Children's Hospital Medical Center of Akron, Inc.

I am rejecting this response because:
This response is being rejected because in speaking with my insurance company today (12/20), they confirmed there is no documented conversation or phone call as stated above from Cassandre. That was confirmed by Coresource (Debbie) and OSU (Mary) directly. The last note documented with the insurance company system is from me (Jodie), on 7/28/16. I have been advised by my insurance to appeal both these claims. How are some doctors in this practice in network while others are not? Ex: Dr. Flinn is not Dr.Fain is) OSU also states this is a tax ID issue. That is not my issue. I also request my bill be placed on hold until this is resolved with a letter stating such from Akron Children's. Finally, I have not received a call back from Akron regarding follow up with my numerous phone calls.

Initial Business Response /* (1000, 12, 2016/06/22) */
[redacted]Document Attached[redacted]
(Revdex.com Copied from original document)
June 22, 2016
Revdex.com of Akron
RE: Case # [redacted]
Thank you for the opportunity to assist you with your daughter's account.
It is my understanding that...

Dr. J[redacted] had a conversation with you and went over the visit with you answering your questions.
Please understand that the name of the provider was imputed in error and has been corrected. It was imputed as Dr. S[redacted] and has been updated to show Dr. E[redacted]. This error in no way affected the charges or the claim. The child was seen by an occupational therapist. This is in the documentation, which you can obtain through our Health Information Management Department.
Michele S[redacted] who is the Patient Relations Manager is out of the office till Monday and will give Mr. H[redacted] a call at that time. I will be releasing the statement which has a balance of $438.36 today. Mr. H[redacted] will need to call [redacted] to pay this balance in full or ask for other options.
Please feel free to contact me if you have any further questions.
Thank you,
Vicki C[redacted]
Customer Service, Billing/Collection Supervisor
[redacted]

Initial Business Response /* (1000, 5, 2015/06/12) */
Contact Name and Title: Vicki C[redacted], Supervisor
Contact Phone: [redacted]
Contact Email: [redacted]
Revdex.com Akron
June 12, 2015
Complaint Case #: [redacted]
We want to thank the father of the patient for allowing...

Akron Children's to provide care for his child. We would also like to thank him for allowing us to review his concern.
Before the father contacted the Revdex.com, he first contacted Akron Children's Hospital to address his concerns. The manager of the department attempted to call him back and had to leave a message. He didn't return her call.
The family has a high deductible plan, therefore has outstanding balances for the therapy. The families concerns were sent to the department for review. The charges were correct and appropriate. Per the Rehabilitation Supervisor the child benefited and improved a great deal from our care for her foot/ankle issue. A PT in an outpatient clinic not attached to a hospital can charge the same number of units. However, a free standing outpatient facility charges and is reimbursed 1/4 or 1/3 of what a hospital charges per unit. Therefore, it appears that we are over charging. When the child was here the insurance was billed for skilled care. While here she was supervised/corrected by a skilled PT.
Initial Consumer Rebuttal /* (3000, 7, 2015/06/17) */
(The consumer indicated he/she DID NOT accept the response from the business.)
I was in constant contact with the customer service department including Julie M[redacted] (supervisor). I only ever received one call from her which I promptly returned within 1 hour of receiving it.
I'm not disputing that my child improved from the service received. Rather that the service is much more expensive than the market average. Just because it is a hospital does not mean that the service is worth more than a non-hospital equivalent. Also, had the charges been disclosed up front (i.e. before it is too late to do anything about it), I never would have gone ahead with the service but would have immediately found an alternative.
I do not accept that just because they are a hospital that 1) the care is superior and 2) that they should be charging more than market averages for a given service.

Initial Business Response /* (1000, 13, 2016/03/08) */
(Revdex.com Copied from original document. See attached file.)
February 4, 2016
[redacted]
Complaint #858646
Thank you for allowing us to review your concern regarding the account for your child.
The account ([redacted]) was reviewed...

by the department and with the Manager in Customer Service. The balance is $763.96 and is correct.
The testing that was done was not a "normal" hearing test. We sent to you an itemization which shows the testing that was done. Please see below.
Below is from the ENT department:
The department did confirm with audiology that the tests that were billed were done and confirmed with Dr. G[redacted] that the tests that were done were medically necessary and he stated that the tests that he ordered are following medical guidelines. The department explained to mom that we would not have any way of knowing what her deductible/ out of pocket was and that we would have no way of knowing what testing the provider would be ordering or how it is covered by her insurance.
Below is from Customer service manager:
Spoke with Mom with regards to DOS 12/28/15. Mom states that she brought her child in and towards the end of the appointment mom was asked if she had any other concerns. Mom explained that her child did not pass the hearing test that the school provided. The office then took her child back and performed test and confirmed that he did have hearing loss. Mom was very upset and thought that our prices were too high. I explained each charge the $327 her insurance allowable was $284.99 in which they paid $120.54 and applied $112.79 to deductible and applied $51.66 to co-insurance; Charge $63 her insurance allowable was $54.91 of which they paid $38.44 and applied $16.47 to
co-insurance; charge $669 her insurance allowable was $583.04 of which they paid $0.00 and applied $583.04 to deductible.
The balance of $763.96 is due. Please call our payment team @ [redacted] to pay in full or inquire if you are eligible for any assistance with your outstanding balance.
Sincerely,
Vicki C[redacted], Supervisor Customer Service

Response is attached.  December 20, 2016 RE:      Revdex.com ID [redacted]            CHMCA ID [redacted] & [redacted]            [redacted] Thank you for...

allowing me to assist you with your complaint.After reviewing the above accounts for your child ([redacted]) we found that there was no error on the part of Akron Children’s billing department, it was the way that the insurance (NGS) processed the claims.  One of the Team Leads in Customer Service (Cassandra) called and spoke with your insurance company and NGS asked us to send the claims back through; this was done on 12/19/16.  You did receive a statement showing a balance due of $302.00 but that was before we spoke with your insurance company.  The accounts are no longer in self pay and are in the insurance status.  You will not receive a statement unless the insurance doesn’t pay both of the accounts in full.If you have any other issues, please contact me directly at [redacted]. Thank you, Vicki C[redacted]Customer Service, Billing/Collection Supervisor