Cultivate Landscape Management, LLC

atient complaint is about separate accountsShe was the patient in both casesThe basic problem with both is that the patient did not supply *** *** *** information to the hospital timely and apparently *** is her primary insuranceAccount # *** 12/31/14, ***
***, total charges = Pt provided *** ID # ***Hospital billed *** *** denied due to other info needed from subscriberWhen this occurs, we send a bill to the patient, and the payer typically also sends notification to the patient to provide whatever info is neededPt called hospital 3/27/and provided *** ** insurance information*** responded that the policy was not active on the date of serviceCalled pt and advised of sameShe called back on 4/17/and provided *** infoWe attempted to bill using ID #' s *** ***, and *** *** was the original ID # that came back needing additional info from the payer, one of the other policies was dental only, and the other one expired in The patient called back 9/24/and provided *** *** ***; asked us to bill *** primary, *** secondaryWhen we attempted to verify the *** coverage, we were advised that the patient had to call in to update/clarify coordiation of benefits information before they could process claimsWe left a message on the ptanswering machine notifying her to contact ***NOTE: at this point, the account was past timely filing limits for ***No further contacts from the patient about this account until contact from Revdex.comWe never had any questions regarding the charges on this accountThe second account: Account number *** Physical therapy evaluation 3/16/2015, Charge = Patient provided *** ** *nfoWe billed *** who processed the claim and applied to the pateint's deductibleWe wrote off $per our contract with *** and billed *** *** for $beginning July, The first time the patient responded to this billing was 12/23/At first, she disputed that she was a patient on 3/16/After some discussion, she stated she only had a PT evaluation; we confirmed that she was only charged for an evaluation and that *** processed the claim to her deductibleWe provided *** *** with a copy of her bill on 1/4/*** *** then provided her *** insurance infoWe were able to verify again that she had an active policy but that the insurance company needed her to contact them regarding her coordination of benefitsWe left a message for her advising sameI billed the claim to *** todayHowever, due to timely filing limits, the claim will most likely denyThe "rub" here is that *** will deny and expect the hospital to write off the balanceWe will not do this because we weren't negligentWe cannot submit claims if we do not have informationProviding hospitals with complete and correct insurance information and complying with insurance company inquiries are patient responsibilitiesTo date, we have no indication that the patient ever communicated with ***, ***, or *** about coordination of benefitsWe don't know why she didn't provide us with the *** information, as she was apparently fully insured at the time of both of these billsUnfortunately, without her providing information to the hospital or the payers timely we could not be paidI recommend that this patient contact *** and ask them to waive timely filingWe can provide her with anything she needs to submit the claims to themHowever, we will not write off any accounts denied because we did not have what we needed to obtain payment

atient complaint is about separate accountsShe was the patient in both casesThe basic problem with both is that the patient did not supply *** *** *** information to the hospital timely and apparently *** is her primary insuranceAccount # *** 12/31/14, ***
***, total charges = Pt provided *** ID # ***Hospital billed *** *** denied due to other info needed from subscriberWhen this occurs, we send a bill to the patient, and the payer typically also sends notification to the patient to provide whatever info is neededPt called hospital 3/27/and provided *** ** insurance information*** responded that the policy was not active on the date of serviceCalled pt and advised of sameShe called back on 4/17/and provided *** infoWe attempted to bill using ID #' s *** ***, and *** *** was the original ID # that came back needing additional info from the payer, one of the other policies was dental only, and the other one expired in The patient called back 9/24/and provided *** *** ***; asked us to bill *** primary, *** secondaryWhen we attempted to verify the *** coverage, we were advised that the patient had to call in to update/clarify coordiation of benefits information before they could process claimsWe left a message on the ptanswering machine notifying her to contact ***NOTE: at this point, the account was past timely filing limits for ***No further contacts from the patient about this account until contact from Revdex.comWe never had any questions regarding the charges on this accountThe second account: Account number *** Physical therapy evaluation 3/16/2015, Charge = Patient provided *** ** *nfoWe billed *** who processed the claim and applied to the pateint's deductibleWe wrote off $per our contract with *** and billed *** *** for $beginning July, The first time the patient responded to this billing was 12/23/At first, she disputed that she was a patient on 3/16/After some discussion, she stated she only had a PT evaluation; we confirmed that she was only charged for an evaluation and that *** processed the claim to her deductibleWe provided *** *** with a copy of her bill on 1/4/*** *** then provided her *** insurance infoWe were able to verify again that she had an active policy but that the insurance company needed her to contact them regarding her coordination of benefitsWe left a message for her advising sameI billed the claim to *** todayHowever, due to timely filing limits, the claim will most likely denyThe "rub" here is that *** will deny and expect the hospital to write off the balanceWe will not do this because we weren't negligentWe cannot submit claims if we do not have informationProviding hospitals with complete and correct insurance information and complying with insurance company inquiries are patient responsibilitiesTo date, we have no indication that the patient ever communicated with ***, ***, or *** about coordination of benefitsWe don't know why she didn't provide us with the *** information, as she was apparently fully insured at the time of both of these billsUnfortunately, without her providing information to the hospital or the payers timely we could not be paidI recommend that this patient contact *** and ask them to waive timely filingWe can provide her with anything she needs to submit the claims to themHowever, we will not write off any accounts denied because we did not have what we needed to obtain payment