Dear Revdex.com (id [redacted] ),We received a letter regarding a [redacted] First, wetake offense to this letter and will address each complaint again as we havedone on three occasions when speaking to ***.“The billing was very inconsistent” Our billing to insurancecompanies is consistent and timelyWe submit our claims electronically anddailyRegarding billing patients, we are under contract with the insurance companiesand have to abide by their billing requirementsOnce the HICFA form isprocessed the insurance will send an explanation of benefits (EOB) to the patientand a copy to the providerThe EOB serves as an invoice for the patient anda contractual write off/ co-insurance/ deductible statement for the provider The EOB is specific, letting the patient know “paythe provider this amount ”In this particular case the patient had a small deductiblewhich had not been met, as dictated by his insurance companyIf the patienthas any questions on how the particular contract works please call the insurancecompany.We have a grace period of daysAs a courtesy we willalso send out quarterly statements if the patient forgets to pay the amount onthe EOBThis particular patient was sent invoices for over a year at a cashdiscount rateAfter a year the invoice was turned over to collections for assistanceat the insurance billed rateThe patient did indeed receive the invoice beforecollections took over the claim [redacted] mentioned when speaking with him on thephone “I did receive the last invoice, but I don’t pay bills until I receivethe 4th invoice.” Final complaint regarding fraud on services deliveredWeperform the same level of specialized care for all patients including but notlimited to soft tissue work, rehabilitation, chiropractic manipulative therapy,stretching, activitys of daily living modifications, examinations and nutritioncounselingWe do not perform or bill for physical therapy as this is achiropractic clinicWe have detailed notes explaining the specific regions andduration of soft tissue workAll providers have to submit codes on all servicesrenderedThis letter serves as our final correspondenceIf there isany further explanation necessary contact the patient’s insurance companyregarding the patient’s deductible
According to Mrs [redacted] ’s auto insurance adjuster the previous claims manager did not read the chart notes when denying services renderedAccording to the current insurance adjuster the dates of service in question were billed correctly with correct codingThe dates of service in question have been rebilled on three separate occasionsMrs [redacted] s had exhausted her claim before the auto insurance had the ability to correct their mistakeThe auto insurance requested we bill Mrs [redacted] in full, for uncovered services rendered Mrs [redacted] requested we bill her health insurance for her auto claim over a year after her last date of serviceWe complied and billed the health insurance, who immediately requested a full refund for payments made We were gracious enough to write off the $1,the auto insurance had mistakenly deniedWe also offered Mrs [redacted] a payment plan for the remaining charges at a discounted rate if paid in a timely fashionIn addition, we removed interest charges for failure to pay in order to help Mrs [redacted] Mrs [redacted] refused to pay Mrs [redacted] requested the doctor to pay for her services provided “you pay for it, clearly you can afford it,” Mrs [redacted] is responsible for the balance due after her claim was exhausted Please remember that by signing a contract to pay for services rendered and then refusing to pay is stealing
This case has been closed. You stated you are not paying for services provided, please stop harassing our staff. The large amount written off was due to your insurances company's mistakes. Again, please refer all communications to [redacted] who are responsible for this case.
Complaint: ***I am rejecting this response because:This is our response to DrA***'s statement in regards to complaint #*** sent to you directly as instructed Please confirm that you have received this.I went over DrA***'s statement carefully and consulted with all insurance companies involved so that credit could be given for any grain of truth to his statement As he stated there was an internal restructure in State Farm (my auto insurance) This however did not change any billing or repayment practices When my inquiries found that State Farm had begun mistakenly paying for a code previously rejected (CPT 97140), State Farm sent DrA*** a letter dated April 18th acknowledging their mistake in payment and requesting that the credit be applied to any outstanding balance owed I have a copy of this letter and have never received this credit.DrA*** has also claimed that I stated he should bill my health insurance over a year after my last date of service What he has forgotten to mention is that I informed him during my last visit, October 22nd 2014, that my PIP (personal injury protection) was soon to run out and he should begin to bill my health insurance I made sure his office had this information on my way out the door His first invoice to my health insurance was on November 25th, over one year after all dates of service for which they refused to pay.Let's examine the "full refund" DrA*** paid to my health insurance This refund was based on his billing practices For example, I visited his office March 5th He billed State Farm July 7th He was paid by State Farm the approved amount per his contract with the Voluntary Provider Network, on July 10th DrA*** then billed my health insurance for the full amount for the same date of service, March 5th 2014, on November 25th, My health insurance paid him their approved amount on December 8th After examining the billing records, I brought this to the attention of my health insurance company June 7th DrA*** paid his "refund" on July 18th He shows a balance owed for this date.This dispute has stemmed from DrA***'s (incompetent or fraudulent, I'm not sure which) billing practices The bulk of his billing statement is balances from bills for which he has already been paid the maximum allowed Others are bills that were never submitted to either insurance company The rest are bills that were submitted to my health insurance over a year after service.DrA***'s "write off" of $we assume was a total of his billing of code CPT which was denied every time based on rules set by the American Medical Association This was explained to him by me and State Farm.As for DrA***'s understanding of stealing, I wonder if he would include balance billing and double billing insurance companies under his definition I won't even acknowledge direct quotes he claims I made I think his history speaks for itself.More evidence of the same can be found in other complaints found at the Revdex.com and Yelp.com.Sincerely *** *** ***
Complaint: ***I am rejecting this response because:
I am confused as to how this case is closed. DrA*** is still unwilling to accept that there are mistakes in his billing and rather than address facts, he has accused me of harassment. As per his response on August 11th, 2016, I have sent all inquiries to *** *** *** and waited for a response from them. Not once have I contacted his office since being asked to forward questions to ***. Possibly the "harassment" is actually frustration as he tries to make sense of his own billing.Sincerely,*** ***
The customer was sent six quarterly invoices followed by four phone calls. We gave an extra months of leniency to allow customer to pay for services rendered. We also continued to give the customer a substantial discount on services rendered and waived customary late interest feesAfter
three years past due, Pacific NW collections took over the case to assist in contacting the customerPNW inc., has spent many months trying to call and send letters to the patientPNW incnow owns the case, if there are any questions or concerns contact PNW incWe are very perplexed as to why one would think to contact Revdex.com due to a 3+ year past due bill that was ignored
According to Mrs. [redacted]’s auto insurance adjuster the previous claims manager did not read the chart notes when denying services rendered. According to the current insurance adjuster the dates of service in question were billed correctly with correct coding. The dates of service in question have...
been rebilled on three separate occasions. Mrs. [redacted]s had exhausted her claim before the auto insurance had the ability to correct their mistake. The auto insurance requested we bill Mrs. [redacted] in full, for uncovered services rendered.
Mrs. [redacted] requested we bill her health insurance for her auto claim over a year after her last date of service. We complied and billed the health insurance, who immediately requested a full refund for payments made.
We were gracious enough to write off the $1,520 the auto insurance had mistakenly denied. We also offered Mrs. [redacted] a payment plan for the remaining charges at a discounted rate if paid in a timely fashion. In addition, we removed interest charges for failure to pay in order to help Mrs. [redacted]. Mrs. [redacted] refused to pay.
Mrs. [redacted] requested the doctor to pay for her services provided “you pay for it, clearly you can afford it,”
Mrs. [redacted] is responsible for the balance due after her claim was exhausted.
Please remember that by signing a contract to pay for services rendered and then refusing to pay is stealing.
This case has been closed. You stated you are not paying for services provided, please stop harassing our staff. The large amount written off was due to your insurances company's mistakes. Again, please refer all communications to [redacted] who are responsible for this case.
Dear Revdex.com (id [redacted]),We received a letter regarding a [redacted]. First, wetake offense to this letter and will address each complaint again as we havedone on three occasions when speaking to [redacted].“The billing was very inconsistent” Our billing to insurancecompanies is consistent and timely. We...
submit our claims electronically anddaily. Regarding billing patients, we are under contract with the insurance companiesand have to abide by their billing requirements. Once the HICFA form isprocessed the insurance will send an explanation of benefits (EOB) to the patientand a copy to the provider. The EOB serves as an invoice for the patient anda contractual write off/ co-insurance/ deductible statement for the provider. The EOB is specific, letting the patient know “paythe provider this amount…”In this particular case the patient had a small deductiblewhich had not been met, as dictated by his insurance company. If the patienthas any questions on how the particular contract works please call the insurancecompany.We have a grace period of 90 days. As a courtesy we willalso send out quarterly statements if the patient forgets to pay the amount onthe EOB. This particular patient was sent invoices for over a year at a cashdiscount rate. After a year the invoice was turned over to collections for assistanceat the insurance billed rate. The patient did indeed receive the invoice beforecollections took over the claim. [redacted] mentioned when speaking with him on thephone “I did receive the last invoice, but I don’t pay bills until I receivethe 4th invoice.” Final complaint regarding fraud on services delivered. Weperform the same level of specialized care for all patients including but notlimited to soft tissue work, rehabilitation, chiropractic manipulative therapy,stretching, activitys of daily living modifications, examinations and nutritioncounseling. We do not perform or bill for physical therapy as this is achiropractic clinic. We have detailed notes explaining the specific regions andduration of soft tissue work. All providers have to submit codes on all servicesrendered. This letter serves as our final correspondence. If there isany further explanation necessary contact the patient’s insurance companyregarding the patient’s deductible.
Dear Revdex.com (id [redacted] ),We received a letter regarding a [redacted] First, wetake offense to this letter and will address each complaint again as we havedone on three occasions when speaking to ***.“The billing was very inconsistent” Our billing to insurancecompanies is consistent and timelyWe submit our claims electronically anddailyRegarding billing patients, we are under contract with the insurance companiesand have to abide by their billing requirementsOnce the HICFA form isprocessed the insurance will send an explanation of benefits (EOB) to the patientand a copy to the providerThe EOB serves as an invoice for the patient anda contractual write off/ co-insurance/ deductible statement for the provider The EOB is specific, letting the patient know “paythe provider this amount ”In this particular case the patient had a small deductiblewhich had not been met, as dictated by his insurance companyIf the patienthas any questions on how the particular contract works please call the insurancecompany.We have a grace period of daysAs a courtesy we willalso send out quarterly statements if the patient forgets to pay the amount onthe EOBThis particular patient was sent invoices for over a year at a cashdiscount rateAfter a year the invoice was turned over to collections for assistanceat the insurance billed rateThe patient did indeed receive the invoice beforecollections took over the claim [redacted] mentioned when speaking with him on thephone “I did receive the last invoice, but I don’t pay bills until I receivethe 4th invoice.” Final complaint regarding fraud on services deliveredWeperform the same level of specialized care for all patients including but notlimited to soft tissue work, rehabilitation, chiropractic manipulative therapy,stretching, activitys of daily living modifications, examinations and nutritioncounselingWe do not perform or bill for physical therapy as this is achiropractic clinicWe have detailed notes explaining the specific regions andduration of soft tissue workAll providers have to submit codes on all servicesrenderedThis letter serves as our final correspondenceIf there isany further explanation necessary contact the patient’s insurance companyregarding the patient’s deductible
According to Mrs [redacted] ’s auto insurance adjuster the previous claims manager did not read the chart notes when denying services renderedAccording to the current insurance adjuster the dates of service in question were billed correctly with correct codingThe dates of service in question have been rebilled on three separate occasionsMrs [redacted] s had exhausted her claim before the auto insurance had the ability to correct their mistakeThe auto insurance requested we bill Mrs [redacted] in full, for uncovered services rendered Mrs [redacted] requested we bill her health insurance for her auto claim over a year after her last date of serviceWe complied and billed the health insurance, who immediately requested a full refund for payments made We were gracious enough to write off the $1,the auto insurance had mistakenly deniedWe also offered Mrs [redacted] a payment plan for the remaining charges at a discounted rate if paid in a timely fashionIn addition, we removed interest charges for failure to pay in order to help Mrs [redacted] Mrs [redacted] refused to pay Mrs [redacted] requested the doctor to pay for her services provided “you pay for it, clearly you can afford it,” Mrs [redacted] is responsible for the balance due after her claim was exhausted Please remember that by signing a contract to pay for services rendered and then refusing to pay is stealing
This case has been closed. You stated you are not paying for services provided, please stop harassing our staff. The large amount written off was due to your insurances company's mistakes. Again, please refer all communications to [redacted] who are responsible for this case.
Complaint: ***I am rejecting this response because:This is our response to DrA***'s statement in regards to complaint #*** sent to you directly as instructed Please confirm that you have received this.I went over DrA***'s statement carefully and consulted with all insurance companies involved so that credit could be given for any grain of truth to his statement As he stated there was an internal restructure in State Farm (my auto insurance) This however did not change any billing or repayment practices When my inquiries found that State Farm had begun mistakenly paying for a code previously rejected (CPT 97140), State Farm sent DrA*** a letter dated April 18th acknowledging their mistake in payment and requesting that the credit be applied to any outstanding balance owed I have a copy of this letter and have never received this credit.DrA*** has also claimed that I stated he should bill my health insurance over a year after my last date of service What he has forgotten to mention is that I informed him during my last visit, October 22nd 2014, that my PIP (personal injury protection) was soon to run out and he should begin to bill my health insurance I made sure his office had this information on my way out the door His first invoice to my health insurance was on November 25th, over one year after all dates of service for which they refused to pay.Let's examine the "full refund" DrA*** paid to my health insurance This refund was based on his billing practices For example, I visited his office March 5th He billed State Farm July 7th He was paid by State Farm the approved amount per his contract with the Voluntary Provider Network, on July 10th DrA*** then billed my health insurance for the full amount for the same date of service, March 5th 2014, on November 25th, My health insurance paid him their approved amount on December 8th After examining the billing records, I brought this to the attention of my health insurance company June 7th DrA*** paid his "refund" on July 18th He shows a balance owed for this date.This dispute has stemmed from DrA***'s (incompetent or fraudulent, I'm not sure which) billing practices The bulk of his billing statement is balances from bills for which he has already been paid the maximum allowed Others are bills that were never submitted to either insurance company The rest are bills that were submitted to my health insurance over a year after service.DrA***'s "write off" of $we assume was a total of his billing of code CPT which was denied every time based on rules set by the American Medical Association This was explained to him by me and State Farm.As for DrA***'s understanding of stealing, I wonder if he would include balance billing and double billing insurance companies under his definition I won't even acknowledge direct quotes he claims I made I think his history speaks for itself.More evidence of the same can be found in other complaints found at the Revdex.com and Yelp.com.Sincerely *** *** ***
Complaint: ***I am rejecting this response because:
I am confused as to how this case is closed. DrA*** is still unwilling to accept that there are mistakes in his billing and rather than address facts, he has accused me of harassment. As per his response on August 11th, 2016, I have sent all inquiries to *** *** *** and waited for a response from them. Not once have I contacted his office since being asked to forward questions to ***. Possibly the "harassment" is actually frustration as he tries to make sense of his own billing.Sincerely,*** ***
The customer was sent six quarterly invoices followed by four phone calls. We gave an extra months of leniency to allow customer to pay for services rendered. We also continued to give the customer a substantial discount on services rendered and waived customary late interest feesAfter
three years past due, Pacific NW collections took over the case to assist in contacting the customerPNW inc., has spent many months trying to call and send letters to the patientPNW incnow owns the case, if there are any questions or concerns contact PNW incWe are very perplexed as to why one would think to contact Revdex.com due to a 3+ year past due bill that was ignored
According to Mrs. [redacted]’s auto insurance adjuster the previous claims manager did not read the chart notes when denying services rendered. According to the current insurance adjuster the dates of service in question were billed correctly with correct coding. The dates of service in question have...
been rebilled on three separate occasions. Mrs. [redacted]s had exhausted her claim before the auto insurance had the ability to correct their mistake. The auto insurance requested we bill Mrs. [redacted] in full, for uncovered services rendered.
Mrs. [redacted] requested we bill her health insurance for her auto claim over a year after her last date of service. We complied and billed the health insurance, who immediately requested a full refund for payments made.
We were gracious enough to write off the $1,520 the auto insurance had mistakenly denied. We also offered Mrs. [redacted] a payment plan for the remaining charges at a discounted rate if paid in a timely fashion. In addition, we removed interest charges for failure to pay in order to help Mrs. [redacted]. Mrs. [redacted] refused to pay.
Mrs. [redacted] requested the doctor to pay for her services provided “you pay for it, clearly you can afford it,”
Mrs. [redacted] is responsible for the balance due after her claim was exhausted.
Please remember that by signing a contract to pay for services rendered and then refusing to pay is stealing.
This case has been closed. You stated you are not paying for services provided, please stop harassing our staff. The large amount written off was due to your insurances company's mistakes. Again, please refer all communications to [redacted] who are responsible for this case.
Dear Revdex.com (id [redacted]),We received a letter regarding a [redacted]. First, wetake offense to this letter and will address each complaint again as we havedone on three occasions when speaking to [redacted].“The billing was very inconsistent” Our billing to insurancecompanies is consistent and timely. We...
submit our claims electronically anddaily. Regarding billing patients, we are under contract with the insurance companiesand have to abide by their billing requirements. Once the HICFA form isprocessed the insurance will send an explanation of benefits (EOB) to the patientand a copy to the provider. The EOB serves as an invoice for the patient anda contractual write off/ co-insurance/ deductible statement for the provider. The EOB is specific, letting the patient know “paythe provider this amount…”In this particular case the patient had a small deductiblewhich had not been met, as dictated by his insurance company. If the patienthas any questions on how the particular contract works please call the insurancecompany.We have a grace period of 90 days. As a courtesy we willalso send out quarterly statements if the patient forgets to pay the amount onthe EOB. This particular patient was sent invoices for over a year at a cashdiscount rate. After a year the invoice was turned over to collections for assistanceat the insurance billed rate. The patient did indeed receive the invoice beforecollections took over the claim. [redacted] mentioned when speaking with him on thephone “I did receive the last invoice, but I don’t pay bills until I receivethe 4th invoice.” Final complaint regarding fraud on services delivered. Weperform the same level of specialized care for all patients including but notlimited to soft tissue work, rehabilitation, chiropractic manipulative therapy,stretching, activitys of daily living modifications, examinations and nutritioncounseling. We do not perform or bill for physical therapy as this is achiropractic clinic. We have detailed notes explaining the specific regions andduration of soft tissue work. All providers have to submit codes on all servicesrendered. This letter serves as our final correspondence. If there isany further explanation necessary contact the patient’s insurance companyregarding the patient’s deductible.