B and S Foods Inc.

Complaint: ***
I am rejecting this response because: I should have received a telephone call prior to testing informing me of any out of pocket costsThis is the Myriads policy and this is the same information I was told repeatedly by my DoctorI did not receive this call; hence, I should not be held responsible for any costs.
Sincerely,
*** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me
I was contacted by the business on todayThey promptly assisted me with this matter.
Sincerely,
*** ***

We'd be happy to help with your bill! Our billing staff are very easy to work with here at Myriad. Please contact us by phone 1-844-697-or email [email protected] to contact one of our associates

Hi, I'd like to resolve any ongoing concerns. We have not sent you a bill. We will not bill you for any non-covered services. We only call prior to testing if a patient will be billed for non-covered services. The consent form we received from you and your physician outlines this policy. If there was any miscommunication received in your doctor's office, we apologize and we would like the opportunity to remedy it for you. We've agreed not to bill you anything unless you receive a check from your insurance company intended for our services. Please let me know how we can rectify any additional concerns and we will do our best to help you. Sincerely.Aaron

***, Thanks for contacting our billing officeIt does look like the Explanation of Benefits you emailed in is not for services Myriad Genetic Laboratories providedYour insurance plan is still processing Myriad’s claim for the servicesIf you receive an Explanation of Benefits for Myriad’s
services please do not be alarmed if it shows a higher patient responsibility than $Myriad will not bill you more than $for your out-of-pocket portion of the testing If you have any questions please let me know Best regards, Cassidy

Thank you for contacting us about your billing concern. We apologize for the incorrect billing statement you received and for the trouble you had reaching us over the phone. However, we did receive your letter on 9/and your balance was promptly adjusted to $to honor the quote
you were given. A new statement showing the $balance was mailed to you on that day. Please let us know if you need any other assistance. If our phone lines are busy, you can also contact us for support needs online https://webpay.myriad.com or by email [email protected]. Sincerely,Aaron

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me
Sincerely,
*** ***

[redacted], I’d be glad to help resolve your billing complaint filed on the Revdex.com website.    Please note that we have not billed you anything.  What you are seeing is the claim information on your Explanation of Benefits (EOB) that shows 8 procedure codes in your testing panel. ...

These totals are simply the list charges for the testing.  We accept the allowed rates that your insurance will assign to each procedure code.  You are not billed the difference between list charges and allowed rates.    If the EOB from your health plan shows that the testing has denied or that you will owe a large amount of money, please do not be concerned.  We verified benefits prior to testing, and several of the procedure codes are expected to be covered by your insurance.  If any of the procedure codes result in a denial, we will file an appeal and will need some time to finalize the insurance billing.  We do not bill patients for any non-covered (denied) services.    If the test is partially covered by your insurance company, we will bill you only up to the amount you were expecting.  If more clarifications is needed, please let us know.   Sincerely,Myriad Billing

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. 
Sincerely,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.
Sincerely,
[redacted]

[redacted],   I’d like to help resolve your concerns.  I've responded to you via email today concerning your inquiry.  HIPAA laws prevent us from disclosing your PHI (protected health information) via the Revdex.com portal.  Sincerely,Aaron

Thank you for notifying us of your billing concern.  I have reviewed your account and have agreed to make an adjustment based on some confusion regarding the cost of this test.  Our billing policy on the form we received from you states that non-covered (denied) services are not billed to...

the patient.  Your testing was covered by your insurance, but $375 was applied towards your cost-sharing amount (co-insurance and/or deductible).  Myriad is obligated to bill patients for cost-share (co-insurance and deductible) as outlined by your insurance policy.Your doctor's verbal quote of 100% coverage for our laboratory service was not accurate, and was not made known to us. However Myriad is committed to help any of our patients that receive an unexpected bill.  Your account balance has been reduced from $375 to $0 in order to honor the quote from your doctor.  I mailed a new statement reflecting this adjustment to you today.If anything more is needed, please reply or give our billing office a call at 1-844-MYRIAD9 (1-844-697-4239). Sincerely,Aaron

EMAIL SENT 10/03: Hello [redacted],Thank you for contacting our billing department. I have reviewed your account and have agreed to make an adjustment due to the inconvenience that we caused you. Your account balance has been reduced from $375 to $0. I mailed a new statement reflecting this adjustment...

to you today. Please email [email protected] or call 1-844-697-4239 if you have any questions or need further assistance. Our office is open Monday through Friday, 6:00 AM to 6:00 PM MST.Sincerely,Gabriel

[redacted],Thank you for your inquiry.  I apologize that you had trouble reaching us by phone earlier.  According to our notes, we also tried calling back a few times and we were also getting voicemail.  I see that you got a callback from one of representatives yesterday who...

resolved your concerns, and confirmed that there had been no credit reporting on your account.  According to our notes we received your payment of the insurance check amount, and we waived the $375 fee that you were not properly informed of.  I want to thank you for your payment, and again, please accept our apologies for any miscommunication that occurred on your case.  If there is anything more I can do to resolve your concerns, please let me know. Sincerely,Aaron

Hi [redacted], I'll be glad to help resolve the concerns with your Explanation of Benefits (EOB).  We know that the EOB can cause concerns, especially when they show comprehensive genetic testing panels with several procedure codes being charged to your health plan.  These...

procedure codes represent important cancer gene testing that your doctor has requested.  Please know that Myriad is committed to securing the best possible coverage for your testing, and any denied charges are never billed to the patient without their specific consent. Some of the procedure codes on your EOB have a pre-authorization associated with them, and are preventative services.  This means that your health plan is expected to cover several of these procedure codes at 100% of the contracted rate.  You are not billed the difference between our list charges and the allowed, or contracted rates.  If any of the procedure codes deny as non-authorized or non-approved, etc. they will not result in a bill to you. If any of the procedure codes result in partial coverage with co-insurance and/or deductible showing on your EOB, this amount will be billed to you.  If this occurs, generous financial assistance options are available.  Myriad also has a program designed to reduce the out-of pocket costs for out of network cost share amounts, if this applies to your situation.  Our Myriad Promise program has a solution for nearly every billing outcome, and if you are billed we will work with you until you are 100% satisfied.  Please see more on this at www.myriadpromise.com.I am also happy to personally speak to you about any concerns you may have.  Please call me at 844-697-4239. Sincerely,Aaron