Athena Diagnostics Inc.

Revdex.com:
I have reviewed the response submitted by the business and although I do not agree with the information provided by Athena Labs, I hope to find an amicable resolution to this issue that has been continuing for months. I will submit the financial assistance application form that was provided, which did not include instructions on how to return it, via the two fax numbers that I can locate for the company, which are (*** *** *** *** ***.
Regards,
*** ***

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Revdex.com:
I have reviewed the response submitted by the business and have determined that the response does satisfy my issues and/or concerns in reference to complaint #***I understand that by choosing to accept the business response that my complaint will be closed as resolved.
Regards,
*** ***

Revdex.com:At this time, I have not been contacted by Bail Bonds Service Inc regarding complaint ID ***.I also sent my son on Monday 6/**/to follow up in person and it still is not resolved.Sincerely,
*** ***

Revdex.com:
I have reviewed the response submitted by the business and have determined that the response does satisfy my issues and/or concerns in reference to complaint #***I understand that by choosing to accept the business response that my complaint will be closed as resolved.
Regards,
*** ***

Revdex.com:At this time, I have not been contacted by 123 Bail Bonds Service Inc regarding complaint ID [redacted].I also sent my son on Monday 6/**/17 to follow up in person and it still is not resolved.Sincerely,
[redacted]

Revdex.com:
I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted]. Please add your rejection comments below. 
 Firstable the blood sample submitted by the doctor it was for my wife [redacted] at this time my name had not even mention. Athena said my test was received under my name. Second the dates they had mention do not match my calendar, I have gotten in contact with my telephone provider to obtain the telephones record of in bound as well as out bound, as soon as I get the I will make sure you receive them.Third the blood speciment was collected on 07/24/15. Athena lab said they recieved the order form on 7/31/15. And they said they had contact me 7/31 at this time its been a whole week (7) days since the blood had been drawn. The first time I was told about the xtra charges I told them to throw it in the garbage, I'm not in need of. AAP. My local union has [redacted] which only cost me a co pay.
Regards,
[redacted]

I have reviewed the account for [redacted].  We are waiting for the Explanation of Benefits (EOB) from the patient.  She sent us a screen shot of her EOB from her phone but we could not see the details.  She also stated that she is appealing with her insurance...

company.  Until we receive a paper copy of the EOB, showing the balance of $1755.14, which is the amount she states she owes and we receive the outcome of the appeal, we can't do anything at this time.  We have asked her to have her insurance company call us at [redacted] option 4, so we can put her bill on hold until they make a decision on the claim.  To date we have not heard from the insurance company.  Thank you.

Tell us why here...I reviewed the details of your account and I'm sorry you were not informed by your physician that Athena was an out of network laboratory.  Because we are not in network with most insurances we offer the Athena Alliance Program (AAP) to make our testing affordable for...

our patients.  I realize you do not qualify for assistance but because you were not aware of the cost of the test and that we are out of network, I'll allow you to pay the $800 AAP amount.  I will adjust your account to reflect the $800 amount.  Please call us at [redacted] option 4 if you have any questions or concerns.

We received [redacted]’s order from his physician on 7/27/15.  We contacted [redacted] on 7/31 and left a message.  [redacted] call back on 7/31 and we discussed the billing process, the Athena Alliance Program (AAP) and gave him the procedure code so he could check with his insurance to see if...

the test would be covered.  The AAP is a financial assistance program based on income and family size. We did not hear back from [redacted] and the test resulted on 8/14 and we billed his insurance on 8/17.   We did not hear from his insurance company, so a letter went out to the [redacted] on 9/16 stating he may have received payment and the Explanation of Benefits (EOB).   [redacted] called on 9/28 and stated he had wanted the test cancelled.  We stated there was no mention of cancelling during the conversation on 7/31.   The test resulted on 8/14 and there are no cancellations allowed if the test has resulted. We never received the insurance payment he received so we billed [redacted] on 9/30.[redacted] sent a payment of $378.00, which was posted on 10/27.  We also received a completed AAP application and he qualifies to pay no more than $302.40 out of pocket.  We received the EOB from the insurance company and [redacted] was actually paid $392.75, so he owes us an additional $14.50.  He also owes the AAP amount of $302.40.  Once we receive a total of $317.15, we will write of the balance of $1194.85.

I just confirmed with the hospital ([redacted]) the hospital that sent us the sample, that they do indeed have the test results.  The lab informed me that Dr. [redacted] has access to these results. If you would like to confirm yourself you can reach the lab at the Medical Center @ ###-###-####.  Please let me know if there is anything else I can do for you.

[redacted] has already paid, leaving a balance of $2889.53, which the EOB states is the patients responsibility.  We have a financial assistance program that can help reduce the amount paid from the patient but [redacted] does not qualify as her income is higher than the allowed amount.   Because of the misunderstanding with what BC told her about Athena being in network, I can reduce the amount owed to $800, which is the amount she would be responsible for had she qualified for the assistance program.  This is a reduction of $2089.53.

Athena received the patients blood sample and requisition signed by both the patient and the ordering physician.  We started running the test as ordered and called the patient to let her know that the test had started in the lab but we are unable to bill her insurance company.  We also...

informed her about our financial assistance program.  She stated she could not afford the test but would call her physicians office and wait for the financial assistance forms.  Because of the quick turnaround time of the test and because it was during the holiday season, the patient did not get in contact with us prior to the test resulting.  Because of this, the patient will not be responsible for the invoice.

Revdex.com:
I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted]. Please add your rejection comments below. 
[Athena said they processed the 8/17 order and sent results back to my doctor? My doctor did not receive the Musk Antibody test result. Consequently I was told the test order was not received nor was specimen received. My doctor is puzzled because he has assession #s that indicate order was sent and that the specimen was sent to Athena yet WE DO NOT HAVE RESULTS. We spoke to someone at Athena, she said test was not done. Again, someone is lying. 
Regards,
[redacted]

Tell us why here...I reviewed both the January invoice and the 8/17 blood sample.  The January invoice was sent to the consumer in error and he will no longer receive an invoice regarding the January service.  As for the 8/17 sample, Athena received that sample on 8/22, processed...

the sample immediately and sent the physician the result on 8/24.  There was no delay at all by the Athena lab.  Athena did not receive or process the other 2 samples he mentioned.  Those samples must have been processed by another lab.  His doctor would be able to tell him who processed them.

Revdex.com:
I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted].
 When I last spoke with the company, it was early December. The company representative told me that I would be getting a new bill dated December 6 and to call once I had received that bill. I would have been happy to have done the conference call they suggested immediately at that time and thought it very inconvenient to have to wait and call again, but that was their instructions. To date I have never received this bill dated December 6, so I have not made the phone call. There will not be an EOB with the amount that they are quoting. I told the company's representative that [redacted] told me of the amounts that they felt were not legitimate and that they do not pay on in network claims. [redacted] told me that when a company files an amended claim and they are rejecting the claim as not a covered service, then they do not bother to dispute the amounts since the claim is not being covered by them. Disputing the amount is between the patient and provider at that point. However, on an in network claim that would be covered, they do not pay for some of the codes being billed for. I have explained to the provider multiple times that they misrepresented themselves in the beginning when I called leading me to proceed with the labwork. I think I am being more than reasonable as to offer an amount that my insurance company would pay on a typical claim were they in network. This greedy company will not accept this offer and feels no culpability for this issue. I agree that [redacted] initially saying that they were in network started the problem, but no one telling me that they were not in network when I called them to verify is also a causative factor. Offering an amount which is equal to or exceeds the amount they would get from an insurance company is more than generous.
Regards,
[redacted]

In reviewing your account, I see that we sent you a specimen kit to have the sample drawn.  You are consenting to the test once the sample is drawn and will be responsible for anything your insurance company does not cover for the services we provided.  Once we received the specimen, the...

test is started in the lab according to the order we received from your physician.  We sent you a letter stating our process on 2/17/17 and called you to discuss on 2/20/17.  We left a message to call us regarding the process but did not hear back from you.  The sample was received on 2/16/17 and the test was completed on 3/2/17 and will billed the insurance company.  The insurance company denied the claim for not medically necessary, therefore we started invoicing you.  We have a financial assistance program as you mentioned and we actually include all members of your household, so if you have additional relatives living with you, we can include them.  Adding these additional people, may put you in a category to qualify.  I've attached a financial assistance form.  Please complete and we will review to see if you qualify.  If you qualify, we will adjust your invoice accordingly.