CHRISTUS Hospital-St. Elizabeth, Beaumont

Complaint: I am rejecting this response because: they were paid within two weeks of submitting their claim to UHC so it is not accurate that they are laying blame with the insurance company As a matter of fact our insurance company contacted to ask them the same question we did and they couldn't tell them why either, gave them the same excuse they gave me, it was on their side and that is not correct What I have found out is that Christus keeps sending the same claim back to UHC trying to get more mo [redacted] from them which UHC is going to pay according to the plan as well as what they have contracted with Christus, Christus had to agree when they choose to accept UHC their terms but yet they do not and that makes the people that are insured suffer in regards to being billed to late to apply to their Health Care spending account Sincerely, [redacted]

Revdex.com: I received a letter from Christus Southeast Texas Health System in response to my complaint on 4/25/16, telling me that my balance on the Emergency Room visit was zero That is what my complaint was and it has been resolved Christus has a good emergency room but was not able to assist me in my needs for an ophthalmologist I visited the surgery outpatient center on 1/4/and 2/29/and had very good service on both visits I want to thank the Revdex.com and [redacted] of Christus Hospital Guest Services Manager for addressing this in a timely matter Sincerely, [redacted] ***

Per phone conversation with Revdex.com:We are investigating this issue right now and will be in touch soon[redacted] , CHRISTUS

Mr***, We are still in the investigation phase I will be responding to the patient’s mother via certified letter responding to her request and answering the questions posted in her report Thank you, [redacted]

Complaint:
I am rejecting this response because: They are not being truthful when I spoke with UHC they showed in their system where Christus resubmitted so I don't appreciate being told we are not telling the truth, also I don't know of anyone that pays without a statement and/or bill from any business/company, also it does not show the remitting address on the insurance claim Also if we are supposed to pay off of the insurance claim why do they bill at all based on his response, in all of my years with different insurance companies and living in different states and working with Hospitals, Specialists have we ever been treated and billed in such a manner We were told to file a complaint by our insurance company because they also coud not get an answer as to what happened This does not require an additonal reponse from their legal counsel because he is now being snide and snarky At no point in time has anyone said they are sorry, it took talking to several people who kept passing me on to others before I could get an arrangement made of which I would not have had to do if billing had been done in a timely manner it could have been paid via our health care spending account but due to their negligence the timeframe had passed to file against that for payment
Sincerely,
*** ***

DearMrs***,Thank you for bringing your complaint to the Office of Patient Advocacy CHRISTUS Southeast Texas Health System via the Revdex.com. As a part of our investigation and resolution process you will receive a formal acknowledgement letter and a case will be opened.While the case is under
investigation you should not receive collection calls and should you, please refer the caller to our office (***). Once the investigation is complete you will be notified. Because this is billing issue I suspect the timing for resolution will go quickly.Please accept our apology for any inconvenience you have endured because of this issue.*** ***Director of Patient Relations

CHRISTUS Southeast Texas StElizabeth has reviewed the concern reported. As part of the investigation, we have reviewed the medical records and completed an audit on the charges. A letter has been sent to the patient explaining the findings of the investigation. Thankyou

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID 10259296, I will be waiting on the certified letter and evaluate if any further attention is required
Sincerely,
*** ***

First, I would like to apologize for the delay in sending your refund. I have spoke to the Driector of Business Services for CHRISTUS Hospital and he has processed the refund. You can expect the refund in the next 7-days. Again, I apologize for the delay. I hope this takes
care of your concern. I am happy that the hospital visits were excellent
Have a blessed day,
*** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID 12734045, and find that this resolution is satisfactory to me
Sincerely,
*** ***

Here are the facts regarding the two CHRIST'S accounts of Mr***: Account number ***: Date of service 8/15/14; claim filed with health insurance on 8/24/and insurance paid on 9/4/ The patient was sent a bill for his portion on 12/18/ Account Number ***: Date of service 9/4/14; claim was filed with health insurance on 9/11/and insurance paid on 10/9/ The patient was sent a bill for his portion on 1/4/15.There was no attempt to re-bill UHC multiple times to "get more money from them" as Mr*** suggests in his complaint Each claim was sent once and payment was subsequently received from the payer There was a delay in sending the bill to the patient based on a system error as previously explained Once again we offer our apology to the patient for this delay There were other options available to obtain the amount owed by the patient When the payments were processed, UHC sent Mr*** an explanation of benefits form which would have been informed him of the exact amount that was due from him after their payment In addition, this information would have been provided to him if he had contacted our Customer Service Deptto inquire about the amount that was owed.By way of this response, we respectfully request that you close your file in this matter. *** ***, CHRISTUS/TLRA Legal Counsel

Revdex.com:In reference to complaint ID 10356694.  I had further conversation with [redacted] of St Elizabeth Hospital and they have agreed to...

remove the $18.36 due from the service provided on 11/12/2015.  Although I agreed with this settlement, I am not happy with their overall billing process and the magnitude of their charges.  Mr. [redacted] also agreed to provide me with the cost of charges prior to providing future services if needed.  I appreciated being able to discuss my issues with Mr. [redacted].Sincerely, [redacted]

I represent CHRISTUS St. Elizabeth Hospital with respect to the above referenced matter.  I have investigated the facts concerning the issues addressed and respectfully submit the following response: Mr. [redacted] is correct in his statement that it took approximately 3 to 4 months before...

he received a bill for his share of his hospital bill from CHRISTUS St. Elizabeth Hospital.  As a courtesy to our patients, we generally do not submit a bill to them until we have first received payment from their insurance company and validated that payment for accuracy to verify that we are billing them only for the correct amount that is their portion of the charges.  It appears that the billing in this situation did not take place in a timely manner, and for this we would like to offer our apology for any inconvenience that this may have caused Mr. [redacted]. Our records indicate that a copy of the billing was sent to the patient on or about 1/13/15.  The account is currently set up in a payment plan status and payments are being received according to the plan terms. We hope that this communication provides a satisfactory explanation to Mr. [redacted].  Should you need further assistance or require additional information, please contact me directly at the number listed below. Yours truly,  [redacted]. [redacted]CHRISTUS/TLRA Legal Counsel

I just wanted to give you an update on this complaint below.  CHRISTUS Southeast Texas St. Elizabeth has responded to the patient via a certified written response letter.Thank you,[redacted]

Per phone conversation with Revdex.com:We are investigating this issue right now and will be in touch soon.[redacted], CHRISTUS

CHRISTUS Hospital St. Elizabeth has contacted the patient and the issues has been resolved.  The patient has received the refund.

We have received the complaint and entered this complaint into our Grievance Process.  This complaint has been investigated and a detailed response letter has been mailed to the patient explaining the reimbursement.Thank you

Businesses response to consumer via email to Revdex.com:TLRA is the collection division of the CHRISTUS Healthcare system.  We provide support to the CHRISTUS regions in collecting and monitoring accounts, but we are not a credit reporting agency nor do we share account information with any outside...

credit reporting agencies.   It appears that Ms. [redacted] is under the assumption that TLRA has somehow reported or ruined her credit which we have not done.

As per voicemail from Mr [redacted] 1/27/17.
I have received a letter from the business that shows it was their error and they apologized and are sending me a refund check, so this complaint is resolved.

Revdex.com:
I received a letter from Christus Southeast Texas Health System in...

response to my complaint on 4/25/16, telling me that my balance on the Emergency Room visit was zero.  That is what my complaint was and it has been resolved.  Christus has a good emergency room but was not able to assist me in my needs for an ophthalmologist.  I visited the surgery outpatient center on 1/4/16 and 2/29/16 and had very good service on both visits.  I want to thank the Revdex.com and [redacted] of Christus Hospital Guest Services Manager for addressing this in a timely matter.
Sincerely,
[redacted]