[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the responseIf no reason is received your complaint will be closed Administratively Resolved] Complaint: [redacted] I am rejecting this response because:I am sorry if I seemed rude, because it is not my way.Here are facts:In the office, when DrLilly started clipping my toenails I declined the service because I told him that I am not willing to pay anything for a service that I could do myself in minutes He said it would not cost me anything because insurance would cover it or the fee would be waived Since I was not alone in the room, I can get an affidavit that this is the truth I have already verified that I heard correctly, because I do my best to be truthful and accurate.I called the office before I knew they turned it over to a lawyer to ask if they had not received my check, since it had not been cashed The office staff member that I first talked to said they had not so I offered to mail a replacement She said I had to talk to someone else and transferred me to Jeannie She explained her position I told her she is wrong I asked why there never a phone call or email? When I found a problem that the check was not cashed, I called No response.I am willing to pay the $I owe, until I incur expense to get this fraudulent claim off of my credit report.Regards, [redacted] ***
[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]
Complaint: [redacted]
I am rejecting this response because:I am sorry if I seemed rude, because it is not my way.Here are facts:In the office, when Dr. Lilly started clipping my toenails. I declined the service because I told him that I am not willing to pay anything for a service that I could do myself in 5 minutes. He said it would not cost me anything because insurance would cover it or the fee would be waived. Since I was not alone in the room, I can get an affidavit that this is the truth. I have already verified that I heard correctly, because I do my best to be truthful and accurate.I called the office before I knew they turned it over to a lawyer to ask if they had not received my check, since it had not been cashed. The office staff member that I first talked to said they had not so I offered to mail a replacement. She said I had to talk to someone else and transferred me to Jeannie. She explained her position. I told her she is wrong. I asked why there never a phone call or email? When I found a problem that the check was not cashed, I called. No response.I am willing to pay the $45 I owe, until I incur expense to get this fraudulent claim off of my credit report.Regards,
[redacted]
I am in receipt of your letter dated February 18, 2015 regarding a complaint submitted against DeFeo & Lily, PC, assigned ID#[redacted]. We appreciate the opportunity to respond to this complaint, which is as follows:Mr. [redacted]...
was seen in our office on November 13, 2013 as a new patient: A new patient office visit and debridement of nails were billed for that day. When we received the Explanation of Benefits from his insurance company, a co-pay for that day was charged at $60.00. Therefore, the patient received a bill for the amount of the copay. (See Explanation of Benefits attached). -The patient called our office and stated that he only has a $45.00 co-pay. He was very rude to the employee who answered the telephone and therefore was transferred to my office. He continued to be rude with me, calling me “stupid" at one point, insisting that his co-pay was $45.00 and the additional $15.00 he was charged was for a "noncovered" service. It was explained to him that the debridement was a covered service, but with a $15.00 co-pay applied. He was informed by me that we had to follow what was listed on the Explanation of Benefits, which was a total $60.00 co-pay. I told him that he could call his insurance company and see if there was a discrepancy, but he refused to do that.
Mr. [redacted] also stated to me that Dr. Lilly told him that the procedure that Dr. Lilly performed as well as his office visit would be covered by his insurance (which they were) and, if not, that Dr. Lilly would waive the fee, I spoke with Dr. Lilly. He stated that he never has nor would make a statement to a patient that certain procedures area covered benefit that we would waive any monies due us. Our doctors are well aware that this is a violation of the contract agreements we have with our insurance companies.It is our policy to bill a patient for five consecutive months. If there is no effort to make payment during that time, the account is turned over to our collection agency, which is [redacted]. Once the account is forwarded to the collection agency, we are to forward any inquiries or payments from the patient to their office.
In conclusion, the patient owes our office $60.00 for a co-pay for services rendered. That payment was not made, so the account was turned over to our collection agency. Mr. [redacted] had approximately five months to contact his insurance company to inquire if there was an error on what they had charged for his co-pay, to pay his bill with our office, or to contact our office. To my knowledge, he did not contact the office at all until after his account was sent to [redacted].
Our desired outcome would be that Mr. [redacted] fulfill his financial obligation to our office and contact our collection agency to settle this claim. (Please see financial liability acknowledgment form that Mr. [redacted] signed the date of his visit.)
Thank you again for the opportunity to address this issue. Should you need further information, please contact our office.
Sincerely,
Jeannie P[redacted]
Office ManagerEnclosures (2)
[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the responseIf no reason is received your complaint will be closed Administratively Resolved] Complaint: [redacted] I am rejecting this response because:I am sorry if I seemed rude, because it is not my way.Here are facts:In the office, when DrLilly started clipping my toenails I declined the service because I told him that I am not willing to pay anything for a service that I could do myself in minutes He said it would not cost me anything because insurance would cover it or the fee would be waived Since I was not alone in the room, I can get an affidavit that this is the truth I have already verified that I heard correctly, because I do my best to be truthful and accurate.I called the office before I knew they turned it over to a lawyer to ask if they had not received my check, since it had not been cashed The office staff member that I first talked to said they had not so I offered to mail a replacement She said I had to talk to someone else and transferred me to Jeannie She explained her position I told her she is wrong I asked why there never a phone call or email? When I found a problem that the check was not cashed, I called No response.I am willing to pay the $I owe, until I incur expense to get this fraudulent claim off of my credit report.Regards, [redacted] ***
[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]
Complaint: [redacted]
I am rejecting this response because:I am sorry if I seemed rude, because it is not my way.Here are facts:In the office, when Dr. Lilly started clipping my toenails. I declined the service because I told him that I am not willing to pay anything for a service that I could do myself in 5 minutes. He said it would not cost me anything because insurance would cover it or the fee would be waived. Since I was not alone in the room, I can get an affidavit that this is the truth. I have already verified that I heard correctly, because I do my best to be truthful and accurate.I called the office before I knew they turned it over to a lawyer to ask if they had not received my check, since it had not been cashed. The office staff member that I first talked to said they had not so I offered to mail a replacement. She said I had to talk to someone else and transferred me to Jeannie. She explained her position. I told her she is wrong. I asked why there never a phone call or email? When I found a problem that the check was not cashed, I called. No response.I am willing to pay the $45 I owe, until I incur expense to get this fraudulent claim off of my credit report.Regards,
[redacted]
I am in receipt of your letter dated February 18, 2015 regarding a complaint submitted against DeFeo & Lily, PC, assigned ID#[redacted]. We appreciate the opportunity to respond to this complaint, which is as follows:Mr. [redacted]...
was seen in our office on November 13, 2013 as a new patient: A new patient office visit and debridement of nails were billed for that day. When we received the Explanation of Benefits from his insurance company, a co-pay for that day was charged at $60.00. Therefore, the patient received a bill for the amount of the copay. (See Explanation of Benefits attached). -The patient called our office and stated that he only has a $45.00 co-pay. He was very rude to the employee who answered the telephone and therefore was transferred to my office. He continued to be rude with me, calling me “stupid" at one point, insisting that his co-pay was $45.00 and the additional $15.00 he was charged was for a "noncovered" service. It was explained to him that the debridement was a covered service, but with a $15.00 co-pay applied. He was informed by me that we had to follow what was listed on the Explanation of Benefits, which was a total $60.00 co-pay. I told him that he could call his insurance company and see if there was a discrepancy, but he refused to do that.
Mr. [redacted] also stated to me that Dr. Lilly told him that the procedure that Dr. Lilly performed as well as his office visit would be covered by his insurance (which they were) and, if not, that Dr. Lilly would waive the fee, I spoke with Dr. Lilly. He stated that he never has nor would make a statement to a patient that certain procedures area covered benefit that we would waive any monies due us. Our doctors are well aware that this is a violation of the contract agreements we have with our insurance companies.It is our policy to bill a patient for five consecutive months. If there is no effort to make payment during that time, the account is turned over to our collection agency, which is [redacted]. Once the account is forwarded to the collection agency, we are to forward any inquiries or payments from the patient to their office.
In conclusion, the patient owes our office $60.00 for a co-pay for services rendered. That payment was not made, so the account was turned over to our collection agency. Mr. [redacted] had approximately five months to contact his insurance company to inquire if there was an error on what they had charged for his co-pay, to pay his bill with our office, or to contact our office. To my knowledge, he did not contact the office at all until after his account was sent to [redacted].
Our desired outcome would be that Mr. [redacted] fulfill his financial obligation to our office and contact our collection agency to settle this claim. (Please see financial liability acknowledgment form that Mr. [redacted] signed the date of his visit.)
Thank you again for the opportunity to address this issue. Should you need further information, please contact our office.
Sincerely,
Jeannie P[redacted]
Office ManagerEnclosures (2)