Complete Home Remodels

Complaint: [redacted] I am rejecting this response because: My complaint is not having to pay the billI already contacted PSI on 4/9/offering to pay the bill in full that day but they referred me back to collections stating my account wth PSI had been closedI did not receive one bill from PSIMy complaint is the fact that it was sent to collections when I never received a statementI do not want this to reflect poorly on my credit score due to the mail not being receivedI have no problem resolving this with the company and paying the bill in full with PSI Regards, [redacted]

Complaint: [redacted] I am rejecting this response because: It did not answer anything in regards to my complaintIt said response was faxed but you do not have a fax number for meI still have not received anything from you Regards, [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, [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 While I had some questions on the response, I received from clarification on the issue I would like to talk to a representative of the company about making a payment, as I do not expect the company to write off the entire amount Regards, [redacted]

PSI Premier Specialties, Inc.DBA Medical Express, PSI [redacted] ***December 30, 2015Revdex.com [redacted] ***Re: Case # [redacted] Thank you for the opportunity to respond to the complaint filed by [redacted] Mr [redacted] was prescribed a rolling walker by Dr [redacted] on 05/07/and was provided therolling walker by PSI Premier Specialties, Inc.at Northwest Hills Surgical Hospital on the sameday.Mr [redacted] was presented with a Medical Express, PSI Patient Product Agreement and FtX.This document outlines the specific product (s) prescribed by the physician, Letter of MedicalNecessity (signed by the prescribing doctor), Patient Acknowledgement, Authorization toAssignment of Benefits, Waiver of Liability and Proof of Delivery to which Mr [redacted] signedon May 7, 2015.Any and all information that PSI has on the patient was provided to PSI by the prescribing doctorand the above mentioned Surgical HospitalPSI billed the patients insurance, based on the information given by the prescribing doctor andNorthwest Hills Surgical HospitalWe received an Explanation of Benefits from Mr [redacted] 'sinsurance company, denying the claim for the rolling walker, PSI tried to appeal the claim andthe patient's insurance denied the claim because PSI is out of network with Mr [redacted] 'sinsurance planPSI wrote off $as a courtesy to the patient and PSI mailed an invoice tothe patient on 11/18/The invoice was returned in the mail on 12/10/and PSI called thepatient on 12/10/@ 4:21pm and left a voicemail for a callback for updated informationPSIhas not received a call back and since PSI was unable to contact the patient by mail or phone theaccount was sent to collections.Mr [redacted] 's account will remain open until payment is received$will remain thebalance for the above mentioned product that was received, signed for, and prescribed by hisphysician

I wanted to pay a recent bill online, but they do not do any validation to make sure that I am paying the right bill for the right account They also don't give guidance on what account number to enter (is it all the numbers? Just the ones before or after the dash?) For example, when I am on the "Pay My Bill" screen and I enter an account number, any number or quantity of digits gives me a payment screen where they ask for my billing address and credit card information In no way do they validate that I am paying a bill for the correct account--I could in fact be paying for someone else's account, or paying more or less than the value of my bill This seems a bad business practice, and the opportunity for consumers to make errors seems too high

[Revdex.com converted the PDF attachment and copied it below; thus, formatting irregularities may occur.]
Thank you for the opportunity to respond to the RevDex.com complaint filed by Ms*** ***Ms *** was seen by Dr*** *** on September 28, Dr*** prescribed a walking boot for Ms***
Medical Express, PSI received medical insurance billing from the doctors office to file a claim with the above mentioned patient's insuranceOn October 22, Medical Express, PSI filed a claim with Aetna for the walking bootMs***'s insurance company notified her that $was put towards the patient's deductible and $was put towards the patients coinsurance and the patient's responsibilityOnce Medical Express, PSI received the explanation of benefits (BOB), we sent a statement to the patient reflecting the $balance
Ms*** was presented with a Patient Product Agreement and Rx at the appointment with Dr***This document outlines the specific product (s) prescribed by the physician, Assignment of BenefitsWaiver of Liability and Proof of Delivery to which Ms*** signed and dated on 09/28/
The Patient Product Agreement form clearly states on the Assignment of Benefits/Waiver of Liability: "I hereby authorize payment for medical services directly to Medical Express, PSII represent that I have insurance coverage and do hereby authorize Medical Express, PSI to release and obtain all information necessary to secure payment of said benefitsif any insurance fails to pay Medical Express, PSI in full, I agree to pay all unpaid balances: I understand that the benefits quoted to Medical Express, PSI from my insurance company is not a guarantee of payment and that I will be responsible if the provided items are not determined reasonable or necessary by my insurance companyI understand and agree that, regardless of my insurance status, I am ultimately responsible for the balance of my account for any professional services rendered or products deliveredI have read all of the information on this sheet and have
APR/14/2014/MON 03:PM FAX Flo, P
completed the above informationI will notify Medical Express, PSI of any changes in my health status, change of address, phone number, etc."
Ms*** was sent several statements to alert her of her outstanding balance, before her account was sent to the collections agency(statements were sentThe following are the dates the statements were printed and mailed 10/30/13, 11/30/13, 12/30/13, 01/02/14, 02/03/& 03/06/14)
Ms***'s account will remain open until payment is received$will remain the balance for the above mentioned product that was signed for, utilized and prescribed by her physician

Complaint: ***
I am rejecting this response because:
#it is not the policy for an individual to mediate payment between the Department of Veterans Affairs and private companies. I am prohibited from doing so#I am awaiting a response from the business office of Dr*** and Northwest Hills Surgical Facility regarding this billing error#I have provided the satisfactory information for this business to call the VA and arrange payment EXACTLY LIKE ALL OTHER PROVIDERS DO#I never received any bill in the mailAll of my mail has been forwarded to my new address EXCEPT this one bill? Unlikely#I will be glad to return the device in like new conditionWhere would they like it returned?
#The refusal of this business to comply with VA billing procedures is adversely affecting the relationship between other medical providers involved#Please provide me with the contact information of the next supervisor in the chain of command for this business
Regards,
*** ***

Complaint: ***
I am rejecting this response because:
I was never told to disregard the statementI was told that they we allowed to charge what they did and that was thatTo date, I have not been contacted by the business or my insurance about this matter
Regards,
*** ***

Complaint: ***
I am rejecting this response because:
It was not my obligation to follow up on whether the business received my insurance info or not simply because I was dealing with the doctor directly and we were faxing his office the insurance many times and made sure the received itThis business was giving me all kind of excuses since I contacted themAs part of my responsibility I would be glad to provide them with the insurance info and it's not my responsibility to follow up on any circumstances out of my control
Regards,
*** ***

Re: case # ***Thank you for the opportunity to respond to the complaint filed by Ms*** ***Ms*** received a thumb support brace which was prescribed by DrHua. Ms*** was presented with a patient product agreement and prescription. This document outlines the
product prescribed by the physician, Assignment of benefits, Waiver of Liability and proof of delivery to which was signed on 07/09/17.The Patient Product Agreement clearly states on it “I hereby authorize my insurance carrier to release payment of health plan benefits made on my behalf directly to Medical Express, PSI or any other 3rd party billing company representing and contracted with The *** *** LLCI understand that Medical Express, PSI or any other 3rd party billing representing and contracted by The *** *** LLCare not a party to my contract(s) with third party health care claims payers and that insurance, in and of itself is not a guarantee of payment. I, therefore, accept full responsibility for payment of all charges incurred by me but not paid by my insurance, including deductible(s), coinsurance, copayment(s) and charges for all products or services judged not covered under my plan, except prohibited by law.”Medical Express, PSI received medical insurance billing from the doctor’s office to file a claim with the above mentioned patient’s insurance. On 07/27/Medical Express, PSI filed a claim with *** of Texas. On 07/30/Medical Express, PSI received an Explanation of Benefits (EOB) from ***. Per the EOB, *** paid Medical Express, PSI $and put $towards the patient’s deductible and towards the patient’s responsibility. $was written off, per Medical Express, PSI’s contract with ***.Ms*** has called into our office on the following dates 08/07/17, 10/02/17,10/03/17, and 11/12/and the account has been explained to patient on all the calls. As a courtesy to the patient, the $balance will be written off

Tell us why hereThe $balance has been written off as a courtesy to the patient

PSI Premier Specialties, inc
dba Medical Express, PSI
Shoal Creek Blvd
Austin, Texas
Ph: *** ***
Fax
-###-###-####
September 10,
Revdex.com
La Posada Drive
Austin, Texas
Thank you for the opportunity to respond to the Revdex.com complaint filed by Ms*** ***Ms*** was seen by Dr*** on 07/28/Dr*** prescribed a wrist with abducted thumb brace for Ms***,
Medical Express, PSI received paperwork from Dr*** and a claim was filed on 07/31/Ms ***'s insurance processed the claim and on 08/06/put towards the patient's deductibleA statement was sent out on 08/07/and on 08/20/the patient called inMs*** was told to please disregard her statement, because her claim had processed incorrectly On 08/25/a corrected claim was sent to the patients insurance and we have not received any correspondence from the patients insurance to date
Medical Express, Psi will not accept the return of the product
Any amount billed to the patient will be based off of the Explanation of Benefits that we receive from the patients insurance

PSI Premier Specialties, Inc.DBA Medical Express, PSI*** *** *** ***
*** ** ***
***
*** ***December 30, 2015Revdex.com*** ** *** ***
*** ** ***Re: Case # ***Thank you for the opportunity to respond to the complaint filed by ***
***Mr***was prescribed a rolling walker by Dr*** *** on 05/07/and was provided therolling walker by PSI Premier Specialties, Inc.at Northwest Hills Surgical Hospital on the sameday.Mr*** was presented with a Medical Express, PSI Patient Product Agreement and FtX.This document outlines the specific product (s) prescribed by the physician, Letter of MedicalNecessity (signed by the prescribing doctor), Patient Acknowledgement, Authorization toAssignment of Benefits, Waiver of Liability and Proof of Delivery to which Mr*** signedon May 7, 2015.Any and all information that PSI has on the patient was provided to PSI by the prescribing doctorand the above mentioned Surgical HospitalPSI billed the patients insurance, based on the information given by the prescribing doctor andNorthwest Hills Surgical HospitalWe received an Explanation of Benefits from Mr***'sinsurance company, denying the claim for the rolling walker, PSI tried to appeal the claim andthe patient's insurance denied the claim because PSI is out of network with Mr***'sinsurance planPSI wrote off $as a courtesy to the patient and PSI mailed an invoice tothe patient on 11/18/The invoice was returned in the mail on 12/10/and PSI called thepatient on 12/10/@ 4:21pm and left a voicemail for a callback for updated informationPSIhas not received a call back and since PSI was unable to contact the patient by mail or phone theaccount was sent to collections.Mr***'s account will remain open until payment is received$will remain thebalance for the above mentioned product that was received, signed for, and prescribed by hisphysician

Thank you for the opportunity to respond to the complaint filed by Ms. [redacted]. 
Patient [redacted]'s paperwork has been pulled and we have spoken tot he representative that handled the account. 
According to our representative, the patient did originally receive the...

cold therapy at the [redacted] center and our paperwork was signed by [redacted] on 12/18/14. Our representative said that the next day he was contacted by the [redacted] center to come pick up the cold therapy unit, because the patient did not end up taking it home. 
The paperwork was accidentally turned in with the cold therapy still listed on it and the cold therapy was billed to the patients insurance.
The account balance of $217.79 has been written off and the account now reflects a zero balance. 
A statement reflecting the zero balance has been mailed.

I was given a knee brace in my doctors office and was told that insurance would cover it. Before my surgery even occurred I received a invoice for the brace for $388.66. I called to ask why the invoice was for so much and was told that insurance didn't cover it but that I could pay the non-insurance price of $200. So I paid it. Then I called my insurance (BCBS) and they said the invoice should have been for only 20% of that $388 and that I should call them back and have PSI call BCBS...which I did, but PSI refused to call BCBS so I called BCBS back and they were kind enough to call PSI with me on the line. PSI flatly refused to refile with Blue Cross so basically they swindled $200 from me stating that when they verified insurance my deductible had not been met. Between the hospital the doctor, the anesthesia and this brace everyone submitted their claim within a few hours of each other..the doctors office and the hospital were awesome to coordinate whose claim would go first to save the hassle of overpayments to everyone who wanted money but PSI did not offer any solution to their self imposed problem other than to charge me the non-insurance rate. Long story short, PSI received $200.00 when BCBS says I should have paid $68.00. PSI flatly refused to refile with BCBS or refund my money and recharge me the correct amount. I will be contacting the doctors office to let them know what kind of company they are dealing with and any other place where medical reviews are submitted.

Complaint: [redacted]
I am rejecting this response because: #1 it is not the policy for an individual to mediate payment between the Department of Veterans Affairs and private companies.  I am prohibited from doing so.#2 I am awaiting a response from the business office of Dr. [redacted] and Northwest Hills Surgical Facility regarding this billing error.#3 I have provided the satisfactory information for this business to call the VA and arrange payment EXACTLY LIKE ALL OTHER PROVIDERS DO.#4 I never received any bill in the mail. All of my mail has been forwarded to my new address EXCEPT this one bill? Unlikely.#5 I will be glad to return the device in like new condition. Where would they like it returned?#6 The refusal of this business to comply with VA billing procedures is adversely affecting the relationship between other medical providers involved.#7 Please provide me with the contact information of the next supervisor in the chain of command for this business.
Regards,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID 1[redacted], and find that this resolution is satisfactory to me.
While I had some questions on the response, I received from clarification on the issue.  I would like to talk to a representative of the company about making a payment, as I do not expect the company to write off the entire amount.
Regards,
[redacted]

Complaint: 11017507
I am rejecting this response because:All treatment related to the surgery performed by Dr. [redacted] was %100 covered by the Department of Veteran Affairs. This was clearly stated in the documentation provided to Dr. [redacted] from the Department of Veteran Affairs.  You need to direct your request for payment to the Department of Veteran Affairs.  If you had contacted me last year I could have pointed this out to you very simply.  Instead you made no attempt to contact me and directly contract with a debt collector. I do not owe this amount. This is a billing error on your part. Check with your partners at the office of Dr. [redacted] instead of being lazy.  I will be glad to present the Department of Veteran Affairs Letter to a court.  You should be ashamed of yourself for attacking disabled Veterans living on a modest pension for expenses covered by the VA.
Regards,
[redacted]

PSI Premier Specialties, Inc.DBA Medical Express, PSI[redacted]
[redacted]
[redacted]
[redacted]December 30, 2015Revdex.com[redacted]
[redacted]Re: Case # [redacted]Thank you for the opportunity to respond to...

the complaint filed by [redacted]. Mr. [redacted]was prescribed a rolling walker by Dr. [redacted] on 05/07/2015 and was provided therolling walker by PSI Premier Specialties, Inc.at Northwest Hills Surgical Hospital on the sameday.Mr. [redacted] was presented with a Medical Express, PSI Patient Product Agreement and FtX.This document outlines the specific product (s) prescribed by the physician, Letter of MedicalNecessity (signed by the prescribing doctor), Patient Acknowledgement, Authorization toAssignment of Benefits, Waiver of Liability and Proof of Delivery to which Mr. [redacted] signedon May 7, 2015.Any and all information that PSI has on the patient was provided to PSI by the prescribing doctorand the above mentioned Surgical HospitalPSI billed the patients insurance, based on the information given by the prescribing doctor andNorthwest Hills Surgical Hospital. We received an Explanation of Benefits from Mr. [redacted]'sinsurance company, denying the claim for the rolling walker, PSI tried to appeal the claim andthe patient's insurance denied the claim because PSI is out of network with Mr. [redacted]'sinsurance plan. PSI wrote off $44.95 as a courtesy to the patient and PSI mailed an invoice tothe patient on 11/18/15. The invoice was returned in the mail on 12/10/15 and PSI called thepatient on 12/10/15 @ 4:21pm and left a voicemail for a callback for updated information. PSIhas not received a call back and since PSI was unable to contact the patient by mail or phone theaccount was sent to collections.Mr. [redacted]'s account will remain open until payment is received. $88.00 will remain thebalance for the above mentioned product that was received, signed for, and prescribed by hisphysician.