Community Health Network, Inc("Community") received your letter dated May 23, concerning a complaint filed by Ms [redacted] with your officeCommunity appreciates your extension of time to allow us to respond to this complaint.Ms [redacted] complaint is in regard to a bill she received from Community and the balance owed by her alter her insurance carrier processed the initial billThe initial bill for services rendered by Community was $94.00, which was submitted to Medicare and processed in January with the discounted amount being $(Medicare deductible)This amount was submitted to Ms [redacted] secondary insurance Anthem Michigan and processed in January leaving the amount owed by Ms [redacted] to be $Please note the balance owed was her contracted copay with her insurance carrier, Anthem MichiganMs [redacted] paid her copay of $on 03/18/and there was a zero balance for visit dated 01/09/2013.On February 25, Anthem partially recouped $22.59, and on April 8, Anthem recouped the remaining $from their previous payment made 02/05/of $As a result of Anthem's recoupment, statements were sent out on 02/25/and 03/23/for $On 05/10/Community's insurance follrepresentatives contacted Anthem to inquire about the recoupmentValerie at Anthem was not able to provide an answer as to why because the claim was so oldValerie said she was going to get help from the recovery department and get back with CommunityMichelle M, contacted Ms [redacted] and stated a bill was sent because Anthem took back part of their payment from The balance of $rolled to collections, which Michelle told Ms [redacted] she would return because she was adjusting the recoupment balance off as a courtesy because of the age of the claim (2013)As of this writing, Community has not heard from Anthem.Ms [redacted] complaint also alleges a bill she received for a CT Scan on December 30, Services for the CT Scan were billed through Community Howard Regional Health (Howard")Upon review, Community billed for balances that Ms [redacted] s secondary insurance carrier deemed were paid in error, which were ultimately written off by Howard.Again, thank you for your extension of time to respond to this matterIf you need further information to conclude your investigation., please do not hesitate to contact meSincerely, Priscilla [redacted] ***
Community Health Network, Inc("Community") received your letter dated April 3, concerning a complaint filed by Ms [redacted] with your officeCommunity appreciates your extension of time to allow us to respond to this complaint.Ms [redacted] ' complaint concerning a bill she received from Community Howard dated 03/07/and the balance of $owed by her after her insurance carriers processed the initial billA claim was submitted electronically to Medicare on 01/27/(all Medicare claims are submitted electronically) for $for date of service 01/23/At the time of electronic submission, Medicare pushed the same claim to Ms [redacted] ' secondary carrier, [redacted] , through a process called "crossoverOn 01/27/2017, both Ms, [redacted] ' insurances, Medicare and [redacted] were notified of a claim from Community Howard.Medicare received Community Howards' claimMedicare did not "reject" the claim, but needed more informationOn 02/09/2017, Medicare communicated with Community Howard the claim transmitted on 01/27/lacked information needed to process a poi-tiorl of the claimIn fact, Community 1-Toward received a payment of $from Medicare on 02/2112017, Community Howard made a contractual adjustment of $44.81, and $was patient's remaining deductible related to the "Pro Fee"Through crossover, the $was submitted to [redacted] , which it denied as patient responsibility through its contract with Ms [redacted] .In the meantime, a statement was generated out to Ms [redacted] for $(attached)Ms [redacted] paid her $deductible evidenced by the statement dated 04/09/(attached).Claims from Community Howard are generated from various departments, which may include individual physician officesFor efficiency, the majority of claims are generated through Community Health Network - Cooperative business OfficeAll claims to Medicare are submitted electronicallyWithout knowing specifically who]n Ms [redacted] spoke with about her bill, Community is not able to coach the individual who advised her we would not rebill so this does not happen in the futureIn her case because of Medicare's reply of "Lacks Information for Adjudication" it was necessary to rebillThrough further investigation, a new claim was sent including a CLIA number as part of the claimMedicare requires a CLIA number to be included on all claims involving labs before it will process the charges (the remaining $70.00).In summary, upon receipt of the Revdex.com complaint on 04/03/2017, Ms [redacted] account for DOS 01/23/was reviewed and corrected to provide the necessary information for Medicare to process the claimIn the future if Ms [redacted] has questions about her bills, she may reach Community Health Network Cooperative Business Office, Client Services at 317-between the hours of 7:am to 6:pm Monday thru Friday, except for major holidays.Again thank you for your extension of time to respond to this matterIf you need further information to conclude your investigation, please do not hesitate to contact me.Cordially, Tonya A T [redacted] Client Services Manager
Community Health Network, Inc("Community") received your letter dated April 26,concerning a complaint filed by Mr*** *** with your officeCommunity appreciates your extension of time to allow us to respond to this complaint.Mr***'s complaint is in regard to the bill he
received from Community and the balance owed by him after his insurance carrier processed the initial billThe initial bill for services rendered by Community is $3,with the discounted amount being $1,201.00, thus, leaving the amount owed by Mr*** to be $2,Please note that the balance owed is his contracted deductible with his insurance carrier.On April 25,2016, Mr*** contacted Customer Service Billing regarding his balanceAt that time, he spoke with a Customer Service Representative as well as a Customer Service Supervisor ("Supervisor")The Supervisor advised ** *** that Community could not lower the balance owed by him because he had already received the contractual write-off negotiated by his insurance carrier for its members with CommunityIn response, Mr*** stated that he felt he was being punished for having insurance because Community offered a self-pay discount to patients who do not have insuranceHe requested Community to apply the same discount to his charge offered to an uninsured patient to reduce his contractual financial responsibility with his insurance carrierThe Supervisor advised Mr*** that the self-pay discount is only available to patients who do not have insurance, and as such, he is ineligible for the discountFurther, the Supervisor emphasized to Mr*** that it would be unethical to do so, and would also hinder Community's ability to negotiate with the insurance carrier(s) for their members and its patientsMoreover, the Supervisor insisted that she and Community would not participate in such a practice.In summary, Community offers a self-pay discount to patients who do not have insurance, As such ** *** is ineligible for the selfpay discount because be has insuranceThe balance owed by him is his contracted deductible with his insurance carrier.Again, thank you for your extension of time to respond to this matterIf you need further information to conclude your investigation, please do not hesitate to contact me. Cordially,Tonya T***Client Services Manager
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me.
Regards,
*** ***
Complainant purchased a Pontiac Montana (stock # ***) on 02/05/The vehiclewas not leased as stated in complaint, but in house financedOn 12/4/2013, we receivedwritten notification from *** stating that the full coverage insurance had beencancelled due to a Non sufficient check
paymentI called *** to verify the notificationreceived and was told the policy was indeed cancelledThe vehicle was repossessed later thatdayIn addition to the insurance cancellation, the account was delinquentComplainantcalled on 12/4/regarding the repossession and said she had paid the NSF check and hadinsurance coverageI called *** to confirm and they acknowledged an error wasmade when they told me the policy was still cancelledDue to this error, they agreed to paythe repossession fee if the vehicle was repossessed for insurance cancellation only, but not ifthe account was in defaultI told complainant she could redeem the vehicle by paying heraccount currentVirginia law states a person may redeem the vehicle by paying the fullamount owed on the contract (less a prorated refund on the finance charge), not just pastdue paymentsComplainant only needed to pay her account current, not in fullShe camedown and removed her tags and personal items from the vehicle and said she did not wish toredeem itThe vehicle has not been sold and is still on our premises if complainant desires toredeem itMonths later:On 4/13/2015, complainant called and inquired if she would be getting any money back fromthe sale of her vehicleShe was informed that we had not sold her vehicle (Stock # ***)and it was still on our property and available for her to redeemShe stated she didn't wantthe vehicle and wasn't inquiring about the Pontiac Montana that she purchased, but aGMC (stock # ***) that we sold her husband, *** *** on 9/16/It toowas repossessed on 12/4/for delinquent payments and the same insurance cancellation.He was also given the opportunity to redeem it by paying his account current, not in fullHeremoved his personal items from the vehicleHe has expressed that he feels we were"making every excuse" not to give him the vehicle back by requiring him to pay his accountcurrentHis account balance as of 12/26/was $4,This balance does not includethe cost incurred in preparing the vehicle for saleIt remained on our lot for months untilit was sold on 1/2/for $3,His right to redeem ended on 1/2/No refund isdue to Mr***.During our phone conversation on 4/13/2015, complainant asked if l would send hersomething showing how much the GMC sold for and asked if there would be a refundIexplained the contract on the GMC was not in her name, so I would gather thedocuments and Mr*** could pick them up at his convenienceI left a message on hervoice mail later that day stating the documents were readyI did not hear back fromcomplainant regarding this matterComplainant's husband who purchased the GMC hasnot requested any documentationHowever, l'm mailing him certified copies at this timeverifying the vehicle was sold for less than he owed on his contract.Enclosed are documents regarding the sale of the GMCDue to privacy, I've blackenedout the purchasers name and vital informationI've included the Virginia OLRS Vehicle Inquiryreport from dealertrack which is linked to the DMVThis report confirms the vehicle was soldfor $3,and sales tax paid in the amount of $159.98, equal to 4.05% of $3,asrequired by Virginia lawThere is a copy of the new title enclosed to verify the sales tax paidin the amount of $159.98, based on the sale price of $3,950.00.Please do not hesitate to call if any further information is requested.Sincerely, *** ***Bill's Auto Sales
I received a voicemail
from the Patient Experience Office 9/29/They have received my complaint, quoting incorrect numbers on the complaint, and made it seem that through the grievance process they decided to remove $of my $bill at Community Behavioral Health1/2 of my treatment, and 100% of the way Community Behavioral Health treated me was entirely Negligent Unreliable , and with little competence- I am not paying the remaining $on my bill at Community Behavioral HealthPress this issue and I'm certain to sue Community for tice, damages, and and will have complaints in with the AMA, Indiana professional licensing Agency, and many other relevant agency's.-Even the grievance process at Community Health is abusive.*** ***
This letter is in response to a complaint filed with your office by *** * *** Ms***' complaint is regarding how her charges were billed for services provided to her by Community Health
Network (CHNw)Ms*** stated she authorized CHNw to bill her auto insurance and not her personal health insuranceMs*** contacted me on 6/23/as she felt her previous calls to CHNw were not handled in an appropriate manner and she wanted confirmation that the billing had been correctedAfter reviewing her account, I confirmed a corrected claim had been submitted to her personal insurance to reverse the claim and refund the payment made and her auto insurance had been billedI apologized to Ms*** for the behavior of the two CHNw employees she previously spoke to about her accountI will continue to monitor Ms***' account until her auto insurance processes the claims and will advise Ms*** if any further information if required from herIf you need further information to conclude your investigation, please do not hesitate to contact me.Thank you,Carol E*** Client Services Manager
Community Health Network, Inc("Community") received your letter dated June 16, concerning a complaint filed by Ms*** * *** with your officeCommunity appreciates your extension of time to allow us to respond to this complaint.Ms***' complaint is in regard to non-payment of
charges she received from Community and other health care service providers unknown to CommunityIn her complaint, she states the amount of $4,is with *** *** *** Account No, *** ($4,Community Health Network, and $other providers.)Community has been in contact with *** to ascertain what dates of service and amounts are included in the $4,810,total*** stated Community has five (5) accounts with them included in Ms ***'s stated balance, as follows: Account ID Date of Service Initial Charge Statement Dates Payments & Adjustments Amount Turned Over Current Amount Owed*** 07/12/ $8, 9/9/2013,10/07/2013,11/14/2013, 12/02/ $1,112.34/$4, $3, $3,962.64*** 02/10/ $ 03/20/2014,04/17/2014, 05/15/2014, 06/12/ $ $ $76.74*** 02/10/ $ 02/20/2014, 03/20/2014, 04/17/2014, 05/15/ $ $ $113.24*** 03/18/ $ 04/17/2014, 03/28/2014, 06/12/2014, 07/10/ $134.12/$ $ $ The balances were owed by Ms*** after her insurance carrier processed the initial billThe initial bills for services rendered by Community were submitted to Ms***'s *** policy and processed with the discounted amounts being *** deductiblePlease note the balance owed is her contracted deductible with her insurance carrier, ***.Prior to the remaining deductibles being turned over to *** for non-payment Ms*** received four (4) statements to either pay the balance in total, set the balance up on an interest-free payment plan at Community, or apply and qualify for Community's Financial Assistance program.Ms***'s complaint also alleges ER Services have been combined with *** *** Hospital, Community and Emergency of IndianapolisThis is not trueCommunity is a separate biller from *** *** and Emergency of Indianapolis.It is possible Ms*** did receive a letter from an attorney concerning her unpaid balances as Community'sbalances mentioned above, have been at *** Credit since August 2014, which have not been paid*** Credit has been retained by Community to collect on unpaid balances, and if necessary to obtain a judgmentCommunity is not a part of *** *** ** *** *** and did not enter into any type of forgiveness program with Ms*** concerning the above-referenced charges.In summary, Community Health Network billed for balances Ms*** incurred on July 18, 2013, February 10, and March 18, 2014, and is entitled to be paidCommunity believes if Ms*** has a concern about her current balance, she needs to communicate with *** credit.Again, thank you for your extension of time to respond to this matterIf you need further information to conclude your investigation, please do not hesitate to contact me.Cordially,Tonya A T***Client Services Manager
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below. I have never recieved any document reguarding a financial assistance program. And I have spoke with billing at the hospital over previous bills and all I was told was the balance and possibly working out a payment plan. When I had received the bills in the mail I had attached a letter regarding that I am out of work and I am trying to get disability so I was asking if there was anything I can do regarding my bill and all I would get is another bill. I have never been able to get a straight answer I didn't even know there was an assistant program or I would have done it because that's the last thing I want to do is leave a balance,
Regards,
[redacted]
Community Health Network, Inc. ("Community") received your letter dated May 23, 2016 concerning a complaint filed by Ms. [redacted] [redacted] with your office. Community appreciates your extension of time to allow us to respond to this complaint.Ms. [redacted] complaint is in regard to a bill she...
received from Community and the balance owed by her alter her insurance carrier processed the initial bill. The initial bill for services rendered by Community was $94.00, which was submitted to Medicare and processed in January 2013 with the discounted amount being $67.97 (Medicare deductible). This amount was submitted to Ms. [redacted] secondary insurance Anthem Michigan and processed in January 2013 leaving the amount owed by Ms. [redacted] to be $20.00. Please note the balance owed was her contracted copay with her insurance carrier, Anthem Michigan. Ms. [redacted] paid her copay of $20.00 on 03/18/2013 and there was a zero balance for visit dated 01/09/2013.On February 25, 2016 Anthem partially recouped $22.59, and on April 8, 2016 Anthem recouped the remaining $25.38 from their previous payment made 02/05/2013 of $47.97. As a result of Anthem's recoupment, statements were sent out on 02/25/2016 and 03/23/2016 for $22.59. On 05/10/2016 Community's insurance follow-up representatives contacted Anthem to inquire about the recoupment. Valerie at Anthem was not able to provide an answer as to why because the claim was so old. Valerie said she was going to get help from the recovery department and get back with Community. Michelle M, contacted Ms. [redacted] and stated a bill was sent because Anthem took back part of their payment from 2013. The balance of $22.59 rolled to collections, which Michelle told Ms. [redacted] she would return because she was adjusting the recoupment balance off as a courtesy because of the age of the claim (2013). As of this writing, Community has not heard from Anthem.Ms. [redacted] complaint also alleges a bill she received for a CT Scan on December 30, 2014. Services for the CT Scan were billed through Community Howard Regional Health (Howard"). Upon review, Community billed for balances that Ms. [redacted]s secondary insurance carrier deemed were paid in error, which were ultimately written off by Howard.Again, thank you for your extension of time to respond to this matter. If you need further information to conclude your investigation., please do not hesitate to contact me. Sincerely, Priscilla [redacted]
Community Health Network, Inc. ("Community") received your letter dated April 3, 2017 concerning a complaint filed by Ms. [redacted] with your office. Community appreciates your extension of time to allow us to respond to this complaint.Ms. [redacted]' complaint concerning a bill she received...
from Community Howard dated 03/07/2017 and the balance of $90.57 owed by her after her insurance carriers processed the initial bill. A claim was submitted electronically to Medicare on 01/27/2017 (all Medicare claims are submitted electronically) for $216.00 for date of service 01/23/2017. At the time of electronic submission, Medicare pushed the same claim to Ms. [redacted]' secondary carrier, [redacted], through a process called "crossover. On 01/27/2017, both Ms, [redacted]' insurances, Medicare and [redacted] were notified of a claim from Community Howard.Medicare received Community Howards' claim. Medicare did not "reject" the claim, but needed more information. On 02/09/2017, Medicare communicated with Community Howard the claim transmitted on 01/27/2017 lacked information needed to process a poi-tiorl of the claim. In fact, Community 1-Toward received a payment of $80.62 from Medicare on 02/2112017, Community Howard made a contractual adjustment of $44.81, and $20.57 was patient's remaining 2017 deductible related to the "Pro Fee". Through crossover, the $20.57 was submitted to [redacted], which it denied as patient responsibility through its contract with Ms. [redacted].In the meantime, a statement was generated out to Ms. [redacted] for $90.57 (attached). Ms. [redacted] paid her $20.57 deductible evidenced by the statement dated 04/09/2017 (attached).Claims from Community Howard are generated from various departments, which may include individual physician offices. For efficiency, the majority of claims are generated through Community Health Network - Cooperative business Office. All claims to Medicare are submitted electronically. Without knowing specifically who]n Ms. [redacted] spoke with about her bill, Community is not able to coach the individual who advised her we would not rebill so this does not happen in the future. In her case because of Medicare's reply of "Lacks Information for Adjudication" it was necessary to rebill. Through further investigation, a new claim was sent including a CLIA number as part of the claim. Medicare requires a CLIA number to be included on all claims involving labs before it will process the charges (the remaining $70.00).In summary, upon receipt of the Revdex.com complaint on 04/03/2017, Ms. [redacted] account for DOS 01/23/2017 was reviewed and corrected to provide the necessary information for Medicare to process the claim. In the future if Ms. [redacted] has questions about her bills, she may reach Community Health Network Cooperative Business Office, Client Services at 317-355.5555 between the hours of 7:30 am to 6:00 pm Monday thru Friday, except for major holidays.Again thank you for your extension of time to respond to this matter. If you need further information to conclude your investigation, please do not hesitate to contact me.Cordially, Tonya A T[redacted]Client Services Manager
Revdex.com of Central Indiana 151 N Delaware Street #2020 lndianapolis, TN 46204-2599 Re: ID# [redacted] Community Hospital ast 1500 North Ritter Avenue Indianapolis, Indiana 46219-3095 317·3551411 (tel) eC:ommunlty.com Community Health Network,...
Inc. ("Community") received your letter dated May 23, 2017 concerning a complaint filed by Mr. [redacted] with your office. Community appreciates your extensions of time to allow us to respond to this complaint. Mr. [redacted]'s complaint is regarding charges incuned for radiology services provided at Community [redacted] Hospital ("CHW") on March 29, 201 6. Mr. [redacted]'s complaint alleges, "...the hospital charged me at $753 .00 for two knee x-rays. Other places iu town charge $60.00 each. " and "I was expecting a couple a maybe a few hundred dollars . . .but for God sake $753.00 for two X-rays.If! had been told this ahead of tinle lwould have went and got 2 X-rays from CD! at a cost of $60.00 each and brought them with me." Community charged Mr. [redacted] for two separate service charges on 03/29/2016. The first was $83.00 for the radiologist's fee to read the x-rays, and $670.00 for the actual x-rays. lvlr. [redacted]'s complaint states he is not contesting the radiologist fee, but the actual fee for the x-rays ("Iwas charged two separate charges. One for the Dr. and one for the X"rays. I totally agree. I paid the Dr."). With regard to the x-rays themselves, Community's Imaging Centers are billed as out-patient service facilities of our hospitals, whether in the hospital or at one of the regional healthcare complexes. This allows our patients flexibility and convenience in scheduling their radiology services. Community considers the cost it takes to!teat an average patient receiving those services when pricing services. Community's Imaging Ce11ters are not stand alone office facilities, such as [redacted] as mentioned in Mr. [redacted]'s complaint. In fact in certain instances as this one, Community's charges may be higher than those of stand-alone facilities who do not offer 2417/365 services. if Mr. [redacted] compared his services to other large networks within the city, he would have found the charge would have been competitive. Community strives to make sure we are competitively priced in the market, and are typically less than other large networks in our city. Lastly, Mr. [redacted]'s complaint contends, "I feel, just because I have insurance does not give the hospital the right to charge whatever they feel like." Pricing is set at the beginning of the year and remains the same throughout the year. Community considers the reimbursement received for our services for both insured and uninsured patients. Again, thank you for the extensions of time to respond to this matter. If you need further infonnation to conclude your investigation, please do not hesitate to contact me. Cordially,Tonya A T[redacted] Client Services Manager
Hello. My name is [redacted]. I filed a complaint against Community Health network yesterday. I made a mistake on purchased amount and the disputed amount of my claim. I thought I entered $550 for both, but the disputed amount ended up $50, they both should have been $650.
Community Health Network, Inc("Community") received your letter dated May 23, concerning a complaint filed by Ms [redacted] with your officeCommunity appreciates your extension of time to allow us to respond to this complaint.Ms [redacted] complaint is in regard to a bill she received from Community and the balance owed by her alter her insurance carrier processed the initial billThe initial bill for services rendered by Community was $94.00, which was submitted to Medicare and processed in January with the discounted amount being $(Medicare deductible)This amount was submitted to Ms [redacted] secondary insurance Anthem Michigan and processed in January leaving the amount owed by Ms [redacted] to be $Please note the balance owed was her contracted copay with her insurance carrier, Anthem MichiganMs [redacted] paid her copay of $on 03/18/and there was a zero balance for visit dated 01/09/2013.On February 25, Anthem partially recouped $22.59, and on April 8, Anthem recouped the remaining $from their previous payment made 02/05/of $As a result of Anthem's recoupment, statements were sent out on 02/25/and 03/23/for $On 05/10/Community's insurance follrepresentatives contacted Anthem to inquire about the recoupmentValerie at Anthem was not able to provide an answer as to why because the claim was so oldValerie said she was going to get help from the recovery department and get back with CommunityMichelle M, contacted Ms [redacted] and stated a bill was sent because Anthem took back part of their payment from The balance of $rolled to collections, which Michelle told Ms [redacted] she would return because she was adjusting the recoupment balance off as a courtesy because of the age of the claim (2013)As of this writing, Community has not heard from Anthem.Ms [redacted] complaint also alleges a bill she received for a CT Scan on December 30, Services for the CT Scan were billed through Community Howard Regional Health (Howard")Upon review, Community billed for balances that Ms [redacted] s secondary insurance carrier deemed were paid in error, which were ultimately written off by Howard.Again, thank you for your extension of time to respond to this matterIf you need further information to conclude your investigation., please do not hesitate to contact meSincerely, Priscilla [redacted] ***
Community Health Network, Inc("Community") received your letter dated April 3, concerning a complaint filed by Ms [redacted] with your officeCommunity appreciates your extension of time to allow us to respond to this complaint.Ms [redacted] ' complaint concerning a bill she received from Community Howard dated 03/07/and the balance of $owed by her after her insurance carriers processed the initial billA claim was submitted electronically to Medicare on 01/27/(all Medicare claims are submitted electronically) for $for date of service 01/23/At the time of electronic submission, Medicare pushed the same claim to Ms [redacted] ' secondary carrier, [redacted] , through a process called "crossoverOn 01/27/2017, both Ms, [redacted] ' insurances, Medicare and [redacted] were notified of a claim from Community Howard.Medicare received Community Howards' claimMedicare did not "reject" the claim, but needed more informationOn 02/09/2017, Medicare communicated with Community Howard the claim transmitted on 01/27/lacked information needed to process a poi-tiorl of the claimIn fact, Community 1-Toward received a payment of $from Medicare on 02/2112017, Community Howard made a contractual adjustment of $44.81, and $was patient's remaining deductible related to the "Pro Fee"Through crossover, the $was submitted to [redacted] , which it denied as patient responsibility through its contract with Ms [redacted] .In the meantime, a statement was generated out to Ms [redacted] for $(attached)Ms [redacted] paid her $deductible evidenced by the statement dated 04/09/(attached).Claims from Community Howard are generated from various departments, which may include individual physician officesFor efficiency, the majority of claims are generated through Community Health Network - Cooperative business OfficeAll claims to Medicare are submitted electronicallyWithout knowing specifically who]n Ms [redacted] spoke with about her bill, Community is not able to coach the individual who advised her we would not rebill so this does not happen in the futureIn her case because of Medicare's reply of "Lacks Information for Adjudication" it was necessary to rebillThrough further investigation, a new claim was sent including a CLIA number as part of the claimMedicare requires a CLIA number to be included on all claims involving labs before it will process the charges (the remaining $70.00).In summary, upon receipt of the Revdex.com complaint on 04/03/2017, Ms [redacted] account for DOS 01/23/was reviewed and corrected to provide the necessary information for Medicare to process the claimIn the future if Ms [redacted] has questions about her bills, she may reach Community Health Network Cooperative Business Office, Client Services at 317-between the hours of 7:am to 6:pm Monday thru Friday, except for major holidays.Again thank you for your extension of time to respond to this matterIf you need further information to conclude your investigation, please do not hesitate to contact me.Cordially, Tonya A T [redacted] Client Services Manager
The original response was sent via email on 7/2/15.Regards,Carol E [redacted] Client Services Manager
Community Health Network, Inc("Community") received your letter dated April 26,concerning a complaint filed by Mr*** *** with your officeCommunity appreciates your extension of time to allow us to respond to this complaint.Mr***'s complaint is in regard to the bill he
received from Community and the balance owed by him after his insurance carrier processed the initial billThe initial bill for services rendered by Community is $3,with the discounted amount being $1,201.00, thus, leaving the amount owed by Mr*** to be $2,Please note that the balance owed is his contracted deductible with his insurance carrier.On April 25,2016, Mr*** contacted Customer Service Billing regarding his balanceAt that time, he spoke with a Customer Service Representative as well as a Customer Service Supervisor ("Supervisor")The Supervisor advised ** *** that Community could not lower the balance owed by him because he had already received the contractual write-off negotiated by his insurance carrier for its members with CommunityIn response, Mr*** stated that he felt he was being punished for having insurance because Community offered a self-pay discount to patients who do not have insuranceHe requested Community to apply the same discount to his charge offered to an uninsured patient to reduce his contractual financial responsibility with his insurance carrierThe Supervisor advised Mr*** that the self-pay discount is only available to patients who do not have insurance, and as such, he is ineligible for the discountFurther, the Supervisor emphasized to Mr*** that it would be unethical to do so, and would also hinder Community's ability to negotiate with the insurance carrier(s) for their members and its patientsMoreover, the Supervisor insisted that she and Community would not participate in such a practice.In summary, Community offers a self-pay discount to patients who do not have insurance, As such ** *** is ineligible for the selfpay discount because be has insuranceThe balance owed by him is his contracted deductible with his insurance carrier.Again, thank you for your extension of time to respond to this matterIf you need further information to conclude your investigation, please do not hesitate to contact me. Cordially,Tonya T***Client Services Manager
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me.
Regards,
*** ***
Complainant purchased a Pontiac Montana (stock # ***) on 02/05/The vehiclewas not leased as stated in complaint, but in house financedOn 12/4/2013, we receivedwritten notification from *** stating that the full coverage insurance had beencancelled due to a Non sufficient check
paymentI called *** to verify the notificationreceived and was told the policy was indeed cancelledThe vehicle was repossessed later thatdayIn addition to the insurance cancellation, the account was delinquentComplainantcalled on 12/4/regarding the repossession and said she had paid the NSF check and hadinsurance coverageI called *** to confirm and they acknowledged an error wasmade when they told me the policy was still cancelledDue to this error, they agreed to paythe repossession fee if the vehicle was repossessed for insurance cancellation only, but not ifthe account was in defaultI told complainant she could redeem the vehicle by paying heraccount currentVirginia law states a person may redeem the vehicle by paying the fullamount owed on the contract (less a prorated refund on the finance charge), not just pastdue paymentsComplainant only needed to pay her account current, not in fullShe camedown and removed her tags and personal items from the vehicle and said she did not wish toredeem itThe vehicle has not been sold and is still on our premises if complainant desires toredeem itMonths later:On 4/13/2015, complainant called and inquired if she would be getting any money back fromthe sale of her vehicleShe was informed that we had not sold her vehicle (Stock # ***)and it was still on our property and available for her to redeemShe stated she didn't wantthe vehicle and wasn't inquiring about the Pontiac Montana that she purchased, but aGMC (stock # ***) that we sold her husband, *** *** on 9/16/It toowas repossessed on 12/4/for delinquent payments and the same insurance cancellation.He was also given the opportunity to redeem it by paying his account current, not in fullHeremoved his personal items from the vehicleHe has expressed that he feels we were"making every excuse" not to give him the vehicle back by requiring him to pay his accountcurrentHis account balance as of 12/26/was $4,This balance does not includethe cost incurred in preparing the vehicle for saleIt remained on our lot for months untilit was sold on 1/2/for $3,His right to redeem ended on 1/2/No refund isdue to Mr***.During our phone conversation on 4/13/2015, complainant asked if l would send hersomething showing how much the GMC sold for and asked if there would be a refundIexplained the contract on the GMC was not in her name, so I would gather thedocuments and Mr*** could pick them up at his convenienceI left a message on hervoice mail later that day stating the documents were readyI did not hear back fromcomplainant regarding this matterComplainant's husband who purchased the GMC hasnot requested any documentationHowever, l'm mailing him certified copies at this timeverifying the vehicle was sold for less than he owed on his contract.Enclosed are documents regarding the sale of the GMCDue to privacy, I've blackenedout the purchasers name and vital informationI've included the Virginia OLRS Vehicle Inquiryreport from dealertrack which is linked to the DMVThis report confirms the vehicle was soldfor $3,and sales tax paid in the amount of $159.98, equal to 4.05% of $3,asrequired by Virginia lawThere is a copy of the new title enclosed to verify the sales tax paidin the amount of $159.98, based on the sale price of $3,950.00.Please do not hesitate to call if any further information is requested.Sincerely, *** ***Bill's Auto Sales
I received a voicemail
from the Patient Experience Office 9/29/They have received my complaint, quoting incorrect numbers on the complaint, and made it seem that through the grievance process they decided to remove $of my $bill at Community Behavioral Health1/2 of my treatment, and 100% of the way Community Behavioral Health treated me was entirely Negligent Unreliable , and with little competence- I am not paying the remaining $on my bill at Community Behavioral HealthPress this issue and I'm certain to sue Community for tice, damages, and and will have complaints in with the AMA, Indiana professional licensing Agency, and many other relevant agency's.-Even the grievance process at Community Health is abusive.*** ***
This letter is in response to a complaint filed with your office by *** * *** Ms***' complaint is regarding how her charges were billed for services provided to her by Community Health
Network (CHNw)Ms*** stated she authorized CHNw to bill her auto insurance and not her personal health insuranceMs*** contacted me on 6/23/as she felt her previous calls to CHNw were not handled in an appropriate manner and she wanted confirmation that the billing had been correctedAfter reviewing her account, I confirmed a corrected claim had been submitted to her personal insurance to reverse the claim and refund the payment made and her auto insurance had been billedI apologized to Ms*** for the behavior of the two CHNw employees she previously spoke to about her accountI will continue to monitor Ms***' account until her auto insurance processes the claims and will advise Ms*** if any further information if required from herIf you need further information to conclude your investigation, please do not hesitate to contact me.Thank you,Carol E*** Client Services Manager
see attachment
Community Health Network, Inc("Community") received your letter dated June 16, concerning a complaint filed by Ms*** * *** with your officeCommunity appreciates your extension of time to allow us to respond to this complaint.Ms***' complaint is in regard to non-payment of
charges she received from Community and other health care service providers unknown to CommunityIn her complaint, she states the amount of $4,is with *** *** *** Account No, *** ($4,Community Health Network, and $other providers.)Community has been in contact with *** to ascertain what dates of service and amounts are included in the $4,810,total*** stated Community has five (5) accounts with them included in Ms ***'s stated balance, as follows: Account ID Date of Service Initial Charge Statement Dates Payments & Adjustments Amount Turned Over Current Amount Owed*** 07/12/ $8, 9/9/2013,10/07/2013,11/14/2013, 12/02/ $1,112.34/$4, $3, $3,962.64*** 02/10/ $ 03/20/2014,04/17/2014, 05/15/2014, 06/12/ $ $ $76.74*** 02/10/ $ 02/20/2014, 03/20/2014, 04/17/2014, 05/15/ $ $ $113.24*** 03/18/ $ 04/17/2014, 03/28/2014, 06/12/2014, 07/10/ $134.12/$ $ $ The balances were owed by Ms*** after her insurance carrier processed the initial billThe initial bills for services rendered by Community were submitted to Ms***'s *** policy and processed with the discounted amounts being *** deductiblePlease note the balance owed is her contracted deductible with her insurance carrier, ***.Prior to the remaining deductibles being turned over to *** for non-payment Ms*** received four (4) statements to either pay the balance in total, set the balance up on an interest-free payment plan at Community, or apply and qualify for Community's Financial Assistance program.Ms***'s complaint also alleges ER Services have been combined with *** *** Hospital, Community and Emergency of IndianapolisThis is not trueCommunity is a separate biller from *** *** and Emergency of Indianapolis.It is possible Ms*** did receive a letter from an attorney concerning her unpaid balances as Community'sbalances mentioned above, have been at *** Credit since August 2014, which have not been paid*** Credit has been retained by Community to collect on unpaid balances, and if necessary to obtain a judgmentCommunity is not a part of *** *** ** *** *** and did not enter into any type of forgiveness program with Ms*** concerning the above-referenced charges.In summary, Community Health Network billed for balances Ms*** incurred on July 18, 2013, February 10, and March 18, 2014, and is entitled to be paidCommunity believes if Ms*** has a concern about her current balance, she needs to communicate with *** credit.Again, thank you for your extension of time to respond to this matterIf you need further information to conclude your investigation, please do not hesitate to contact me.Cordially,Tonya A T***Client Services Manager
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below. I have never recieved any document reguarding a financial assistance program. And I have spoke with billing at the hospital over previous bills and all I was told was the balance and possibly working out a payment plan. When I had received the bills in the mail I had attached a letter regarding that I am out of work and I am trying to get disability so I was asking if there was anything I can do regarding my bill and all I would get is another bill. I have never been able to get a straight answer I didn't even know there was an assistant program or I would have done it because that's the last thing I want to do is leave a balance,
Regards,
[redacted]
The original response was sent via email on 7/2/15.Regards,Carol E[redacted]Client Services Manager
Community Health Network, Inc. ("Community") received your letter dated May 23, 2016 concerning a complaint filed by Ms. [redacted] [redacted] with your office. Community appreciates your extension of time to allow us to respond to this complaint.Ms. [redacted] complaint is in regard to a bill she...
received from Community and the balance owed by her alter her insurance carrier processed the initial bill. The initial bill for services rendered by Community was $94.00, which was submitted to Medicare and processed in January 2013 with the discounted amount being $67.97 (Medicare deductible). This amount was submitted to Ms. [redacted] secondary insurance Anthem Michigan and processed in January 2013 leaving the amount owed by Ms. [redacted] to be $20.00. Please note the balance owed was her contracted copay with her insurance carrier, Anthem Michigan. Ms. [redacted] paid her copay of $20.00 on 03/18/2013 and there was a zero balance for visit dated 01/09/2013.On February 25, 2016 Anthem partially recouped $22.59, and on April 8, 2016 Anthem recouped the remaining $25.38 from their previous payment made 02/05/2013 of $47.97. As a result of Anthem's recoupment, statements were sent out on 02/25/2016 and 03/23/2016 for $22.59. On 05/10/2016 Community's insurance follow-up representatives contacted Anthem to inquire about the recoupment. Valerie at Anthem was not able to provide an answer as to why because the claim was so old. Valerie said she was going to get help from the recovery department and get back with Community. Michelle M, contacted Ms. [redacted] and stated a bill was sent because Anthem took back part of their payment from 2013. The balance of $22.59 rolled to collections, which Michelle told Ms. [redacted] she would return because she was adjusting the recoupment balance off as a courtesy because of the age of the claim (2013). As of this writing, Community has not heard from Anthem.Ms. [redacted] complaint also alleges a bill she received for a CT Scan on December 30, 2014. Services for the CT Scan were billed through Community Howard Regional Health (Howard"). Upon review, Community billed for balances that Ms. [redacted]s secondary insurance carrier deemed were paid in error, which were ultimately written off by Howard.Again, thank you for your extension of time to respond to this matter. If you need further information to conclude your investigation., please do not hesitate to contact me. Sincerely, Priscilla [redacted]
Community Health Network, Inc. ("Community") received your letter dated April 3, 2017 concerning a complaint filed by Ms. [redacted] with your office. Community appreciates your extension of time to allow us to respond to this complaint.Ms. [redacted]' complaint concerning a bill she received...
from Community Howard dated 03/07/2017 and the balance of $90.57 owed by her after her insurance carriers processed the initial bill. A claim was submitted electronically to Medicare on 01/27/2017 (all Medicare claims are submitted electronically) for $216.00 for date of service 01/23/2017. At the time of electronic submission, Medicare pushed the same claim to Ms. [redacted]' secondary carrier, [redacted], through a process called "crossover. On 01/27/2017, both Ms, [redacted]' insurances, Medicare and [redacted] were notified of a claim from Community Howard.Medicare received Community Howards' claim. Medicare did not "reject" the claim, but needed more information. On 02/09/2017, Medicare communicated with Community Howard the claim transmitted on 01/27/2017 lacked information needed to process a poi-tiorl of the claim. In fact, Community 1-Toward received a payment of $80.62 from Medicare on 02/2112017, Community Howard made a contractual adjustment of $44.81, and $20.57 was patient's remaining 2017 deductible related to the "Pro Fee". Through crossover, the $20.57 was submitted to [redacted], which it denied as patient responsibility through its contract with Ms. [redacted].In the meantime, a statement was generated out to Ms. [redacted] for $90.57 (attached). Ms. [redacted] paid her $20.57 deductible evidenced by the statement dated 04/09/2017 (attached).Claims from Community Howard are generated from various departments, which may include individual physician offices. For efficiency, the majority of claims are generated through Community Health Network - Cooperative business Office. All claims to Medicare are submitted electronically. Without knowing specifically who]n Ms. [redacted] spoke with about her bill, Community is not able to coach the individual who advised her we would not rebill so this does not happen in the future. In her case because of Medicare's reply of "Lacks Information for Adjudication" it was necessary to rebill. Through further investigation, a new claim was sent including a CLIA number as part of the claim. Medicare requires a CLIA number to be included on all claims involving labs before it will process the charges (the remaining $70.00).In summary, upon receipt of the Revdex.com complaint on 04/03/2017, Ms. [redacted] account for DOS 01/23/2017 was reviewed and corrected to provide the necessary information for Medicare to process the claim. In the future if Ms. [redacted] has questions about her bills, she may reach Community Health Network Cooperative Business Office, Client Services at 317-355.5555 between the hours of 7:30 am to 6:00 pm Monday thru Friday, except for major holidays.Again thank you for your extension of time to respond to this matter. If you need further information to conclude your investigation, please do not hesitate to contact me.Cordially, Tonya A T[redacted]Client Services Manager
Revdex.com of Central Indiana 151 N Delaware Street #2020 lndianapolis, TN 46204-2599 Re: ID# [redacted] Community Hospital ast 1500 North Ritter Avenue Indianapolis, Indiana 46219-3095 317·3551411 (tel) eC:ommunlty.com Community Health Network,...
Inc. ("Community") received your letter dated May 23, 2017 concerning a complaint filed by Mr. [redacted] with your office. Community appreciates your extensions of time to allow us to respond to this complaint. Mr. [redacted]'s complaint is regarding charges incuned for radiology services provided at Community [redacted] Hospital ("CHW") on March 29, 201 6. Mr. [redacted]'s complaint alleges, "...the hospital charged me at $753 .00 for two knee x-rays. Other places iu town charge $60.00 each. " and "I was expecting a couple a maybe a few hundred dollars . . .but for God sake $753.00 for two X-rays.If! had been told this ahead of tinle lwould have went and got 2 X-rays from CD! at a cost of $60.00 each and brought them with me." Community charged Mr. [redacted] for two separate service charges on 03/29/2016. The first was $83.00 for the radiologist's fee to read the x-rays, and $670.00 for the actual x-rays. lvlr. [redacted]'s complaint states he is not contesting the radiologist fee, but the actual fee for the x-rays ("Iwas charged two separate charges. One for the Dr. and one for the X"rays. I totally agree. I paid the Dr."). With regard to the x-rays themselves, Community's Imaging Centers are billed as out-patient service facilities of our hospitals, whether in the hospital or at one of the regional healthcare complexes. This allows our patients flexibility and convenience in scheduling their radiology services. Community considers the cost it takes to!teat an average patient receiving those services when pricing services. Community's Imaging Ce11ters are not stand alone office facilities, such as [redacted] as mentioned in Mr. [redacted]'s complaint. In fact in certain instances as this one, Community's charges may be higher than those of stand-alone facilities who do not offer 2417/365 services. if Mr. [redacted] compared his services to other large networks within the city, he would have found the charge would have been competitive. Community strives to make sure we are competitively priced in the market, and are typically less than other large networks in our city. Lastly, Mr. [redacted]'s complaint contends, "I feel, just because I have insurance does not give the hospital the right to charge whatever they feel like." Pricing is set at the beginning of the year and remains the same throughout the year. Community considers the reimbursement received for our services for both insured and uninsured patients. Again, thank you for the extensions of time to respond to this matter. If you need further infonnation to conclude your investigation, please do not hesitate to contact me. Cordially,Tonya A T[redacted] Client Services Manager
Hello. My name is [redacted]. I filed a complaint against Community Health network yesterday. I made a mistake on purchased amount and the disputed amount of my claim. I thought I entered $550 for both, but the disputed amount ended up $50, they both should have been $650.