C D T Custom Homes

I have reviewed the response offer made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint For your reference, details of the offer I reviewed appear below Regards, [redacted]

In response to the complaint made by Mr***, I have attempted to reach out to him numerous timesWe have called him with the number we have on file with no response from Mr*** When patients come in to the office they are not always aware of their insuranceSome policies have deductibles, coinsurance , and copay’sWe filed Mr***’s insurance after he made us aware that he had insurance coverage for us to fileAs a result of filing his insurance he has coinsurance of $that is due for the date of service 09/25/We have no control over what type of coverage the patient hasWe try to help the patient out to the best of our ability filing their insurance for them and trying to keep the cost down as wellIn regards to the glasses Mr [redacted] purchased when he came into the office he did not present insurance againHe called back to let us know he in fact had coverage for his glassesMr [redacted] had already paid $ for the Spectacle package We checked on his vision benefits with [redacted] His benefits indicated he has a discount planWith the plan he would have received a discount on his frame and lenseHe would have paid $on the lense, $on the frame, and $for the standard polycarbonate which would total $We spoke to Mr, [redacted] to let him know that the discount plan would have cost him more money, and he was actually saving $by purchasing the Spectacle packageWe have spoke with Mr [redacted] on numerous occasions to help him understand the insurance coverage and the discount planThe coinsurance is $per his medical insurance planIf there is anything else we can help you with please let us knowSincerely,DrAndrew C Kartesz

I have reviewed the response offer made by the business in reference to complaint ID ***, and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below
[I do not accept this replyI was told by the front desk that upon departure of my first and second visit in the fall that I was paid in full. I paid the eye exam in full from my own pocketDrKartesz office waited six months and then told me that what I had paid was something else that they were billing me forThey have NOT tried to contact me numerous timesThe information in his response is incorrect and unacceptableI do not owe him anything elseI have dealt with a very rude and mean office manager thereAnother thing that told me was that they would have to charge me $out of pocket for the eyeglasses if I used my insuranceNow, he is saying that they said only $I find their ways of doing business to be completely wrong and unacceptable]
Regards,
*** ***

To Whom It May Concern:I would like to respond to the complaint that your office received from a patient that was seen on Oct30, 2017. The patient called in with questions concerning her bill. The patient's insurance was billed for a medical condition not routine exam.
She is a glaucoma suspect. We also had scheduled her at our *** **for more testing to rule out glaucoma. The patient did not understand why we had to bill her medical and not routine and we explained that she came in for a routine exam but when the doctor saw her and she was diagnosed glaucoma suspect that we had to bill medical. I explained the importance of her follow up visit but she cancelled that appointment also. I even sent the patient in the mail a brochure on glaucoma and asked her to please follow up with someone. I feel we were very professional and understanding with this patient. I just don't think she is taking the situation serious. Sincerely, *** ***Office Manager/Optician

I have reviewed the response offer made by the business in reference to complaint ID ***, and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below
Regards,
*** ***

In response to the complaint made by Mr. [redacted], I have attempted to reach out to him numerous times. We have called him with the number we have on file with no response from Mr. [redacted].  When patients come in to the office they are not always aware of their insurance. Some policies have...

deductibles, coinsurance , and copay’s. We filed Mr. [redacted]’s insurance after he made us aware that he had insurance coverage for us to file. As a result of filing his insurance he has coinsurance of $30.00 that is due for the date of service 09/25/2015. We have no control over what type of coverage the patient has. We try to help the patient out to the best of our ability filing their insurance for them and trying to keep the cost down as well. In regards to the glasses Mr. [redacted] purchased when he came into the office he did not present insurance again. He called back to let us know he in fact had coverage for his glasses. Mr. [redacted] had already paid $ 105.00 for the Spectacle package.  We checked on his vision benefits with [redacted]. His benefits indicated he has a discount plan. With the plan he would have received a discount on his frame and lense. He would have paid $50.00 on the lense, $21.00 on the frame, and $40.00 for the standard polycarbonate which would total $111.00. We spoke to Mr, [redacted] to let him know that the discount plan would have cost him more money, and he was actually saving $6.00 by purchasing the Spectacle package. We have spoke with Mr. [redacted] on numerous occasions to help him understand the insurance coverage and the discount plan. The coinsurance is $30.00 per his medical insurance plan. If there is anything else we can help you with please let us know. Sincerely,Dr. Andrew C Kartesz