SSM Health Dean Medical Group does accept United Healthcare Insurance, however we do not know the patients level of benefits We did accept the insurance and filed a claim; the claim processed according to their benefits, which was applied towards their deductibleAs stated in the letter dated February 20, 2017, we did apply a 20% discount to the outstanding balancePlease let me know if you have any additional questions.Thanks,Mary [redacted]
April 20, Revdex.com of Wisconsin [redacted] RE: ID [redacted] Dear Mr [redacted] : This letter is in response to your letter dated April 19, 2017, regarding the complaint against [redacted] filed with your agency by Stacy *** Ms***’s complaint states she had a colonoscopy on 2/10/and she has been going back and forth between SSM Health Dean Medical Group and her insurance ( [redacted] ***- [redacted] to correct her billing and this is still not resolved SSM Health Dean Medical Group filed Ms***’s 2/10/colonoscopy charge to UHC, which they paid in full on 3/4/ On 3/19/UHC recouped the payment with no explanation SSM Health Dean Medical Group staff reached out to UHC on 12/2/15, 1/12/16, 2/24/16, 3/17/16, 4/19/16, 4/20/16, and 6/2/ Each call to UHC the same response was received; they could not see on their end that the payment was recouped An explanation of benefits was requested from UHC during each of the inquiries to show the payment, however UHC did not follow through on these requests On 9/6/SSM Health Dean Medical Group staff reached out to Ms [redacted] and informed her that all efforts had been exhausted and requested that she file an appeal with UHC If you have any questions regarding this matter or require additional information, please feel free to contact me Thank you Sincerely, [redacted] Patient Relations Specialist
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this does not resolve my complaint For your reference, details of the offer I reviewed appear below.While I do appreciate the response from Dean, I do not except this answer because it is not factual to say they "accept" United Healthcare insuranceIf they did accept this insurance, why am I being billed for 100% of the services? I understand it is my responsibility to find out if my insurance is covered by Dean, that is why I contacted Dean to find out if my insurance company was accepted, United HealthcareI would truly hope that in the future no one else experiences this, quite frankly it is disingenuous to say you accept a particular type of insurance, when indeed you do notTo give you the best example, it is like saying you accept Visa then upon checkout you tell the customer you can't actually use the Visa card, what is the point in bringing the visa card when you can't use it, but are told it is acceptedOnce again, thank you for taking the time to review this issue, I really do hope that some kind of resolution is completedThe outcome I desire is to pay my co-pay, with United Healthcare Regards, [redacted] ***
Are you able to provide me with the patients name and date of birth Thanks.Mary [redacted] SSM Health Dean Medical Group [redacted]
SSM Health Dean Medical Group does accept United Healthcare Insurance, however we do not know the patients level of benefits We did accept the insurance and filed a claim; the claim processed according to their benefits, which was applied towards their deductibleAs stated in the letter dated February 20, 2017, we did apply a 20% discount to the outstanding balancePlease let me know if you have any additional questions.Thanks,Mary [redacted]
April 20, Revdex.com of Wisconsin [redacted] RE: ID [redacted] Dear Mr [redacted] : This letter is in response to your letter dated April 19, 2017, regarding the complaint against [redacted] filed with your agency by Stacy *** Ms***’s complaint states she had a colonoscopy on 2/10/and she has been going back and forth between SSM Health Dean Medical Group and her insurance ( [redacted] ***- [redacted] to correct her billing and this is still not resolved SSM Health Dean Medical Group filed Ms***’s 2/10/colonoscopy charge to UHC, which they paid in full on 3/4/ On 3/19/UHC recouped the payment with no explanation SSM Health Dean Medical Group staff reached out to UHC on 12/2/15, 1/12/16, 2/24/16, 3/17/16, 4/19/16, 4/20/16, and 6/2/ Each call to UHC the same response was received; they could not see on their end that the payment was recouped An explanation of benefits was requested from UHC during each of the inquiries to show the payment, however UHC did not follow through on these requests On 9/6/SSM Health Dean Medical Group staff reached out to Ms [redacted] and informed her that all efforts had been exhausted and requested that she file an appeal with UHC If you have any questions regarding this matter or require additional information, please feel free to contact me Thank you Sincerely, [redacted] Patient Relations Specialist
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this does not resolve my complaint For your reference, details of the offer I reviewed appear below.While I do appreciate the response from Dean, I do not except this answer because it is not factual to say they "accept" United Healthcare insuranceIf they did accept this insurance, why am I being billed for 100% of the services? I understand it is my responsibility to find out if my insurance is covered by Dean, that is why I contacted Dean to find out if my insurance company was accepted, United HealthcareI would truly hope that in the future no one else experiences this, quite frankly it is disingenuous to say you accept a particular type of insurance, when indeed you do notTo give you the best example, it is like saying you accept Visa then upon checkout you tell the customer you can't actually use the Visa card, what is the point in bringing the visa card when you can't use it, but are told it is acceptedOnce again, thank you for taking the time to review this issue, I really do hope that some kind of resolution is completedThe outcome I desire is to pay my co-pay, with United Healthcare Regards, [redacted] ***