Athena Diagnostics

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

[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 $

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/order and sent results back to my doctor? My doctor did not receive the Musk Antibody test resultConsequently I was told the test order was not received nor was specimen receivedMy 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 RESULTSWe spoke to someone at Athena, she said test was not doneAgain, someone is lying Regards, [redacted]

Revdex.com:At this time, I have not been contacted by Bail Bonds Service Inc regarding complaint ID [redacted] .I also sent my son on Monday to follow up in person and it still is not resolved.Sincerely, [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/and called you to discuss on 2/20/ We left a message to call us regarding the process but did not hear back from you The sample was received on 2/16/and the test was completed on 3/2/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

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 DecemberThe company representative told me that I would be getting a new bill dated December and to call once I had received that billI 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 instructionsTo date I have never received this bill dated December 6, so I have not made the phone callThere will not be an EOB with the amount that they are quotingI 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 themDisputing the amount is between the patient and provider at that pointHowever, on an in network claim that would be covered, they do not pay for some of the codes being billed forI have explained to the provider multiple times that they misrepresented themselves in the beginning when I called leading me to proceed with the labworkI 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 networkThis greedy company will not accept this offer and feels no culpability for this issueI 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 factorOffering an amount which is equal to or exceeds the amount they would get from an insurance company is more than generous Regards, [redacted]

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 $AAP amount I will adjust your account to reflect the $amount Please call us at [redacted] option if you have any questions or concerns