Chicago a cappella

[redacted] October 25, 2016Revdex.com Corporate OfficeLa Posada Dr.Austin, Texas 78752Re: Complaint ID# [redacted] Dear Ms [redacted] ,This patient presented to an Arise Austin Medical Center (AAMC) outpatient rehab facility; the patient signed and was personally handed documents which clearly indicated the facility’s financial practices, including the patient’s payment responsibility as dictated by her chosen insurance provider.The charges billed to her insurance plan, Blue Cross Blue Shield (BCBS), were usual and customary for the rehabilitation services provided to this patientThe patient is being billed the exact amount required and applied to her by her insurance plan, BCBS, per the coverage the patient choseOn behalf of this patient, AAMC followed up with BCBS to verify charges and this patient’s specific payment responsibility; AAMC was advised in no uncertain terms that the amount applied to this patient is accurate.The patient, [redacted] is asking AAMC to discount her bill to zero for no reason except her unwillingness to payTo do so would be a violation of the insurance relevant laws and our binding legal contract with BCBSThe Blue Cross contract requires the provider (AAMC) to collect all required patient copays and deductiblesFailure to do so would violate the contract terms and could result in claims by BCBS for breach of contract or repayment.Please note that numerous statements have been sent to this patient since her date of service in We are pleased to report according to the patient’s physician, her course of care was successfulAs such, this complaint appears to be a matter of a patient attempting to skirt their specific payment responsibility.In closing, we would be willing to provide any documentation requested in support of the aboveThank you for bringing this to our attention.Warmest Regards, [redacted] Director of Revenue CycleArise Austin Medical Center

Complaint: [redacted] I am rejecting this response because:BUSINESS: "This patient presented to an Arise Austin Medical Center (AAMC) outpatient rehab facility; the patient signed and was personally handed documents which clearly indicated the facility’s financial practices, including the patient’s payment responsibility as dictated by her chosen insurance provider." [redacted] : Not trueI was never given anything to read or sign about [redacted] 's policies and financial procedures, nor was my Chiropractor, Dr [redacted] , or his practice, given them.BUSINESS: "The charges billed to her insurance plan, Blue Cross Blue Shield (BCBS), were usual and customary for the rehabilitation services provided to this patientThe patient is being billed the exact amount required and applied to her by her insurance plan, BCBS, per the coverage the patient choseOn behalf of this patient, AAMC followed up with BCBS to verify charges and this patient’s specific payment responsibility; AAMC was advised in no uncertain terms that the amount applied to this patient is accurate." [redacted] : Not true I was never given information as to what I was going to be billed or charged I asked [redacted] specifically for a comprehensive detailed description of what I was charge and the reasons for them She said she would be happy to and never did Blue Cross has not been contacted in regards to these specific matters and would be glad to respond [redacted] , a BCBS healthcare advocate in the Abilene office knows the details for the egregious billing practices that Arise has put me through I did not hear, at all, from Arise for over a year, waiting for [redacted] , VP in stating that the billing was not correct and I would be contacted A year passed and I receive a bill The first bill was over $7,000; the most recent response from Arise show dollar amounts that fluctuate--up and downArise did not ever indicate the $deductible I paid by credit card given as a good faith effort in rectifying my billing accountBUSINESS: "The patient, [redacted] is asking AAMC to discount her bill to zero " [redacted] : True With all the work, energy, and effort that I have put forth in getting fair treatment for my bill, I believe that my account should be written off I have no idea if Arise is even a member of the Revdex.com.Thank you for your helpSincerely, [redacted]

Initial Business Response / [redacted] (1000, 10, 2016/05/31) */ [redacted] brought in his truck for a service and DOT inspection on May 9, He brought his own parts, in which we DO NOT normally allow, but we made the exceptionHe then kept adding things he wanted done; therefore, we brought in another tech from our other shop to help [redacted] wanted to wait on his truckBy the end of day shift, the truck was not finished, so we had two more techs help to finish the job Here is the break down of labor: hours - Service Truck hours - DOT truck hours - Replaced Blower Motor hours - Replace mudflap brackets and mud flaps hours - Service APU unit, Replace Starter APU, New Belt, Bled and Run hours - Ran to Auto Zone to get parts for [redacted] hours - Moved Shocks Total = hours Attached is the invoiceWe discounted an hour of labor due to [redacted] being upset; therefore, we charged hours total at [redacted] and also allowed him to bring in his own parts Initial Consumer Rebuttal / [redacted] (3000, 12, 2016/05/31) */ (The consumer indicated he/she DID NOT accept the response from the business.) REPAIR TOOK HOURS WAS NO SERVICE TRUCK REPAIR ,A GUY RAN ME TO AUTO ZONE IT TAKE MIN.MECHANIC WAS TOLD UP FRONT ABOUT EVERYTHING AND THERE WALL READS [redacted] DOLLAR HR SHOP RATE NOT [redacted] DOLLAER PER MAN HOUR DID NOT ASK FOR MECHANICS ANYWAY TO BE SCREWED IT NOT THE FIRST TIME .IF YOU SAY YOUR RATE IS [redacted] PER HR THATS WHAT IT SHOULD BEITS POSTED ON THERE WALL, I STOOD AND STAYED WITH THE VEHICLE THE HRS IT WAS WOOKED ON, IT WAS ONLY IN THE SHOP HRS

Initial Business Response / [redacted] (1000, 16, 2017/02/23) */ The customer came in the shop to have us charge his batteries and to change his alternatorOur shop rate is [redacted] per hour and it is posted on the wallWe did have to remove the inner fender to get to the alternatorHe wanted to go get his own alternator, normally we do not allow this but he was so persistent we said okHe returned hours later and we installed his alternatorWhen we finished he was upset and cussing my employeesThey called me and I told them to charge all of their timeHe was very rude and said he would screw us over every chance he could and that we were crooks Initial Consumer Rebuttal / [redacted] (3000, 18, 2017/02/23) */ (The consumer indicated he/she DID NOT accept the response from the business.) The much delayed response from the Business was simply put a lie! We never once was rude to the employees but only surprised when we got the bill!We drove to La Fontaine, Indiana to get the alternator swapped out at a Generator rebuild shopThe Peru truck and tire service center even said they would not charge us the short time we were gone only the time they had to work on the vehicleThe generator shop also had one in stock and we were in and out in less than minutesThe drive was approx minutes awayAs far as the response goes from the owner stating we swore to (screw him over every chance we get) That too was also a LIE!I really wish them the best and hopefully they can become a more honest place of businessI only want others in the future to be aware of these business practicesAs far as lying, cheating, and stealing to try to get rich quick it just isn't the way it goesJust keep that [redacted] bucks cause it will be the last dime you receive from me ;) Best of luck to Peru Truck & Tire Service!

Bottom line is Arise Austin Medical Center can only bill the patient for the amounts applied to her by her insurance plan, BCBSInsurance plans send explanation of benefits also known as EOB's, to it's members each time they process a claim on the member's behalfThese EOB's explain in detail the services the provider is billing for, the total amount billed, the providers obligated contractual discount, the dollar amount paid by the insurance plan and the dollar amount the patient owes the provider. These same EOB's are sent to the providers and we use them to ensure we bill the patient only for the amounts listed as their responsibilityMs*** was treated at AAMC Rehab Dept more than times which means she has received over EOB's from BCBS that indicate the amount she will owe Arise Austin Medical CenterWe will gladly provide copies of these EOB's if you can provide written consent signed by MsRowland.If Ms*** does not agree with the amounts applied to her by BCBS she needs to file an appeal to themWe will gladly relive Ms*** of her balance $is she provides a written letter and corrected EOB's from BCBSAs you can see below multiple statements have been sent to MS*** over the years

Initial Business Response /* (1000, 10, 2016/05/31) */
[redacted] brought in his truck for a service and DOT inspection on May 9, 2016. He brought his own parts, in which we DO NOT normally allow, but we made the exception. He then kept adding things he wanted done; therefore, we brought in another tech...

from our other shop to help. [redacted] wanted to wait on his truck. By the end of day shift, the truck was not finished, so we had two more techs help to finish the job.
Here is the break down of labor:
2.5 hours - Service Truck
1.0 hours - DOT truck
1.5 hours - Replaced Blower Motor
2.0 hours - Replace mudflap brackets and mud flaps
4.5 hours - Service APU unit, Replace Starter APU, New Belt, Bled and Run.
1.0 hours - Ran to Auto Zone to get parts for [redacted]
0.5 hours - Moved Shocks
Total = 13.0 hours
Attached is the invoice. We discounted an hour of labor due to [redacted] being upset; therefore, we charged 12.0 hours total at [redacted] and also allowed him to bring in his own parts.
Initial Consumer Rebuttal /* (3000, 12, 2016/05/31) */
(The consumer indicated he/she DID NOT accept the response from the business.)
REPAIR TOOK 7.5 HOURS WAS NO SERVICE TRUCK REPAIR ,A GUY RAN ME TO AUTO ZONE IT TAKE 45 MIN.MECHANIC WAS TOLD UP FRONT ABOUT EVERYTHING AND THERE WALL READS ** DOLLAR HR SHOP RATE NOT ** DOLLAER PER MAN HOUR DID NOT ASK FOR 4 MECHANICS ANYWAY TO BE SCREWED IT NOT THE FIRST TIME .IF YOU SAY YOUR RATE IS ** PER HR THATS WHAT IT SHOULD BE. ITS POSTED ON THERE WALL, I STOOD AND STAYED WITH THE VEHICLE THE 7.5 HRS IT WAS WOOKED ON, IT WAS ONLY IN THE SHOP 7.5 HRS.

Complaint: [redacted]
I am rejecting this response because:BUSINESS:  "This patient presented to an Arise Austin Medical Center (AAMC) outpatient rehab facility; the patient signed and was personally handed documents which clearly indicated the facility’s financial practices, including the patient’s payment responsibility as dictated by her chosen insurance provider."[redacted]:  Not true. I was never given anything to read or sign about [redacted]'s policies and financial procedures, nor was my Chiropractor, Dr. [redacted], or his practice, given them.BUSINESS:  "The charges billed to her insurance plan, Blue Cross Blue Shield (BCBS), were usual and customary for the rehabilitation services provided to this patient. The patient is being billed the exact amount required and applied to her by her insurance plan, BCBS, per the coverage the patient chose. On behalf of this patient, AAMC followed up with BCBS to verify charges and this patient’s specific payment responsibility; AAMC was advised in no uncertain terms that the amount applied to this patient is accurate."[redacted]:  Not true.  I was never given information as to what I was going to be billed or charged.  I asked [redacted] specifically for a comprehensive detailed description of what I was charge and the reasons for them.  She said she would be happy to and never did.  Blue Cross has not been contacted in regards to these specific matters and would be glad to respond.  [redacted], a BCBS healthcare advocate in the Abilene office knows the details for the egregious billing practices that Arise has put me through.  I did not hear, at all, from Arise for over a year, waiting for [redacted], VP in 2015 stating that the billing was not correct and I would be contacted.  A year passed and I receive a bill.  The first bill was over $7,000; the most recent response from Arise show dollar amounts that fluctuate--up and down. Arise did not ever indicate the $350 deductible I paid by credit card given as a good faith effort in rectifying my billing account. BUSINESS:  "The patient, [redacted] is asking AAMC to discount her bill to zero "... [redacted]:  True.  With all the work, energy, and effort that I have put forth in getting fair treatment for my bill, I believe that my account should be written off.  I have no idea if Arise is even a member of the Revdex.com.Thank you for your help. Sincerely,
[redacted]

[redacted] October 25, 2016Revdex.com Corporate Office1005 La Posada Dr.Austin, Texas 78752Re: Complaint ID# [redacted]Dear Ms. [redacted],This patient presented to an Arise Austin Medical Center (AAMC) outpatient rehab facility; the patient signed and was personally handed documents which clearly...

indicated the facility’s financial practices, including the patient’s payment responsibility as dictated by her chosen insurance provider.The charges billed to her insurance plan, Blue Cross Blue Shield (BCBS), were usual and customary for the rehabilitation services provided to this patient. The patient is being billed the exact amount required and applied to her by her insurance plan, BCBS, per the coverage the patient chose. On behalf of this patient, AAMC followed up with BCBS to verify charges and this patient’s specific payment responsibility; AAMC was advised in no uncertain terms that the amount applied to this patient is accurate.The patient, [redacted] is asking AAMC to discount her bill to zero for no reason except her unwillingness to pay. To do so would be a violation of the insurance relevant laws and our binding legal contract with BCBS. The Blue Cross contract requires the provider (AAMC) to collect all required patient copays and deductibles. Failure to do so would violate the contract terms and could result in claims by BCBS for breach of contract or repayment.Please note that numerous statements have been sent to this patient since her date of service in 2014. We are pleased to report according to the patient’s physician, her course of care was successful. As such, this complaint appears to be a matter of a patient attempting to skirt their specific payment responsibility.In closing, we would be willing to provide any documentation requested in support of the above. Thank you for bringing this to our attention.Warmest Regards,[redacted]Director of Revenue CycleArise Austin Medical Center

Initial Business Response /* (1000, 16, 2017/02/23) */
The customer came in the shop to have us charge his batteries and to change his alternator. Our shop rate is [redacted] per hour and it is posted on the wall. We did have to remove the inner fender to get to the alternator. He wanted to go get...

his own alternator, normally we do not allow this but he was so persistent we said ok. He returned 3 hours later and we installed his alternator. When we finished he was upset and cussing my employees. They called me and I told them to charge all of their time. He was very rude and said he would screw us over every chance he could and that we were crooks.
Initial Consumer Rebuttal /* (3000, 18, 2017/02/23) */
(The consumer indicated he/she DID NOT accept the response from the business.)
The much delayed response from the Business was simply put a lie! We never once was rude to the employees but only surprised when we got the bill!. We drove to La Fontaine, Indiana to get the alternator swapped out at a Generator rebuild shop. The Peru truck and tire service center even said they would not charge us the short time we were gone only the time they had to work on the vehicle. The generator shop also had one in stock and we were in and out in less than 3 minutes. The drive was approx 27 minutes away. As far as the response goes from the owner stating we swore to (screw him over every chance we get) That too was also a LIE!. I really wish them the best and hopefully they can become a more honest place of business. I only want others in the future to be aware of these business practices. As far as lying, cheating, and stealing to try to get rich quick it just isn't the way it goes. Just keep that [redacted] bucks cause it will be the last dime you receive from me ;) Best of luck to Peru Truck & Tire Service!