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Chochinov, Ronald M.D., Inc.

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Chochinov, Ronald M.D., Inc. Reviews (3)

This letter is in response to the above mentioned complaint ID and the rejection given by the patient in regards to my original response. I understand that he is owed a refund, and we will issue him the refund, however, as I indicated in my original response, until we receive the additional payment of $30.00 from SeaView Medical Group we cannot issue him that refund. As far as him stating that our offices billing was done in error, this is completely untrue, he was seen on 3/17/2014 and we billed the claim out to SeaView on 3/18/2014 and received the payment minus $30.00 copay from SeaView on 4/14/2014. We did our part correctly and efficiently as per our contract which indicates that we must submit the claims directly to SeaView. As far as when SeaView submitted the claim to Anthem, our office has no control over that. This seems to be more of an issue he should be having with SeaView not us. As soon as that additional payment of $30.00 is sent to us by SeaView, I will issue the refund to the patient.
Sincerely,
[redacted]
Office Manage

Complaint: 10358256
I am rejecting this response because: The Explanation of Benefits that I have received from Anthem states that thius claim was processed on 11/17/2014. Sea View medical Group may have processed claim through themselves for professional fees, however was not submitted...

to insurance for payment until 11/17/2014. My family copayment maximum was met on 8/22/2014 meaning that all claims with a process date prior to 8/22/2014 are valid as processed. Since this claim was processed later as stated in the Explanation of Benefits, it is not subject to a co-payment, as co-payment maximum was met prior. Either Sea View medical Group or Dr.[redacted]'s billing is in error and this needs to be resolved. I want my money back. 
Regards,
[redacted]

Review: I saw Dr. [redacted] for an appointment on 3/17/2014 and paid a $30 co-payment at the time of service. The doctor's office/medical group did not bill the service through my insurance until 11/17/2014. I had met my co-payment maximum on 8/22/2014 (for all services that had been processed through insurance prior to that date). Since the doctor's office/Medical Group waited 8 months to process the claim, as a result my co-payment maximum was overpaid. I have contacted Dr. [redacted]'s billing clerks and I was told that "they do not do the refund...the Medical Group does." I have been told by Anthem to request overpaid co-payments back from the providers they were paid to. I have called, left messages, and faxed documentation to SeaView Medical Group and no one calls me back.Desired Settlement: I would like a refund of the $30 overpaid copayment.

Consumer

Response:

Review: 10358256

I am rejecting this response because: The Explanation of Benefits that I have received from Anthem states that thius claim was processed on 11/17/2014. Sea View medical Group may have processed claim through themselves for professional fees, however was not submitted to insurance for payment until 11/17/2014. My family copayment maximum was met on 8/22/2014 meaning that all claims with a process date prior to 8/22/2014 are valid as processed. Since this claim was processed later as stated in the Explanation of Benefits, it is not subject to a co-payment, as co-payment maximum was met prior. Either Sea View medical Group or Dr.[redacted]'s billing is in error and this needs to be resolved. I want my money back.

Regards,

Business

Response:

This letter is in response to the above mentioned complaint ID and the rejection given by the patient in regards to my original response. I understand that he is owed a refund, and we will issue him the refund, however, as I indicated in my original response, until we receive the additional payment of $30.00 from SeaView Medical Group we cannot issue him that refund. As far as him stating that our offices billing was done in error, this is completely untrue, he was seen on 3/17/2014 and we billed the claim out to SeaView on 3/18/2014 and received the payment minus $30.00 copay from SeaView on 4/14/2014. We did our part correctly and efficiently as per our contract which indicates that we must submit the claims directly to SeaView. As far as when SeaView submitted the claim to Anthem, our office has no control over that. This seems to be more of an issue he should be having with SeaView not us. As soon as that additional payment of $30.00 is sent to us by SeaView, I will issue the refund to the patient.Sincerely,[redacted] Office Manage

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Description: PHYSICIANS & SURGEONS - MEDICAL-M.D.

Address: 168 N. Brent Street #404, Ventura, California, United States, 93003

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