Dr. Carl W Lehman, MD

Initial Business Response / [redacted] (1000, 5, 2014/05/07) */ CW Lehman, M.D., L.L.C Lusitana St., Ste Honolulu, HI May 6, MrMichael McKenzie, Operation Supervisor Bishop Street, Suite Honolulu, HI Re: Case #: Dear MrMcKenzie: I am responding to your letter of May 2, The complainant submits partial information which is, of itself, factual, but misleading because of the incomplete facts which he presentsI first saw him in June for an extensive evaluation and skin testingAt that time, he had a different insurance from the one that he is discussingHis portion of the charges that he owes in association with that insurance is $He then changed his insurance in November He refers to my Office Manager, ***, who does the insurance claims ordinarily, but she was on vacation for a month in November during which time we had a billing agent take over and do our billingThe individual involved made an error in a number that she recorded and this generated some problemsWhile [redacted] was on vacation, the receptionist made a copy of the new insurance cardWhen [redacted] returned, she filed the insurance claims'to the new companyIn January 2014, we" received a report to Provider stating that he was not enrolled with this insurance company (had they noted that an incorrect number was submitted, this would have brought attention to this sooner by [redacted] who tried to call the patient, but he did return her call Finally, in March, [redacted] did speak to him about his insuranceShe suggested he call the insurance company and find out why they really weren't payingHe said he would call them which he didHe then called [redacted] with a correct number and she immediately filed the claim with the corrected numberToday, May 5, 2014, a message from "Blue Cross to mail the claims' to" a different address which has been doneEach time we have to"refile a claim, it takes to weeks for a response [redacted] explained that to the patient also told him the collection letter had to do with his outstanding balance of $which was from July and not the November office visitsHe only spoke directly with [redacted] twice and the rest of the time, he left messages for her which she tried to return his calls, but he did no always respondHe called in March 2014, but she was out of town at her mother's funeral, but upon returning, she got the correct I.Dnumber and took care of it I can assure you that [redacted] has been very prompt with this patient and when she got the correct information from him in March 2014, she filed the claimsShe explained to him the length of time that it takes the insurance company to clear this issue I will contact the patient and try to answer any unresolved problemsI am not willing to write off his portion of the bill because of problems with the insurance filingThis balance is for his July visits, etcThe claims for November are NOT included in his statementThey appear on the statement, but he is not being charged for them; until there is a balance after the insurance company pays the November claims [redacted] has done an extensive amount of work to help him resolve this problemUnless there was a true issue with a mischarge, I am not willing to write this off because of the inconvenience it caused himOnce again, this balance has nothing to do with his unpaid claims to the new insurance company in November I trust this letter will resolve your further involvement with this CaseIf not, I am willing to discuss it with you Sincerely, Carl WLehman, M.D Initial Consumer Rebuttal / [redacted] (3000, 7, 2014/05/08) */ (The consumer indicated he/she DID NOT accept the response from the business.) The business claims that I have provided partial information in my complaint, which is untrueIn my original complaint, I illustrate clearly the difference between the groups of claims submitted under the two plans, and the charges incurred thereafterSince terminating my treatment with the practice in November '13, I have been requesting a complete and correct bill before attempting to pay any balance, which had never been provided until April 'However, the office manager [redacted] has now submitted the claims to the wrong address after TAKING MONTHS TO INPUT THE CORRECT INSURANCE NUMBER WHEN I PROVIDED A PHYSICAL COPY OF MY CARD, the validity of my charges has again been thrown into question The business further claims that [redacted] has been prompt in her response to me, and that I failed to return her attempts to reach out, which have only occurred twice since December 'Claiming that I have failed in any way to follow up with their office is wildly inaccurate, and I have the phone records to prove itIn I called carol on 11/1, 11/20, 11/21, 12/9, and 12/11, and received one call from her on 12/Since the beginning of 2014, I have called 1/9, 1/10, 2/24, 3/twice, 3/25, 4/twice, 4/three times, 4/9, 4/15, 4/29, 4/twice, and 5/7, and only received one phone call from the office on 4/from another Doctor at the practice The business claims that [redacted] has worked hard to resolve this issue, which may be the case, but it has been at least in part because of the mistakes that she has made for months along the wayTheir attempts to discredit my efforts in resolving this issue in their response to my complaint to the Revdex.com are unprofessional, and their unwillingness to take responsibility for the mistakes of one of their employees is unacceptableI stand by my original request that all of my charges be cleared, or if the business is unwilling, significantly reduce my standing bill in order to resolve this matter satisfactorily

Initial Business Response /* (1000, 5, 2014/05/07) */
C. W Lehman, M.D., L.L.C
1329 Lusitana St., Ste. 603
Honolulu, HI 96813
May 6, 2014
Mr. Michael McKenzie, Operation Supervisor
1132 Bishop Street, Suite 615
Honolulu, HI 96813
Re: Case #: 52024289
Dear Mr. McKenzie:
I...

am responding to your letter of May 2, 2014. The complainant submits partial information which is, of itself, factual, but misleading because of the incomplete facts which he presents. I first saw him in June 2013 for an extensive evaluation and skin testing. At that time, he had a different insurance from the one that he is discussing. His portion of the charges that he owes in association with that insurance is $346.33. He then changed his insurance in November 2013. He refers to my Office Manager, [redacted], who does the insurance claims ordinarily, but she was on vacation for a month in November during which time we had a billing agent take over and do our billing. The individual involved made an error in a number that she recorded and this generated some problems. While [redacted] was on vacation, the receptionist made a copy of the new insurance card. When [redacted] returned, she filed the insurance claims'to the new company. In January 2014, we" received a report to Provider stating that he was not enrolled with this insurance company (had they noted that an incorrect number was submitted, this would have brought attention to this sooner by [redacted] who tried to call the patient, but he did return her call.
Finally, in March, [redacted] did speak to him about his insurance. She suggested he call the insurance company and find out why they really weren't paying. He said he would call them which he did. He then called [redacted] with a correct number and she immediately filed the claim with the corrected number. Today, May 5, 2014, a message from "Blue Cross to mail the claims' to" a different address which has been done. Each time we have to"refile a claim, it takes 2 to 4 weeks for a response. [redacted] explained that to the patient also told him the collection letter had to do with his outstanding balance of $346.33 which was from July and not the November office visits. He only spoke directly with [redacted] twice and the rest of the time, he left messages for her which she tried to return his calls, but he did no always respond. He called in March 2014, but she was out of town at her mother's funeral, but upon returning, she got the correct I.D. number and took care of it.
I can assure you that [redacted] has been very prompt with this patient and when she got the correct information from him in March 2014, she filed the claims. She explained to him the length of time that it takes the insurance company to clear this issue.
I will contact the patient and try to answer any unresolved problems. I am not willing to write off his portion of the bill because of problems with the insurance filing. This balance is for his July 2013 visits, etc. The claims for November 2013 are NOT included in his statement. They appear on the statement, but he is not being charged for them; until there is a balance after the insurance company pays the November claims. [redacted] has done an extensive amount of work to help him resolve this problem. Unless there was a true issue with a mischarge, I am not willing to write this off because of the inconvenience it caused him. Once again, this balance has nothing to do with his unpaid claims to the new insurance company in November 2013.
I trust this letter will resolve your further involvement with this Case. If not, I am willing to discuss it with you.
Sincerely,
Carl W.. Lehman, M.D.
Initial Consumer Rebuttal /* (3000, 7, 2014/05/08) */
(The consumer indicated he/she DID NOT accept the response from the business.)
The business claims that I have provided partial information in my complaint, which is untrue. In my original complaint, I illustrate clearly the difference between the groups of claims submitted under the two plans, and the charges incurred thereafter. Since terminating my treatment with the practice in November '13, I have been requesting a complete and correct bill before attempting to pay any balance, which had never been provided until April '14. However, the office manager [redacted] has now submitted the claims to the wrong address after TAKING 5 MONTHS TO INPUT THE CORRECT INSURANCE NUMBER WHEN I PROVIDED A PHYSICAL COPY OF MY CARD, the validity of my charges has again been thrown into question.
The business further claims that [redacted] has been prompt in her response to me, and that I failed to return her attempts to reach out, which have only occurred twice since December '13. Claiming that I have failed in any way to follow up with their office is wildly inaccurate, and I have the phone records to prove it. In 2013 I called carol on 11/1, 11/20, 11/21, 12/9, and 12/11, and received one call from her on 12/1. Since the beginning of 2014, I have called 1/9, 1/10, 2/24, 3/7 twice, 3/25, 4/4 twice, 4/8 three times, 4/9, 4/15, 4/29, 4/30 twice, and 5/7, and only received one phone call from the office on 4/30 from another Doctor at the practice.
The business claims that [redacted] has worked hard to resolve this issue, which may be the case, but it has been at least in part because of the mistakes that she has made for months along the way. Their attempts to discredit my efforts in resolving this issue in their response to my complaint to the Revdex.com are unprofessional, and their unwillingness to take responsibility for the mistakes of one of their employees is unacceptable. I stand by my original request that all of my charges be cleared, or if the business is unwilling, significantly reduce my standing bill in order to resolve this matter satisfactorily.