Coordinated Health

February 11, Dear *** ***:Coordinated Health (CH) has received your correspondence dated February 3, regarding the above-referenced matterPlease be advised that the patient reported to our facility on 8/8/for a driver's physical exam required either by his employer
or by the Department of Transportation (DOT), During the course of the physical, the patient’s history of reactive airway disease was noted - which our billing department apparently believed was an evaluation and treatment of a cold by the examining physicianA driver's physical exam is a separate and distinct service from an evaluation and treatment of a cold - regardless of whether they occurred on the same visitAs a result, they would typically and appropriately be billed separatelyThe patient or the employer would be responsible for the driver’s physical exam, and the patient or his/her health insurance would be billed for the evaluation and treatment of a coldA co-payment of $was paid by the patient related to the evaluation and treatment of a cold.After reviewing the documentation related to this 8/8/visit, there is not sufficient evidence that the patient was evaluated and treated for a cold at this visitAs a result, CH will be refunding the $paid by the patient - even though neither the patient nor the employer has paid for the driver's physical examBecause CH regrets any inconvenience to the patient as a result of this inadvertent billing error, it will also waive the fee for the driver’s physical exam that was performed on 8/8/14; so the patient will have no outstanding balance as a result of his visit on 8/8/14.If you or the patient has any further questions, please do not hesitate to contact me.
Very Truly Yours,
Shawn P.
Esquire

November 10, 2015Dear *** ***,
Coordinated Health (CH) has received your correspondence dated November 2, regarding the above-referenced matterIt appears that the Complaint was initially submitted to CH to you on or about October, Since then, Ch and the Patient have
spoken, and, the misunderstanding has been resolved.In short, the balance on the Patient's accounts presently stands at $After discussions with the Patient, it was agreed that she will be placed on a payment plan of $per month to resolve the outstanding balanceSo long as she continues to make the requisite payments, no further Collection notices will issue on the aforementioned balanceThis was explained to the Patient on or about October 30, 2015, and she understood the situationShould you or the Patient have any further questions or concerns, please do not hesitateto let me know,
Thank youVery Truly Yours,
Christopher DEsquire Associate General Counsel

March 21, 2016Dear [redacted],Coordinated Health (CH) has received your correspondence dated March 15, 2016 regarding the above-referenced matter. It appears that the complaint was initially submitted to CH to you on or about March 14, 2016. Since then, CH and the Patient have spoken, and, the...

misunderstanding has been resolved.In short, the Patient called in on March 15, 2016, and spoke to one of the members of our business office. It was discovered that the letter the Patient received was in error and that his account was not sent to collections, nor was the Patient's credit affected. The Patient was advised on March 15, 2016 of the foregoing and the Patient was satisfied with the result. CH apologized for the inconvenience and the Patient understood.Should you or the Patient have any further questions or concerns, please do not hesitate to let me know. Thank you.Very truly yours,Christopher *. DEsquire Associate General Counsel

April 14, 2017Dear [redacted],Coordinated Health has received your correspondence dated April 4, 2017 regarding the above-referenced matter. Please accept this as a response to the concerns raised by the Patient. It appears that the Patient's Concerns are with regard to billing, more particularly,...

Patient made several visits to Coordinated Health from February through July 2016. At the time of the visits to Coordinated Health, the Patient had insurance coverage through [redacted] (primary) and Medicare (secondary). At the time of these visits, [redacted] was out-of-network. Coordinated Health is Contractually obligated to charge the Patient for her visits to Coordinated Health and cannot "adjust off" Patient's co-insurance balance of $583.69 where, as here, Patient has secondary coverage through Medicare. However, Coordinated Health can offer the Patient a courtesy, 15% discount for prompt payment, which would bring her outstanding balance due Coordinated Health to $469.28. Prior to issuance of this correspondence, a voicemail was left for this Patient to advise of this option.Any further Questions regarding insurance Coverage and patient responsibilities are more properly directed to the Patient's insurance carrier, [redacted].We hope that this information has helped you to better understand the foregoing. Should you or the Patient have any further questions or concerns, please do not hesitate to contact our billing department or let me know. Thank you.Very truly yours,Christopher D., Esquire Associate General Counsel

April 10, 2017Dear [redacted],Coordinated Health has received your correspondence dated March 30, 2017 regarding the above-referenced matter. Please accept this as a response to the concerns raised by the Patient. It appears that the Patient's concerns are with regard to billing, more particularly,...

Patient underwent a procedure at Coordinated Health's [redacted] Hospital on April 28, 2016. Thereafter, applicable and appropriate codes were submitted to Patient's insurance carrier, [redacted]. After submission, it appears that Patient has a deductible responsibility of $828.00. This particular balance remains outstanding.Upon further review, while we appreciate the Patient's concern, it appears that the services were, in fact, properly coded. As a result, a balance of $828.00 remains outstanding to Coordinated Health as Patient's deductible responsibility. Questions regarding insurance coverage and patient responsibilities are more properly directed to the Patient's insurance carrier, [redacted].We hope that this information has helped you to better understand the foregoing. Should you or the Patient have any further questions or concerns, please do not hesitate to contact our billing department or let me know. Thank you.Very truly yours,Christopher D.Esquire Associate General Counsel

February 3, 2017Dear [redacted],Coordinated Health (CH) has received your correspondence dated January 26, 2017 regarding the above-referenced matter. It appears that the complaint was initially submitted to CH to you on or about December 29, 2016. Since then, CH has corresponded with the Patient,...

and, an appropriate refund is being issued. CH apologized for the inconvenience and the Patient understood.Should you or the Patient have any further questions or concerns, please do not hesitate to let me know. Thank you.Very truly yoursChristopher *. D Esquire Associate General Counsel

A very shady organization. Double charged gateway, my Medicaid HMO, as well as workers comp. Set up two appointments for same day and time. As far as workers comp I was restricted to lifting 30 pounds and nothing above my head as of 9/21. As of today with no major changes I'm miraculously cured and have been released with no restrictions. My job wants me lifting 75 pounds and pulling/, pushing 100 pounds. So I don't know how this is going to work. He told me I didn't have to write any restrictions on new application. So unethical, knowing I load customers vehicles. So in trying to save the insurance company money he is risking my co-workers, customers and myself. I've never been on workers comp but if this is the norm no wonder why their are so many disabled people on pain meds in America.

Coordinated health, what a joke! Their customer care is horrible and they do nothing but lie to you and give you run arounds. They have you on hold for about an hour and nothing gets resolved. They are nasty and refuse to deal with problems and concerns.

Review: I went to see a **. [redacted] for my annual physical. During the physical he asked me questions about my overall health which is the normal for establishing a new Primary Care Physicians. During this time we discussed a rash that I had on my arm when he asked the question do you have anything going on with you at the current time? I notified him that I had a rash, which wasn't a big deal, that I thought was a result of allergies and a change in climate/location (I recently moved to Pa from TX). We literally had a discussion for 30 minutes and that was it. He did not test the rash diagnose the rash just said I can right a perscription for a creme if you like and being a patient I said sure. After the visit I received a bill for 123.00 for a sick office visit. Now, understand I work for the isurance company that they billed so I was able to see and understand how they billed. Well they billed incorrectly as a sick visit when I scheduled and came in for a routine physical. When billing you are to use the code that the patient came in for and then any other symptoms or services are to follow. My routine physical is covered at 100% no out of pocket to me. I called the billing department and they stated that they wouldn't do anything since I came in for a rash which was not true. I contacted the ** office and went to them directly and received all of my medical records which showed that they billed the rtn physical primary as it is suppose to. The billing department refused to correct the issue even after I stated that I have PROOF that they are sending it over to my employer incorrectly. The money is not the issue, the fact that they choose to practice in this fashion is absolutely crazy and shows the state of our medical system. I have been completely dissappointed with the service as I have had to call multiple times to get answers and they refuse to call back as they promise they will on the date that they provide. It has been a horrible experience overall and I would not recommend that ANYONE uses their services is this is how they continue to operate.Desired Settlement: To have the billing issue corrected as it should have been and it is on the documentation that was provided to me from my **. office

Review: Billing Issues - I have contacted the billing dept. numerous times over the last six (6) months to explain/itemize my bills.

Each time that I have called a billing person has tried to explain my issues to no avail. My payments to the company are not

shown on some statements. I have been charged a co-payment although I do not pay co-payments. I wrote a check in March 2013

and it was just cashed in July after 90 days.

I don't see a credit anywhere.

The different bills I have received are from :

CH Hospital of [redacted] ..

CH Orthopedic Hospital and

CHS Professional Practice PC.

It is totally confusing.

Show me my credits - make your billing practices user friendly..Desired Settlement: Understanding my bills. Show me my credits.