Chambers Emergency Associates

The billing department submitted each account electronically from 10/14/to 12/27/Some of them a few times tooIt wasn't upon following up with [redacted] that they stated they did not receive any of the claims electronicallySubsequently, in March of the billing deptput all the claims out on paper to the inscompanyBecause they have a time file limit, we were within the time to get paidHowever, this is a special plan that is self funded by the patient's employerWhen the employer cut funding in January of 2014, [redacted] stated they only price the claims and the employer actually pays them outTheir suggestion was to balance bill the patient and tell the patient they must supply the bills to their HR departmentThe billing deptspoke to [redacted] on two separate occasions on how to proceedThe billing deptbalanced billed the subscribed starting on 5/9/The billing deptrepresentative personally spoke to the mother of the patient on several occasions and explained to her what had happened and how this is a special type of policyThe billing department went out of their way to work with the family to resolve this even asking for the phone number to the HR department of her husband's employershe stated she would contact her husband so that we can work on this furtherThey never replied to that request and then months went by and two more bills went outSubsequently, the accounts were then sent to collections as per our financial policyThe billing deptspoke with the mother again after this and explained to her again what has to be done for this to be resolvedIt was also stated that if we resolve this within days we would pull the account OUT of collectionsThe mother replied okay, but instead they contacted the Revdex.comThank you, Total Care Pediatrics

First let me state that I apologize to the patient and his wife for any unprofessional treatment they may have received from any of Chambers Emergency Associates employeesThis is not how our employees are trained to speak when taking phone calls.Secondly, this complaint was sent under the name Nottingham Physicians Associates PAThe company in question regarding this claim is Chambers Emergency Associates PC.When I was made aware of this complaint and the unpaid claim on 11/11/I called [redacted] directly tosee why the claim was never paid, since we had sent them a bill on 2/22/and then again with notes on 03/12/Someone in our company also spoke to [redacted] at [redacted] on 10/10/when sheasked for notes againI was surprised to find out upon talking to [redacted] myself that [redacted] had paid this claim on 11/07/with a check number [redacted] dated 11/10/2014.Not making any excuses for how the patient or his wife were spoken to when they called our office but if [redacted] would have told the patient that this claim was in the process of being paid, the call from the patients wife on 11/03/would have never occurred(In the call to Chambers Emergency Associates on 11/03/the patient was stating [redacted] needed notes to pay this claim and obviously they had the notes since they paid the claim on 11/07/2014.)Sorry again for any inconvenience this may have caused[redacted] ***Operations Manager [redacted] ***Pre Billing Consultants, Inc [redacted] *

[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
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
Regards,
*** ***

Complaint: ***
I am rejecting this response because: Doctor office sent me paper bill on June'I followed up with *** they said they processed October bill and they sent check but doctor office not cashed the checkOther bills they can't process because they are not received Attached mail from *** Oct'bill they reprocessed and sent check to doctor officeI am attaching mail from *** saying they are not received the other ClaimsAttached reprocessed bill of Oct with check Number. Attached bill where they are saying adjusted to Lost check with check number
Regards,
*** ***

We reviewed ** *** response in the October 24th letterAccording to our billing records the claims in question and the billing submission details are listed belowThe claims were submitted timely the plan listed and provided to us by the patientthe details are: Date of service 10/14/was electronically submitted on 10/16/& 12/6/and finally on paper 3/11/Date of service 11/21/was electronically submitted on 11/25/& 01/14/and finally on paper 3/11/Date of service 12/2/was electronically submitted on 12/4/and on paper 3/11/Date of service 12/20/was electronically submitted on 12/24/and on paper 3/11/Date of service 12/27/was electronically submitted on 1/02/and on paper 3/11/Clearly you will see that the electronic submissions were all TIMELY and not lateIt is not our fault that *** internal systems did not identify the claim and provide a timely reply or adjudication of the claimNo rejection from the payor was received in our billing officeDuring this entire time our billing representative attempted to work this out with the patientIt was the patient who was delayed in following upThis clearly had to be handled by the patientIn the interim the patient also received several statements alerting them of this balance ...clearly they were ignoredThe rejection of our first response refers to other claims, not related to this issue such as claims for the sibling paid on October 16, NO CHECK WAS SENT BY *** TO OUR OFFICE FOR PAYMENT ON THE CLAIMS LISTED ABOVE

The billing department submitted each account electronically from 10/14/13 to 12/27/2013. Some of them a few times too. It wasn't upon following up with [redacted] that they stated they did not receive any of the claims electronically. Subsequently, in March of 2014 the billing dept. put all the...

claims out on paper to the ins. company. Because they have a 12 time file limit, we were within the time to get paid. However, this is a special plan that is self funded by the patient's employer. When the employer cut funding in January of 2014, [redacted] stated they only price the claims and the employer actually pays them out. Their suggestion was to balance bill the patient and tell the patient they must supply the bills to their HR department. The billing dept. spoke to [redacted] on two separate occasions on how to proceed. The billing dept. balanced billed the subscribed starting on 5/9/2014. The billing dept. representative personally spoke to the mother of the patient on several occasions and explained to her what had happened and how this is a special type of policy. The billing department went out of their way to work with the family to resolve this even asking for the phone number to the HR department of her husband's employer. she stated she would contact her husband so that we can work on this further. They never replied to that request and then months went by and two more bills went out. Subsequently, the accounts were then sent to collections as per our financial policy. The billing dept. spoke with the mother again after this and explained to her again what has to be done for this to be resolved. It was also stated that if we resolve this within 30 days we would pull the account OUT of collections. The mother replied okay, but instead they contacted the Revdex.com. Thank you, Total Care Pediatrics

First let me state that I apologize to the patient and his wife for any unprofessional treatment they may have received from any of Chambers Emergency Associates employees. This is not how our employees are trained to speak when taking phone calls.Secondly, this complaint was sent under the name...

Nottingham Physicians Associates PA. The company in question regarding this claim is Chambers Emergency Associates PC.When I was made aware of this complaint and the unpaid claim on 11/11/2014 I called [redacted] directly tosee why the claim was never paid, since we had sent them a bill on 2/22/2014 and then again with notes on 03/12/2014. Someone in our company also spoke to [redacted] at [redacted] on 10/10/2014 when sheasked for notes again. I was surprised to find out upon talking to [redacted] myself that [redacted] had paid this claim on 11/07/2014 with a check number [redacted] dated 11/10/2014.Not making any excuses for how the patient or his wife were spoken to when they called our office but if [redacted] would have told the patient that this claim was in the process of being paid, the call from the patients wife on 11/03/2014 would have never occurred. (In the call to Chambers Emergency Associates on 11/03/2014 the patient was stating [redacted] needed notes to pay this claim and obviously they had the notes since they paid the claim on 11/07/2014.)Sorry again for any inconvenience this may have caused.[redacted]Operations Manager[redacted]Pre Billing Consultants, Inc. [redacted]

Complaint: [redacted]
I am rejecting this response because:Other claims submitted  [redacted] on January 2014 also paid to Doctor office. We spoke to [redacted] , [redacted] said they are not received Bills  until May.There is one bill which is on March 2013. One year old bill. We spoke to [redacted] about this bill. They said ,they sent check  to Doctor office but they arenot  Un Cashed.  They resend the check after we spoke to [redacted].   I spoke to My employer over email .They are not told any thing about self funded plan .  They can't do any thing . Response received from my employer. I am attaching Email from my employer.  attachment contains Email address and Phone numbers of my employer. Response from my employer belowFrom: [redacted]Date: October 14, 2014 at 12:46:25 PM EDTTo: [redacted]Subject: RE: Regarding InsurenceWhy did they take 3 months toinvoice them. There is nothing I can do as we don’t have [redacted] or the sameinsurance broker at this time.  Insurance has a time fame that they paythe invoices up till after the policy is terminated. They told you that theywill not pay since there is no more funds in that policy.  You need tospeak to the hospital  and tell them what happed since they should not hadtaken so long to invoice.  Send me a copy of the invoice and I can try tosee if I can even contact someone at [redacted] to see if they can do anything atthis time since its almost been a year already.  Best Regards, [redacted] Human Resources[redacted] Fax: [redacted] Email: [redacted]Web: [redacted]
Regards,
[redacted]