Bryn Mawr Skin & Cancer Institute

February 26, 2016Our patient was seen and treated on 8/26/At the time of the visit, the patient did not utilize his insurance obligation properly when he failed to request a referral prior to his appointment which is a requirement of his current plan of choice.When the patient arrived he presented his insurance cardThe card states a referral is necessaryThe patient signed a financial responsibility consent before being seen and we asked him to contact his primary care physician for a referralHe did not respond within the day window with the referral (which is the time limit dictated by his insurance) and when we billed him, he finally sent a back dated handwritten prescription from his primaryWe communicated to the patient, sending him an additional bill along with a printed copy of his plan specifications highlighting the information showing it was his responsibility to request the referral and the rule that referrals must be electronic and not paperHis primary put a referral In the system after the day limit and the insurance denied payment.We believe the patient should discuss his situation with his insurance company and ask them to consider an exception.We asked the patient to agree to a payment plan, with a self- pay rate $less than our chargeHe has declined as of this date,Any questions, please feel free to contact us.Sincerely,Claire W.Billing specialist

From: Claire W [redacted] < [redacted] @brynmawrskinandcancer.com>Date: Tue, Mar 22, at 5:PMSubject: Re: [redacted] To: [redacted] < [redacted] @myRevdex.com.org> [redacted] ,ID # [redacted] I'm not sure how this works with the Revdex.com but we have exhausted our efforts at helping *** [redacted] understand why he received a bill and why United Healthcare did not pay us Is there anything else I have to do to close this case on our part? Unfortunately there is no resolution to this matter.Thank you for your help.With Warmest RegardsClaireClaire W [redacted] Billing Specialist

From: Claire W[redacted]<[redacted]@brynmawrskinandcancer.com>Date: Tue, Mar 22, 2016 at 5:34 PMSubject: Re: [redacted]To: [redacted] <[redacted]@myRevdex.com.org>[redacted],ID #[redacted]I'm not sure how this works with the Revdex.com but we have exhausted our efforts at helping [redacted] understand why he received a bill and why United Healthcare did not pay us.  Is there anything else I have to do to close this case on our part?  Unfortunately there is no resolution to this matter.Thank you for your help.With Warmest RegardsClaireClaire W[redacted]Billing Specialist

February 26, 2016Our patient was seen and treated on 8/26/2015. At the time of the visit, the patient did not utilize his insurance obligation properly when he failed to request a referral prior to his appointment which is a requirement of his current plan of choice.When the patient arrived he...

presented his insurance card. The card states a referral is necessary. The patient signed a financial responsibility consent before being seen and we asked him to contact his primary care physician for a referral. He did not respond within the 5 day window with the referral (which is the time limit dictated by his insurance) and when we billed him, he finally sent a back dated handwritten prescription from his primary. We communicated to the patient, sending him an additional bill along with a printed copy of his plan specifications highlighting the information showing it was his responsibility to request the referral and the rule that referrals must be electronic and not paper. His primary put a referral In the system after the 5 day limit and the insurance denied payment.We believe the patient should discuss his situation with his insurance company and ask them to consider an exception.We asked the patient to agree to a payment plan, with a self- pay rate $66.00 less than our charge. He has declined as of this date,Any questions, please feel free to contact us.Sincerely,Claire W.Billing specialist

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]
 Complaint: [redacted]
I am rejecting this response because:I was misled by the receptionist. I already left a negative review on [redacted] and will leave it on other review based sites as well... According to the other [redacted] reviews your office misleads patients on a regular basis.Regards,
[redacted]