Chiro Works

Attached is a copy of the statement ledger for [redacted] (DOB [redacted] ) and [redacted] A [redacted] (DOB [redacted] ) the guarantor of the accountThe accounts total owing balance is $Mr [redacted] insurance changed several times from to Often the charges were applied to his insurancedeductible which would then become his responsibility for paymentMr [redacted] has made severalpayments on his account which were applied to co-pays and deductiblesThere are no unappliedpayments on the account For services rendered on 8/13/and 6/02/2014, both charges went to the guarantor'sdeductibleThe guarantor, Mr [redacted] * [redacted] , would have received the same notification about this asdid our billing departmentAetna confirmed they sent him Explanation of Benefits statements whichexplains what they pay or not, and whyWe defer him to his insurance policy or call his insurance directlyas to why they did not pay, but they indicated to us the charges went to his annual deductibleAt thetime of service, Medicaid indicated on their EFS system that he was not eligible for secondary Medicaid.The billing department billed Medicaid anyway and payment was deniedHe since received statementsfrom us through Precision Billing Co The front reception was very courteous and responsive to Mr [redacted] and had him fill out a BillingConcern Form which is sent to the Billing officeIt is NOT the responsibility of the front office/receptionto know or explain the procedures of his insurance, since all insurances have different policiesWeprovide billing as a courtesy to the patient because of the complexity involved in sending claimsMr[redacted] has been encouraged to go through proper channels and contact his insurance if he does notunderstand the EOB sent to him We changed billing companies in late and as a result in the roll over, older past owing accountssuch as Mr [redacted] 's, had statements temporarily held so as not to drop them into collectionsThe billingphone number was also changedOnce the new billing system was in place, statements were sentmonthlyNew with this system, a nominal interest rate is applied and collection action starts on anyaccount over days past due without a payment arrangementThe billing company has held Mr [redacted] account (now over years past due) from collections as a courtesy so he can resolve his concerns with hisinsurance company KIACC Inchas been in business since The clinic has received several accommodations andpatient service awards within that timeIn 2014, KIACC Incwas voted by the Kodiak community as theBest Medical ClinicKIACC Inchas never received a complaint from the Revdex.com in its years of service The process of billing and getting claims paid is arduous and frustrating, insurances profit by not paying.We take this burden off the patient as a courtesy and bill claims for themBut when insurances do notpay, we encourage their beneficiaries to call them and have their questions answeredUltimately, thebeneficiary and guarantor are still responsible for their bills even if they do not agree with theirinsurances policies or non-paymentWe afford every opportunity to patients to get their bills paidWewill extend another day grace period for Mr [redacted] to resolve his billing issues with his insurance butthereafter this account will fall into collections if remains unpaid or a payment agreement is notestablished If there are any further questions of information we can provide, do not hesitate to contact us.KIACC IncBilling Department(907) 486-

Attached is a copy of the statement ledger for *** * *** (DOB ***) and *** A ***(DOB ***) the guarantor of the accountThe accounts total owing balance is $Mr***insurance changed several times from to Often the charges were applied to his
insurancedeductible which would then become his responsibility for paymentMr*** has made severalpayments on his account which were applied to co-pays and deductiblesThere are no unappliedpayments on the account
For services rendered on 8/13/and 6/02/2014, both charges went to the guarantor'sdeductibleThe guarantor, Mr*** ***, would have received the same notification about this asdid our billing departmentAetna confirmed they sent him Explanation of Benefits statements whichexplains what they pay or not, and whyWe defer him to his insurance policy or call his insurance directlyas to why they did not pay, but they indicated to us the charges went to his annual deductibleAt thetime of service, Medicaid indicated on their EFS system that he was not eligible for secondary Medicaid.The billing department billed Medicaid anyway and payment was deniedHe since received statementsfrom us through Precision Billing Co
The front reception was very courteous and responsive to Mr*** and had him fill out a BillingConcern Form which is sent to the Billing officeIt is NOT the responsibility of the front office/receptionto know or explain the procedures of his insurance, since all insurances have different policiesWeprovide billing as a courtesy to the patient because of the complexity involved in sending claimsMr.*** has been encouraged to go through proper channels and contact his insurance if he does notunderstand the EOB sent to him
We changed billing companies in late and as a result in the roll over, older past owing accountssuch as Mr***'s, had statements temporarily held so as not to drop them into collectionsThe billingphone number was also changedOnce the new billing system was in place, statements were sentmonthlyNew with this system, a nominal interest rate is applied and collection action starts on anyaccount over days past due without a payment arrangementThe billing company has held Mr***account (now over years past due) from collections as a courtesy so he can resolve his concerns with hisinsurance company
KIACC Inchas been in business since The clinic has received several accommodations andpatient service awards within that timeIn 2014, KIACC Incwas voted by the Kodiak community as theBest Medical ClinicKIACC Inchas never received a complaint from the Revdex.com in its years of service
The process of billing and getting claims paid is arduous and frustrating, insurances profit by not paying.We take this burden off the patient as a courtesy and bill claims for themBut when insurances do notpay, we encourage their beneficiaries to call them and have their questions answeredUltimately, thebeneficiary and guarantor are still responsible for their bills even if they do not agree with theirinsurances policies or non-paymentWe afford every opportunity to patients to get their bills paidWewill extend another day grace period for Mr*** to resolve his billing issues with his insurance butthereafter this account will fall into collections if remains unpaid or a payment agreement is notestablished
If there are any further questions of information we can provide, do not hesitate to contact us.KIACC IncBilling Department(907) 486-

Revdex.com:I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. Sincerely, [redacted]