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Carmel Pointe Apartment Homes

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Carmel Pointe Apartment Homes Reviews (1)

Initial Business Response /* (1000, 6, 2016/03/23) */
March 18,
Dispute Resolution Department Complaint Department
Consumer: Mrs*** ***
To whom it may
This response is in regards to Mrs***'s complaint regarding her insurance required annual lab testsThe first contact the OSF Medical Group Common Business Office received was a call from the OSF Medical Group Glen Park office, on November 27, Per the OSF Medical Group Glen Park nurse, the patient was disputing the diagnosis used for the 10/26/laboratory testsThis is also when the additional TSH lab was questionedWe placed all the lab charges in a stop bill status, until we could thoroughly review this complaintPer the original lab request from the patient, TSH was not a test she was requestingOur records indicated that Mrs***'s had not had her TSH test since September of 2013, hence why there was an outstanding order in Mrs***'s chartWe advised the OSF Medical Group Glen Park office we would review these lab orders for the laboratory testsThe orders for the laboratory tests were reviewed by the OSF Coding and Reimbursement area and found all of the lab tests to be billed correctly per our provider's orders and the lab test resultsOn December 16th, 2015, we spoke to Mrs*** to advise the diagnosis used in billing were correct and that we were unable to change the diagnosis on the laboratory tests or remove the charge for the TSHWe also explained the TSH was ordered by the provider, which is a standard laboratory test performed with routine physical examsAt this time, the hold on billing for the TSH was removed allowing a statement to generate for the balance remaining after Mrs***'s insurance processedOn January 12, 2016, our Common Business Office staff spoke to Mrs*** in regards to her statement for her TSH charge of $20.84, and we explained per our previous review of the providers orders we were unable to change the diagnosis used to bill the laboratory tests as they were billed correctly per the providers orders and that we did have an order on file for the TSH as wellWe also advised her we were unable to remove the charge for the TSH as the laboratory test was performed per provider ordersAt that time, it was explained to Mrs*** the Common Business Office would reach out to her provider's office in order for a clinical explanation as to why the TSH laboratory test was necessaryAt this time, I have reached out to the provider's office in regards to the lack of follow up with Mrs*** and the fact that Mrs***'s did not request this TSH be performed at this time
Thank you for the opportunity to review this record and follow up with the patientWe have removed this account from Convergent, our outside collection agency, adjusted the balance remaining after insurance payment, and we will refund Mrs*** in the amount of $as she did not ask for her TSH laboratory test to be performed on 10-26-
*** ***
Supervisor Patient Relations/Collections
OSF Medical Group Common Business Office
*** ** *** *** Peoria, ILXXXXX
"Serving with the Greatest Care and Love"
Initial Consumer Rebuttal /* (2000, 8, 2016/03/29) */
(The consumer indicated he/she ACCEPTED the response from the business.)
I did receive a verbal response from a representative of the companyAs part of the agreement, they have indicated that they will reimburse me for the test that wasn't required, but as of this date, I haven't received the reimbursement

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Address: 525 S Meridian St Ste 3A2, Indianapolis, Indiana, United States, 46225-1108


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