Beacon Medical Services

Beacon Medical Services is the billing company for Emergency Medical Specialists We have already issued three refund checks for this credit balance These checks were sent to Emergency Medical Specialists (our client and the physician group who treated the patient) on March 17, for signature Those checks were: Check # [redacted] ***; Check # [redacted] ***; and Check # [redacted] Ms [redacted] should be receiving those checks within days to weeksToday, we approved another refund for $ This check will also be sent to Emergency Medical Specialists for signature Mr [redacted] should be receiving this check within weeks

Complaint: [redacted] I am rejecting this response because: while I did get the letter from Beacon via email, I did not get a letter from Wakefield with a credit report showing this has not been reportedWakefield specifically told me they are not part of the Beacon Billing Service, hold my debt separately, and would not remove Until Beacon gets this in Writing along with credit report, I have no proof this was pulled from Wakefiled I specifically asked for both via regular mail too Once I get this, I will consider settledI also want the claim of public posting of insurance and demographic verification pulled from Beacons website people I spoke to at Beacon stated they do not outbound calls to patients or hospitals to get valid information as it is not cost effective and just send to collections It took months as of today insurance denied for out of timely filing Beacon/Revenix should not be having a public website advertising a scope of service not performed 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 meMy lender has asked that they be faxed ( [redacted] n) a letter stating that the account was placed into collections in error and that they will be removing any record of it from my credit report with the Credit Bureaus I would appreciate a PDF copy of the letter be sent to the email address on this complaint as well, since clearly Post Office delivery will not work in this case If either Beacon Medical or Wakefield still has the returned mail (or an image of it), my local Post Office has requested a picture of the envelope so they can investigate why it was returned That image could also be emailed Sincerely, Matthew ***

Initial Business Response / [redacted] (1000, 6, 2015/09/14) */ [redacted] was an adult at the time the services were renderedBeacon sent the billing statements to the address provided by the facility: [redacted] Fort Collins CO XXXXXBeacon sent statements and a precollect letter notifying the patient that the account would be turned to collections if it was not paidThe statements were sent on 3/10/15, 4/12/15, 5/11/and 6/1/15(Precollect)Beacon received no response from the patient, and no mail was returned as undeliverableThe patient's account was sent to collections on 7/13/ [redacted] and [redacted] mailed their first notice on 7/17/to the patient/guarantor [redacted] did not receive returned mailOn 7/24/15, [redacted] attempted to call the patient but there was no answer on the number called, which was also provided by the facility (XXX-XXX-XXXX) [redacted] received a message from the patient on 7/24/They then received a call from the patient's mother on 7/24/They told patient's mother that since the patient was an adult, they could not speak with her about the account without the patient's permissionThe patient then called [redacted] on 7/24/at 2:pm and authorized [redacted] to speak with her motherPatient's mother called [redacted] back on 7/24/at 3:pmThe Mother was told that statements were sent to daughter's addressThey offered the mother the option to make payment over the phone, but she was not comfortable with doing so [redacted] informed patient's mother if she paid by end of July, they would discount the principle balance of $by 10% and would waive any interest or penalty assessed [redacted] provided patient's mother online address to make paymentNo payment was made [redacted] called the patient's mother back again on 7/30/and left a messageThe patient's mother called [redacted] on 8/7/and left a message [redacted] spoke with the patient's mother again on 8/10/and she told [redacted] that she called the hospital and was told there was no balance(The physician's bill is separate from the hospital bill.) [redacted] informed mother they were a collection agency and provided the name of the provider who rendered these services to patient on date of service 2/19/On 8/17/ [redacted] again tried to contact patient's mother with no successOn 8/19/15, [redacted] called patient's mother again and left a message [redacted] sent the patient's mother bainformation concerning charges on 8/28/Documentation was sent to [redacted] 's address that was on fileOn 9/8/15, [redacted] spoke with patient's mother who informed them she was sending a check in the amount of $323.46, check number 3535, to the following Wakefield address: PO Box 58, Fort Morgan CO XXXXXThis payment has yet to be received/posted by [redacted] As a courtesy, Beacon has requested [redacted] place account on hold until they receive and post the paymentNo negative reporting has been applied to mother's credit or patient's creditMother's credit would not be affected as patient was adult at time of service Initial Consumer Rebuttal / [redacted] (3000, 8, 2015/09/18) */ (The consumer indicated he/she DID NOT accept the response from the business.) I just confirmed with my daughter againShe never received any of the earlier bills ONLY a collection notice from [redacted] She rec'd a $bill and paid it immediately upon receipt [redacted] rec'd and cashed my check # on Aug 15thpaid in full Final Business Response / [redacted] (4000, 10, 2015/09/21) */ The mother's response to our reply is not consistent with the information Beacon received from [redacted] Beacon contacted [redacted] regarding the mother's response that [redacted] received and cashed her check, #***, on August 15, [redacted] said that the mother spoke with them on 9/8/to inform [redacted] she was sending payment in the amount of $326.46, check number ***, to the [redacted] [redacted] posted this payment on 9/14/15, and the check was dated 9/8/The account at [redacted] now has a zero balance, and Beacon should receive the payment information the beginning of October, since [redacted] sends its reports once a month [redacted] informed Beacon that no negative reporting concerning this charge has been reported on the patient's credit All of our information was directed to the same address, [redacted] XXXXX, which is the same information the facility received [redacted] also mailed their documentation concerning the account on 8/28/to this addressAgain, we received no return mail and [redacted] did not receive returned mail

Good afternoon, Based on our records, we attempted to file a claim to work comp however the carrier denied our claim stating no first report of injury was filed by the employer. Upon receiving this complaint, we contacted the *** Department of Labor as well as the employer ( ***
@***), neither claimed to received a first injury report for this incident. The employer said the *** *** could contact them to file an injury reportOnce an injury report has been filed, the patient can notify our office to refile a claim to the work comp insurance and initiate a refund for any overpayment. *** ***
*** *** ***
***

We have reviewed your complaint and determined the charges were billed accurately. When presenting to the emergency room for treatment, it would be considered a violation of EMTALA to delay screening or stabilization services in order to inquire about an individual's payment method or
insurance statusFurthermore, your insurance company is obligated to consider the full billed charges for non-participating providers under these circumstances, or they may be in violation of state law. You have the right to file a grievance to *** and request reconsideration of your claim since you presented to an in network facility for emergency services. If you require further assistance with your appeal, please contact our customer service department at *** Thank you,*** *** ***
***

Initial Business Response /* (1000, 6, 2015/12/07) */
Beacon received an email from *** ***, dated December 2, 2015, concerning the billing statement he received from Emergency Physicians of the Rockies for Emergency Department Treatment on November 16, In his email, Mr***
stated he was accompanied to the E.Dby his General Manager who made it clear that this was a Worker's Compensation caseMr*** went on to say that the next day his company's insurance company contacted the owners and assured them that this was a legitimate workman's compensation case, and they agreed to pay
Beacon did not receive any Worker's Compensation insurance information from the facility, nor did Mr*** provide this information in his emailBeacon had no knowledge this was a Worker's Compensation injury and is not "double billing" for these chargesOn December 3, 2015, Beacon placed a call to the facility billing department to obtain the Worker's Compensation insurance informationThe billing representative told Beacon they did not have this information on fileBeacon then attempted to contact Mr*** at the number on file to obtain the info: XXX-XXX-XXXXA message was left requesting a call backMr*** called back and informed Beacon that he did not have the name of the Work Comp carrier, but that the Work Comp carrier had been in contact with his employerBeacon requested the name of his General Manager and contact number in an effort to assist with obtaining the insurance informationMr*** gave the name of *** *** and a contact number of XXX-XXX-XXXXBeacon advised Mr*** that we would call and attempt to obtain the information, but requested Mr*** also conta*** *** and a message was left requesting call back with the Worker's Compensation informationAs of today, Mr*** has not returned Beacon's call
Beacon placed another call to Poudre Valley Hospital again on December 4, in an effort to obtain the Worker's Comp infoPVH still does not have any info regarding Work Comp on file
Beacon has made every effort to obtain Mr***'s insurance informationWe will bill the Worker's Compensation insurance as soon as Mr*** or his General Manager provides Beacon with the pertinent informationUntil then, the balance will remain as patient responsibility,since Beacon currently has no insurance name, address, and claim information for these charges

TRACKING NUMBER : 5*** Tracking: * *** *** * DATE OF DELIVERY : 03-14-There are many factors that determine wheel fitment , including the
all-mysterious "custom or modification factor" bolt pattern, offset etcIn accordance with our 100% fitment guarantee, Akins Tires and Automotive will pay 100% of the costs to ensure proper fitment or exchange for a different application of the same product to ensure proper fitmentExchanges are accepted if the merchandise does not fit the vehicle properly, customer drove on the wheels for almost days before reporting the issueThe wheels were custom build for the car and they were installed on the car without any issuesWhenever customer is upgrading the size of the wheels from the factory recommended size there may be issue of rubbing where customer has to modify the car according to the size of bigger wheels orderedThe wheels do fit the car as claimed by the customerTIMING: If your product has a fitment issue, you must contact us within to hours of merchandise delivery to report the issue Thank you, *** Please visit our company policy at www.akinswheels.com

I am rejecting this response because:
I was sold the wrong rims and tires from the very start, and had called to complain about them, and I was told they were the same rims in a smaller size then the picture I was sentAfter putting on the tires two weeks after reiceving them and driving to work and back on flat roads I went a different route and went over a bump and had rubbing issues which I was told I would not haveOnly to go home and do more research and find out I was correct, they were not the rims I was originally told I was being soldI would like a free shipping label and to send the rims, tires and adapters back for $I paid $for something that was the wrong product from the start and I cannot use them

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID 11292941, and find that this resolution is satisfactory to me
Sincerely,
*** ***

Complaint: ***
I am rejecting this response because:the PA lied on my medical report and stated he installed the splint on my handThat alone is fraudulent chargesNot sure what a customer is to do with a medical billing agency that refuses to listen to reasonI will never report to a *** ER ever again
Sincerely,
Matthew Law

Beacon Medical Services is a medical billing company. We bill for the services provided by the
treating physicianThe bills for physician services are separate from the
hospital and radiology bills. We receive
our billing information from the facility where the
patient is treated. The address we were provided by the facility
was *** *** *** *** ** ***.
We sent a statement to this
address, and it was returned to Beacon as undeliverable. Our protocol when we receive returned mail is
to then forward the account to a collection agency for skip tracing. Beacon is not an outbound call center, and
we have no skip tracing capabilities in-house.
This account was sent to collections on July 13, 2015. The patient has confirmed with our Customer
Service Department that the Noel Drive address is his correct address in
Tennessee. We are unable to comment on
why the Post Office returned the mail as undeliverable. Wakefield also sent correspondence to the
*** *** address, and the mail was returnedWe have asked Wakefield (the
collection agency) to remove the negative reporting from Mr***’s credit
report, and they have assured us this will be done

Complaint: ***
I am rejecting this response because:As can be seen below: *** *** (3) has a number of sections that absolutely apply to ancillary services in an in-network facility and apply to emergency services. In addition, *** *** also addresses these issues. This company is clearly trying to take advantage of patients in the hopes that we just give in to their threats and fear tactics to try to collect debts that they are clearly not legally allowed to go after the patients to collect. This company should be talking to and negotiating directly with the insurance carrier, and they are not supposed to be dragging the patient into this dispute. This feels like pure laziness on this companies part. They keep saying that they want me to call the insurance company and request some kind of appeal, but it is their job to submit an appeal. Below are exact portions of the *** Law (*** ***)(3) (a) (I) In 1997, the general assembly enacted this part with the express intent to incorporate consumer protections into the creation and maintenance of provider networks and to establish standards to assure the adequacy, accessibility, and quality of health care services offered under a managed care plan(II) The general assembly hereby finds, determines, and declares that there are situations in which insured consumers receive health care services, including procedures approved by their insurance carrier, in a network facility, with a primary provider that is a network provider, but in which other health care professionals assisting with such procedures may not be in-network providersIn such situations, the consumer is not aware that the assisting providers are out-of-network providersFurther, the consumer may have little or no direct contact with the assisting health care professionalsThe division of insurance has interpreted the network adequacy provisions in this section, along with the provisions related to relationships between an insurer and a health care provider in section 10-16-705, to hold the consumer harmless for additional charges from out-of-network providers for care rendered in a network facilityThe division of insurance's interpretation of these statutes was challenged by an insurer and invalidated by a division of the *** court of appeals in*** *** *** *** ** *** *** ** *** *** *** (slip op.) (Feb23, 2006)(III) The general assembly finds, determines, and declares that the division of insurance has correctly interpreted the provisions of this section to protect the insured from the additional expense charged by an assisting provider who is an out-of-network provider, and has properly required insurers to hold the consumer harmlessThe division of insurance does not have regulatory authority over all health plansSome consumers are enrolled in self-funded health insurance programs that are governed under the federal "Employee Retirement Income Security Act"Therefore, the general assembly encourages health care facilities, carriers, and providers to provide consumers disclosure about the potential impact of receiving services from an out-of-network provider(IV) The general assembly finds, determines, and declares that some consumers intentionally use out-of-network providers, which is the consumers' prerogative under certain health benefit plansWhen consumers intentionally use an out-of-network provider, the consumer is only entitled to benefits at the out-of-network rate and may be subject to balance billing by the out-of-network provider(V) Therefore, the general assembly finds, determines, and declares that the purpose of Senate Bill 06-is to codify the interpretation of the division of insurance that holds consumers harmless for charges over and above the in-network rates for services rendered in a network facility.(b) When a covered person receives services or treatment in accordance with plan provisions at a network facility, the benefit level for all covered services and treatment received through the facility shall be the in-network benefitCovered services or treatment rendered at a network facility, including covered ancillary services or treatment rendered by an out-of-network provider performing the services or treatment at a network facility, shall be covered at no greater cost to the covered person than if the services or treatment were obtained from an in-network provider. (5.5) (a) Notwithstanding any provision of law, a carrier that provides any benefits with respect to services in an emergency department of a hospital shall cover emergency services: (I) Without the need for any prior authorization determination; (II) Regardless of whether the health care provider furnishing emergency services is a participating provider with respect to emergency services; (III) For services provided out of network; (IV) Without imposing any administrative requirement or limitation on coverage that is more restrictive than the requirements or limitations that apply to emergency services received from in-network providers; and (V) With the same cost-sharing requirements as would apply if emergency services were provided in-network
Sincerely,
*** ***

Customer order the set of wheels and tires on 02/08/2018, After receiving the order, we sent customer a picture of the wheel to confirm the order and on agreement the wheels, tires and adapters were shipped to the customerCustomer received the product via ups on 02/12/(tracking #
1ZRV9489***9). Customer has used the wheels, tires and adapters since 02/12/and no issue was known until 03-15-Customer had the wheels and was using them daily for a monthAccording to our company policy *** states that, any fitment issues or shortages need to be reported with to hours of receiving the merchandise. As a courtesy customer was offered restocking on the wheels only after days as tires were used for a monthCustomer declined the offer and he reacted in mean, verbally abusive and threatening mannerAt that time we removed the presented offer and apologized that we won’t be able to help him further. We like to resolve any problems with our customer within our company policy which is also available on our web page for reviewAkins Tires and Automotive, and in an effort to satisfy every customer; by assuring wheel and tire inspection before shipping, proper packaging and ensure correct fitmentsThank you, *** *** attached cancellation policy pdf

At this point we wont be able to accept any returns or do any refunds as customer drove on the product for more than two weeks and informed the issue well after 24-hoursWe encourage all our customer to report any damages or shortages within 24-hours so we can take quick action to resolve the problemWe do apologize that customer was not satisfied with his pick of wheels and tiresWe try to assure any product getting shipped via sending picture messages so customer knows what they are receiving. Thank you *** K

Complaint: [redacted]
I am rejecting this response because: while I did get the letter from Beacon via email, I did not get a letter from Wakefield with a credit report showing this has not been reported. Wakefield specifically told me they are not part of the Beacon Billing Service, hold my debt separately, and would not remove.  Until Beacon gets this in Writing along with credit report, I have no proof this was pulled from Wakefiled.  I specifically asked for both via regular mail too.  Once I get this, I will consider settled. I also want the claim of false public posting of insurance and demographic verification pulled from Beacons website.  3 people I spoke to at Beacon stated they do not outbound calls to patients or hospitals to get valid information as it is not cost effective and just send to collections.  It took 5 months as of today insurance denied for out of timely filing.  Beacon/Revenix should not be having a public website advertising a scope of service not performed.
Sincerely,
[redacted]

Please be advised, the language you referenced in [redacted] Revised Statute 10-16-704 does not apply to emergency services.  [redacted] Revised Statute 10-16-705 only applies to carriers and participating providers.

The patient recently contacted our office to dispute the charges.  The charges were reviewed by a senior certified coder and determined to be accurate as per the physician documentation.  Our office has escalated this complaint to the medical director of the group for further review, and a...

determination will be provided to the patient within the next 3-4 weeks.

Beacon Medical Services is the billing company for Emergency Medical Specialists.  We have already issued three refund checks for this credit balance.  These checks were sent to Emergency Medical Specialists (our client and the physician group who treated the patient) on March 17, 2016...

for signature.  Those checks were:  Check # [redacted]; Check # [redacted]; and Check # [redacted]. Ms. [redacted] should be receiving those checks within 10 days to 2 weeks. Today, we approved another refund for $40.  This check will also be sent to Emergency Medical Specialists for signature.  Mr. [redacted] should be receiving this check within 3 weeks.

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. My lender has asked that they be faxed ([redacted]n) a letter stating that the account was placed into collections in error and that they will be removing any record of it from my credit report with the Credit Bureaus.  I would appreciate a PDF copy of the letter be sent to the email address on this complaint as well, since clearly Post Office delivery will not work in this case.  If either Beacon Medical or Wakefield still has the returned mail (or an image of it), my local Post Office has requested a picture of the envelope so they can investigate why it was returned.  That image could also be emailed.
Sincerely,
Matthew [redacted]