I received from them. However, I am not going to collections and my insurance has been updated so I am happy with the resolution. Thank you for your help. 
Sincerely,
[redacted]