Associates in Family Eyecare PC

ASSOCIATES IN FAMILY EYECARE David MB [redacted] , O.DWilliam CS***, O.DWEisenhower Blvd Loveland, CO Telephone: (970) 669-Revdex.com S county Rd Suite FtCollins Co Dear Sirs; I am responding to account ID [redacted] I'm afraid I have no appropriate response for me [redacted] He knew when he came in our office he had [redacted] Insurance and that we did not take itHe had the right to refuse any testing other than the routine eye exam he was scheduled forHe had told me when he was in the waiting area that he knew he had some issues and felt [redacted] Doctors weren't taking proper care of itNow how during the time he was in the exam room he decided we should be able to bill Medicare,don't knowI understand Insurance is very hard to understand and many elderly patients don't understand that once they take out a Medicare Replacement Plan such as [redacted] that they no longer have MedicareI feel this is something insurance companies do not explain to these elderly patientsI had sent the Medicare explanation of benefit with my first letterThey did not deny his claim due to deductible; it was due to other coverage ( [redacted] )I do not feel the patient is entitled to a refund, we did the tests and my front desk tried repeatedly to explain to him that if he had [redacted] he did not have Medicare, but he only became angry and would not listen to herTeri D*** Office Manager Associates in Family Eyecare

ASSOCIATES IN FAMILY EYECARE David MB [redacted] , O.DWilliam CS***, O.DWEisenhower Blvd Loveland, CO Telephone: (970) 669-Revdex.com S county Rd Suite 100FtCollins Co Dear Sirs; I am responding to account ID [redacted] Regarding Ms [redacted] This patient was upset from the time she came in our office because we had billed her visit as a new patient, which she wasShe had been in our office before, but more than three years which is the length of time before a patient is once again considered a new patient(Insurance's rules not ours) And she had never seen one of our Doctors just purchased glassesWhich is why we could not find her file, if you don't see our Doctor you don't have a file, we didn't lose itThis also would qualify them as a new patientWe do verify insurance coverage before we take the patient back, but the first words out of the insurance company's mouth is always this is not a guarantee of paymentAs it turns out her insurance does not require us to write off the balance as you can see by the enclosed EOBI have since written off the balance just to keep peace with the patientI am sorry we errored in telling her what the insurance would do, but it really is the patients responsibility to know their insurance not oursMost of the time when we call for coverage we are not even speaking to someone in the US, and what they tell us is wrong as much as it is rightSincerely Teri D*** Office Manager Associates In Family Eyecare

ASSOCIATES IN FAMILY EYECARE David MB [redacted] , O.DWilliam CS***, O.DWEisenhower Blvd Loveland, CO Telephone: (970) 669-Revdex.com S County Rd Suite Ft Collins Co Re ID # [redacted] When this patient came into our office he was requesting a routine eye exam which is $not $as the complaintThe patient told me his insurance was through [redacted] , and he knew we couldn't bill them, but he didn't like the care he had gotten thereBecause he had some medical issues with his eyes the Drdid much more than a routine exam, in fact would have referred him to a specialist had this not occurredWhen the patient came out of the exam, he then asked us to bill Medicare, although he didn't even have his cardI tried to explain to him then that if he indeed had a [redacted] plan he no longer had MedicareHe became angered with me so I gave up and billed MedicareOnly to have the claim deniedNot because of a deductible but because patient had other coverageI enclosed a copy of the denial with his bill as explanation which I will do for you as wellSincerely Teri D*** Office Manager Associates in Family Eyecare

ASSOCIATES IN FAMILY EYECARE David M. B [redacted] , O.D. William C. S***, O.D. 2249 W. Eisenhower Blvd. Loveland, CO 80537 Telephone: (970) 669-4587 RevDex.com 8020 S County Rd 5 Suite 100 Ft Collins Co 80528 Re ID # [redacted] This patient when calling to find out if we took her insurance only told us that she had [redacted] [redacted] . For whom we are a provider. Unfortunately [redacted] farms out their vision to many different companies, one which is [redacted] , that company we are exam only providers. When the patient came in we even called [redacted] and were given benefits. I even sent the original claim straight to [redacted] . It was not until that claim was denied and I called them again that we learned that her vision insurance was really [redacted] . Our office would intentionally mislead someone about insurance coverage, which I tried to explain to the patient more than once. I feel the fault if there has to be any is with [redacted] for not telling us the first time we called that the billing went through [redacted] . Had we know we would have advised the patient immediately before she had her eye exam. I am enclosing a copy of the billing showing the different time and companies billed. Sincerely Teri D*** Office Manager Associates in Family Eyecare

Complaint: [redacted] I am rejecting this response because: I did not have any issues with my eyes as the subsequent tests confirmedThe initial test was in errorI had to return for three more tests, which have shown no anomalyI am retired, and I have paid into Medicare all my working life, and still payingMedicare is my primary provider, as it it for most all people who are retired [redacted] insurance is my supplementary to my Medicare insurance I have asked the provider to make a copy of my medicare card, which she didMedicare rejected my claim, stating that with this claim I've met my deductibleThe only reason I've decided to file a Medicare claim, because during the exam, the examining doctor (DrDavid MB [redacted] ) told me that they would pay most all of itThe initial cost was around $90, and because I've turned it into Medicare as advised by the examining doctor they have charged me $In the past 8-years I have spent over a $for glasses and examination with this provider, and I am sorry that I did Regards, [redacted]

ASSOCIATES IN FAMILY EYECARE David MB***, O.D. William CS***, O.D. WEisenhower Blvd. Loveland, CO Telephone: (970) 669-4587 Revdex.com
S county Rd Suite
FtCollins Co 80528 Dear Sirs; I am responding to account ID *** As I previously stated Ms*** informed us that her insurance was *** ***, which we verified and were told by *** *** that we were to bill direct to them, which I didIt was not until I received a rejected claim and called *** *** again that was told her Vision coverage was Through ***Had we known up front we would have told her before she ever came in that we were an exam only providerI understand her being upset but I can only go by what the insurance company tells us and in this case we were misinformedAgain I am sorry.
Teri D*** Office Manager Associates in Family Eyecare

ASSOCIATES IN FAMILY EYECARE David MB***, O.D. William CS***, O.D. WEisenhower Blvd. Loveland, CO Telephone: (970) 669-4587 Revdex.com
S county Rd Suite
FtCollins Co 80528 Dear Sirs; I am responding to account ID *** I'm afraid I have no appropriate response for me ***He knew when he came in our office he had *** Insurance and that we did not take itHe had the right to refuse any testing other than the routine eye exam he was scheduled forHe had told me when he was in the waiting area that he knew he had some issues and felt *** Doctors weren't taking proper care of itNow how during the time he was in the exam room he decided we should be able to bill Medicare,don't knowI understand Insurance is very hard to understand and many elderly patients don't understand that once they take out a Medicare Replacement Plan such as *** that they no longer have MedicareI feel this is something insurance companies do not explain to these elderly patientsI had sent the Medicare explanation of benefit with my first letterThey did not deny his claim due to deductible; it was due to other coverage (***)I do not feel the patient is entitled to a refund, we did the tests and my front desk tried repeatedly to explain to him that if he had *** he did not have Medicare, but he only became angry and would not listen to her. Teri D*** Office Manager Associates in Family Eyecare

Complaint: ***
I am rejecting this response because:
If I don't have Medicare benefits, because of ***, than why did DrB*** at this clinic advised me to submit this bill to Medicare.
“People don’t want to buy a quarter-inch drillThey want a quarter-inch hole.”Theodore Levitt
Regards,
*** ***

ASSOCIATES IN FAMILY EYECARE David MB***, O.D. William CS***, O.D. WEisenhower Blvd. Loveland, CO 80537Telephone: (970) 669-4587 Revdex.com S County Rd Suite Ft Collins Co 80528 Re ID #*** This patient when calling to find out if we took her insurance only told us that she had *** ***For whom we are a providerUnfortunately *** *** farms out their vision to many different companies, one which is ***, that company we are exam only providersWhen the patient came in we even called *** *** and were given benefitsI even sent the original claim straight to *** ***It was not until that claim was denied and I called them again that we learned that her vision insurance was really ***Our office would intentionally mislead someone about insurance coverage, which I tried to explain to the patient more than onceI feel the fault if there has to be any is with *** *** for not telling us the first time we called that the billing went through ***Had we know we would have advised the patient immediately before she had her eye examI am enclosing a copy of the billing showing the different time and companies billed. Sincerely Teri D*** Office Manager Associates in Family Eyecare

ASSOCIATES IN FAMILY EYECARE David MB***, O.D. William CS***, O.D. WEisenhower Blvd. Loveland, CO Telephone: (970) 669-4587 Revdex.comS county Rd Suite FtCollins Co 80528 Dear Sirs; I am responding to account ID *** As I previously stated Ms*** informed us that her insurance was *** ***, which we verified and were told by *** *** that we were to bill direct to them, which I didIt was not until I received a rejected claim and called *** *** again that was told her Vision coverage was Through ***Had we known up front we would have told her before she ever came in that we were an exam only providerI understand her being upset but I can only go by what the insurance company tells us and in this case we were misinformedAgain I am sorry. Teri D*** Office Manager Associates in Family Eyecare

ASSOCIATES IN FAMILY EYECARE David MB***, O.D. William CS***, O.D. WEisenhower Blvd. Loveland, CO
Telephone: (970) 669-4587 Revdex.com S County Rd Suite
Ft Collins Co 80528 Re ID #***
When this patient came into our office he was requesting a routine eye exam which is $not $as the complaintThe patient told me his insurance was through ***, and he knew we couldn't bill them, but he didn't like the care he had gotten thereBecause he had some medical issues with his eyes the Drdid much more than a routine exam, in fact would have referred him to a specialist had this not occurredWhen the patient came out of the exam, he then asked us to bill Medicare, although he didn't even have his cardI tried to explain to him then that if he indeed had a *** plan he no longer had MedicareHe became angered with me so I gave up and billed MedicareOnly to have the claim deniedNot because of a deductible but because patient had other coverageI enclosed a copy of the denial with his bill as explanation which I will do for you as well. Sincerely Teri D*** Office Manager Associates in Family Eyecare

ASSOCIATES IN FAMILY EYECARE David MB***, O.D. William CS***, O.D. WEisenhower Blvd. Loveland, CO Telephone: (970) 669-4587 Revdex.comS county Rd Suite 100FtCollins Co 80528 Dear Sirs; I am responding to account ID
***Regarding Ms***This patient was upset from the time she came in our office because we had billed her visit as a new patient, which she wasShe had been in our office before, but more than three years which is the length of time before a patient is once again considered a new patient(Insurance's rules not ours) And she had never seen one of our Doctors just purchased glassesWhich is why we could not find her file, if you don't see our Doctor you don't have a file, we didn't lose itThis also would qualify them as a new patientWe do verify insurance coverage before we take the patient back, but the first words out of the insurance company's mouth is always this is not a guarantee of paymentAs it turns out her insurance does not require us to write off the balance as you can see by the enclosed EOBI have since written off the balance just to keep peace with the patientI am sorry we errored in telling her what the insurance would do, but it really is the patients responsibility to know their insurance not oursMost of the time when we call for coverage we are not even speaking to someone in the US, and what they tell us is wrong as much as it is right. Sincerely Teri D*** Office Manager Associates In Family Eyecare

Complaint: ***
I am rejecting this response because:The business response indicates that *** *** *** 'farms out' there clients to other providers, in this, case I was assigned to ***I have no indication on my insurance information, including my insurance id card that I
provided to the business that I am covered by ***, all of my information only shows *** ***My insurance ID card states 'It is the providers responsibility to verify eligibility before providing treatment'I personally had no way of knowing that *** was involved at all, therefore I could not have let the provider know*** *** has informed me that when then provider calls to confirm my coverage, they would have been informed that Spectrera was involvedI do not think the business fulfilled their responsibility in confirming that I was a covered patientI think the business do not confirm my coverage properly PRIOR to providing coverage, as is their responsibility, not mine, as the consumerThis case is similar to going to a doctor and being told your are covered under you insurance and then being told after the fact that the doctor's office did not know exactly what coverage you had and then expecting the patient to cover the costs in fullThe provider, Associates in Family Eyecare would have been informed by *** *** of my coverage if they had called to confirm coverage, which I do not believe they did until after services were providedI feel I should have been given the opportunity to cancel the order for glasses once they found that I would not be covered*** *** customer service can be reached at ***
Regards,
*** ***

Complaint: ***
I am rejecting this response because:If I don't have Medicare benefits, because of ***, than why did DrB*** at this clinic advised me to submit this bill to Medicare. “People don’t want to buy a quarter-inch drillThey want a quarter-inch hole.”Theodore Levitt
Regards,
*** ***

Revdex.com:
I have reviewed the response made by the business, and find that this resolution is satisfactory to meIt is written off in full with no payment balance due.
Regards,
*** ***

Complaint: [redacted]
I am rejecting this response because:
The business response indicates that [redacted] 'farms out' there clients to other providers, in this, case I was assigned to [redacted]. I have no indication on my insurance information, including my insurance...

id card that I provided to the business that I am covered by [redacted], all of my information only shows [redacted]. My insurance ID card states 'It is the providers responsibility to verify eligibility before providing treatment'. I personally had no way of knowing that [redacted] was involved at all, therefore I could not have let the provider know. [redacted] has informed me that when then provider calls to confirm my coverage, they would have been informed that Spectrera was involved. I do not think the business fulfilled their responsibility in confirming that I was a covered patient. I think the business do not confirm my coverage properly PRIOR to providing coverage, as is their responsibility, not mine, as the consumer.
This case is similar to going to a doctor and being told your are covered under you insurance and then being told after the fact that the doctor's office did not know exactly what coverage you had and then expecting the patient to cover the costs in full.
The provider, Associates in Family Eyecare would have been informed by [redacted] of my coverage if they had called to confirm coverage, which I do not believe they did until after services were provided. I feel I should have been given the opportunity to cancel the order for glasses once they found that I would not be covered.
[redacted] customer service can be reached at [redacted].
Regards,
[redacted]

ASSOCIATES IN FAMILY EYECARE David M. B[redacted], O.D. William C. S[redacted], O.D. 2249 W. Eisenhower Blvd.  Loveland, CO 80537 Telephone: (970) 669-4587 Revdex.com
8020 S county Rd 5 Suite...

100Ft. Collins Co 80528 
Dear Sirs; I am responding to account ID [redacted]
Regarding Ms. [redacted]. This patient was upset from the time she came in our office because we had billed her visit as a new patient, which she was. She had been in our office before, but more than three years which is the length of time before a patient is once again considered a new patient. (Insurance's rules not ours) And she had never seen one of our Doctors just purchased glasses. Which is why we could not find her file, if you don't see our Doctor you don't have a file, we didn't lose it. This also would qualify them as a new patient. We do verify insurance coverage before we take the patient back, but the first words out of the insurance company's mouth is always this is not a guarantee of payment. As it turns out her insurance does not require us to write off the balance as you can see by the enclosed EOB. I have since written off the balance just to keep peace with the patient. I am sorry we errored in telling her what the insurance would do, but it really is the patients responsibility to know their insurance not ours. Most of the time when we call for coverage we are not even speaking to someone in the US, and what they tell us is wrong as much as it is right. Sincerely Teri D[redacted] Office Manager Associates In Family Eyecare

ASSOCIATES IN FAMILY EYECARE David M. B[redacted], O.D. William C. S[redacted], O.D. 2249 W. Eisenhower Blvd.  Loveland, CO 80537 Telephone: (970) 669-4587 Revdex.com 8020 S county Rd 5 Suite 100 Ft. Collins Co 80528 Dear Sirs; I am responding to account ID [redacted] I'm afraid I have no appropriate response for me [redacted]. He knew when he came in our office he had [redacted] Insurance and that we did not take it. He had the right to refuse any testing other than the routine eye exam he was scheduled for. He had told me when he was in the waiting area that he knew he had some issues and felt [redacted] Doctors weren't taking proper care of it. Now how during the time he was in the exam room he decided we should be able to bill Medicare,1 don't know. I understand Insurance is very hard to understand and many elderly patients don't understand that once they take out a Medicare Replacement Plan such as [redacted] that they no longer have Medicare. I feel this is something insurance companies do not explain to these elderly patients. I had sent the Medicare explanation of benefit with my first letter. They did not deny his claim due to deductible; it was due to other coverage ([redacted]). I do not feel the patient is entitled to a refund, we did the tests and my front desk tried repeatedly to explain to him that if he had [redacted] he did not have Medicare, but he only became angry and would not listen to her. Teri D[redacted] Office Manager Associates in Family Eyecare

Complaint: [redacted]
I am rejecting this response because: I did not have any issues with my eyes as the subsequent 3 tests confirmed. The initial test was in error. I had to return for three more tests, which have shown no anomaly. I am retired, and I have paid into Medicare all my working life,...

and still paying. Medicare is my primary provider, as it it for most all people who are retired. [redacted] insurance is my supplementary to my Medicare insurance.   I have asked the provider to make a copy of my medicare card, which she did. Medicare rejected my claim, stating that with this claim I've met my deductible. The only reason I've decided to file a Medicare claim, because during the exam, the examining doctor (Dr. David M. B[redacted]) told me that they would pay most all of it. The initial cost was around $90, and because I've turned it into Medicare as advised by the examining doctor they have charged me $170.00. In the past 8-10 years I have spent over a $1000 for glasses and examination with this provider, and I am sorry that I did. 
Regards,
[redacted]

ASSOCIATES IN FAMILY EYECARE David M. B[redacted], O.D. William C. S[redacted], O.D. 2249 W. Eisenhower Blvd.  Loveland, CO 80537
Telephone: (970) 669-4587 
Revdex.com 8020 S County Rd 5 Suite 100
Ft Collins Co 80528 Re ID #[redacted] This patient when calling to find out if we took her insurance only told us that she had [redacted]. For whom we are a provider. Unfortunately [redacted] farms out their vision to many different companies, one which is [redacted], that company we are exam only providers. When the patient came in we even called [redacted] and were given benefits. I even sent the original claim straight to [redacted]. It was not until that claim was denied and I called them again that we learned that her vision insurance was really [redacted]. Our office would intentionally mislead someone about insurance coverage, which I tried to explain to the patient more than once. I feel the fault if there has to be any is with [redacted] for not telling us the first time we called that the billing went through [redacted]. Had we know we would have advised the patient immediately before she had her eye exam. I am enclosing a copy of the billing showing the different time and companies billed. Sincerely Teri D[redacted] Office Manager Associates in Family Eyecare