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Austin Surgical Hospital

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Austin Surgical Hospital Reviews (2)

[redacted] October 25, 2016Revdex.com Corporate Office1005 La Posada Dr.Austin, Texas 78752Re: Complaint ID# [redacted]Dear Ms. [redacted],This patient presented to an Arise Austin Medical Center (AAMC) outpatient rehab facility; the patient signed and was personally handed documents which clearly...

indicated the facility’s financial practices, including the patient’s payment responsibility as dictated by her chosen insurance provider.The charges billed to her insurance plan, Blue Cross Blue Shield (BCBS), were usual and customary for the rehabilitation services provided to this patient. The patient is being billed the exact amount required and applied to her by her insurance plan, BCBS, per the coverage the patient chose. On behalf of this patient, AAMC followed up with BCBS to verify charges and this patient’s specific payment responsibility; AAMC was advised in no uncertain terms that the amount applied to this patient is accurate.The patient, [redacted] is asking AAMC to discount her bill to zero for no reason except her unwillingness to pay. To do so would be a violation of the insurance relevant laws and our binding legal contract with BCBS. The Blue Cross contract requires the provider (AAMC) to collect all required patient copays and deductibles. Failure to do so would violate the contract terms and could result in claims by BCBS for breach of contract or repayment.Please note that numerous statements have been sent to this patient since her date of service in 2014. We are pleased to report according to the patient’s physician, her course of care was successful. As such, this complaint appears to be a matter of a patient attempting to skirt their specific payment responsibility.In closing, we would be willing to provide any documentation requested in support of the above. Thank you for bringing this to our attention.Warmest Regards,[redacted]Director of Revenue CycleArise Austin Medical Center

Complaint: [redacted]
I am rejecting this response because:BUSINESS:  "This patient presented to an Arise Austin Medical Center (AAMC) outpatient rehab facility; the patient signed and was personally handed documents which clearly indicated the facility’s financial practices, including the patient’s payment responsibility as dictated by her chosen insurance provider."[redacted]:  Not true. I was never given anything to read or sign about [redacted]'s policies and financial procedures, nor was my Chiropractor, Dr. [redacted], or his practice, given them.BUSINESS:  "The charges billed to her insurance plan, Blue Cross Blue Shield (BCBS), were usual and customary for the rehabilitation services provided to this patient. The patient is being billed the exact amount required and applied to her by her insurance plan, BCBS, per the coverage the patient chose. On behalf of this patient, AAMC followed up with BCBS to verify charges and this patient’s specific payment responsibility; AAMC was advised in no uncertain terms that the amount applied to this patient is accurate."[redacted]:  Not true.  I was never given information as to what I was going to be billed or charged.  I asked [redacted] specifically for a comprehensive detailed description of what I was charge and the reasons for them.  She said she would be happy to and never did.  Blue Cross has not been contacted in regards to these specific matters and would be glad to respond.  [redacted], a BCBS healthcare advocate in the Abilene office knows the details for the egregious billing practices that Arise has put me through.  I did not hear, at all, from Arise for over a year, waiting for [redacted], VP in 2015 stating that the billing was not correct and I would be contacted.  A year passed and I receive a bill.  The first bill was over $7,000; the most recent response from Arise show dollar amounts that fluctuate--up and down. Arise did not ever indicate the $350 deductible I paid by credit card given as a good faith effort in rectifying my billing account. BUSINESS:  "The patient, [redacted] is asking AAMC to discount her bill to zero "... [redacted]:  True.  With all the work, energy, and effort that I have put forth in getting fair treatment for my bill, I believe that my account should be written off.  I have no idea if Arise is even a member of the Revdex.com.Thank you for your help. Sincerely,
[redacted]

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