Dr Irwin S Plisco MD

Initial Business Response / [redacted] (1000, 5, 2015/12/31) */ Contact Name and Title: [redacted] Office Manager Contact Phone: XXX-XXX-XXXX Contact Email: [redacted] @essehealth.com Insurance did not pay for the procedure how it was initially codedWe received an EOB that advised us of that and we updated the procedure with the correct codeHowever, it is a bit of a time consuming procedure to get this approved by the insurance companies because the patients primary insurance is Medicare and the secondary is [redacted] We have to re-file with Medicare first, wait for their response and then re-send to [redacted] We did not purposely submit any statements, as a matter of fact the note in the patients chart is accurate, the code billed was just a number offIt was a coding mistake and the patient could have contacted us at any time for clarification or to ask any questions regarding this matter Initial Consumer Rebuttal / [redacted] (2000, 7, 2016/01/04) */ (The consumer indicated he/she ACCEPTED the response from the business.)

Initial Business Response /* (1000, 5, 2015/12/31) */
Contact Name and Title: [redacted] Office Manager
Contact Phone: XXX-XXX-XXXX
Contact Email: [redacted]@essehealth.com
Insurance did not pay for the procedure how it was initially coded. We received an EOB that advised us of that and we updated...

the procedure with the correct code. However, it is a bit of a time consuming procedure to get this approved by the insurance companies because the patients primary insurance is Medicare and the secondary is [redacted] We have to re-file with Medicare first, wait for their response and then re-send to [redacted] We did not purposely submit any false statements, as a matter of fact the note in the patients chart is accurate, the code billed was just a number off. It was a coding mistake and the patient could have contacted us at any time for clarification or to ask any questions regarding this matter.
Initial Consumer Rebuttal /* (2000, 7, 2016/01/04) */
(The consumer indicated he/she ACCEPTED the response from the business.)