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.
Regards,
Hello [redacted] Thank you for forwarding this to me. As we discussed over the telephone I am the new Director for Delaware Eye Care. I wanted to report back my findings from an investigation that was conducted on Mr. [redacted]s account. He was credited back the $40.00 copay that was charged to...
his account on 11/24/15. Unfortunately this took longer than it should have due to transitioning from one Software program to another for Electronic Medical Records and Billing. Our office reached out to Mr. [redacted] and confirmed that he did receive his refund. We also sent him some additional complimentary contact lenses for all of his trouble and inconvenience. My Director of Contact Lenses spoke with Mr. [redacted] and reported back that the patient was very pleased. Thank you for giving us the opportunity to address our patient’s concern. Please let me know if I can provide you with any additional information. Best Regards, [redacted] Director of Operations Delaware Eye Care Center [redacted]
[redacted]
Thank you for sharing the customers concerns regarding our Business. Through researching the individual's office visits, the following statements can be made:• The patient was examined on 11/24/14 for routine tension check for Glaucoma as stated. It is customary for the Doctors to follow a patient's...
progress with this diagnosis once every three months. At this visit, the patient's eye pressure was elevated and a complaint of glare affecting their vision was noted. Eye medications were changed and an appointment to check the efficacy of the newly prescribed medication while evaluatingfor cataracts was scheduled for two weeks later.• The patient arrived on 12/8/14 as requested.It is stated in the chart by both the work up technician and Doctor: 'patient desires to return for cataract evaluation,' and 'patient complains of glare - cannot be dilated today (has to go to work).' Should a patient wish to pursue lens replacement surgery for cataracts, it is imperative to be dilated to ensure the eye is healthy enough to proceed with that form of intraocular surgery. Therefore,a cataract evaluation was suggested as a follow up when it would be convenient for the patient to be dilated.Said appointment was scheduled at the patients will for December 22,2014.• The disputed visit on 12/8/2014 was billed to Insurance. The Insurance Company deemed this visit acceptable, but was applied to their deduct ible,which had not yet been met.Unfortunately the electronic remittance of the payment did not make it to our system in a timely fashion, causing miscommunication of the actual amount due. The allowed amount due for the services rendered,of which has been applied to the patients' deductible is: $53.85.The account has been adjusted appropriately at this time. Since this visit is tied to insurance,a reduct on below the negotiated allowed amount of coverage is not able to be offered.Please know the Physician rendering care to this patient provided the services deemed appropriate for their current findings. Due to the fact that there is differing plan coverage among all insurance providers,it is not possible to quote each persons out of pocket expense for care rendered at every visit, especially if the patient changes the course of the recommended exam at the time of visit. Lastly,the Doctors must do what is most appropriate for the patient's ocular health and cannot alter their professional judgement according to Insurance coverage.Thank you again for the opportunity to shed light on a situation that needed clarification. If I can be of additional assistance please do not hesitate to contact me at [redacted]
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.
Regards,
Hello [redacted] Thank you for forwarding this to me. As we discussed over the telephone I am the new Director for Delaware Eye Care. I wanted to report back my findings from an investigation that was conducted on Mr. [redacted]s account. He was credited back the $40.00 copay that was charged to...
his account on 11/24/15. Unfortunately this took longer than it should have due to transitioning from one Software program to another for Electronic Medical Records and Billing. Our office reached out to Mr. [redacted] and confirmed that he did receive his refund. We also sent him some additional complimentary contact lenses for all of his trouble and inconvenience. My Director of Contact Lenses spoke with Mr. [redacted] and reported back that the patient was very pleased. Thank you for giving us the opportunity to address our patient’s concern. Please let me know if I can provide you with any additional information. Best Regards, [redacted] Director of Operations Delaware Eye Care Center [redacted]
[redacted]
Thank you for sharing the customers concerns regarding our Business. Through researching the individual's office visits, the following statements can be made:• The patient was examined on 11/24/14 for routine tension check for Glaucoma as stated. It is customary for the Doctors to follow a patient's...
progress with this diagnosis once every three months. At this visit, the patient's eye pressure was elevated and a complaint of glare affecting their vision was noted. Eye medications were changed and an appointment to check the efficacy of the newly prescribed medication while evaluatingfor cataracts was scheduled for two weeks later.• The patient arrived on 12/8/14 as requested.It is stated in the chart by both the work up technician and Doctor: 'patient desires to return for cataract evaluation,' and 'patient complains of glare - cannot be dilated today (has to go to work).' Should a patient wish to pursue lens replacement surgery for cataracts, it is imperative to be dilated to ensure the eye is healthy enough to proceed with that form of intraocular surgery. Therefore,a cataract evaluation was suggested as a follow up when it would be convenient for the patient to be dilated.Said appointment was scheduled at the patients will for December 22,2014.• The disputed visit on 12/8/2014 was billed to Insurance. The Insurance Company deemed this visit acceptable, but was applied to their deduct ible,which had not yet been met.Unfortunately the electronic remittance of the payment did not make it to our system in a timely fashion, causing miscommunication of the actual amount due. The allowed amount due for the services rendered,of which has been applied to the patients' deductible is: $53.85.The account has been adjusted appropriately at this time. Since this visit is tied to insurance,a reduct on below the negotiated allowed amount of coverage is not able to be offered.Please know the Physician rendering care to this patient provided the services deemed appropriate for their current findings. Due to the fact that there is differing plan coverage among all insurance providers,it is not possible to quote each persons out of pocket expense for care rendered at every visit, especially if the patient changes the course of the recommended exam at the time of visit. Lastly,the Doctors must do what is most appropriate for the patient's ocular health and cannot alter their professional judgement according to Insurance coverage.Thank you again for the opportunity to shed light on a situation that needed clarification. If I can be of additional assistance please do not hesitate to contact me at [redacted]