Dr. Yick Moon Lee, MD

Dear *** *** ***
In response to the above
complaint, *** *** *** (complainer) and I had a three way phone conference with her insurance company (*** ***) on 06/**/2014, phone conference reference ID ***We spoke with *** of *** *** regarding the pending claim for service rendered on 01/**/ *** *** seemed to understand that the claim may required additional time(two weeks from the conference date) for her insurance to finalize the payment. Our medical office is a fee for service private practiceAt the time of visit (01/**/2014), *** ***'s new born was not enrolled to her policyAs a courtesy, we secured a $dollar credit card deposit instead of a full fee for a thorough newborn check up for her newborn(patient) Due to a medical reason, the patient return for another visit on 01/**/*** *** was not happy because we charged her a $Idollar copayment which is part of her out of packet responsibility. Shortly after, *** *** made several harassing phone calls to our office demanding her deposit to be immediately returnedMy front desk receptionist explained and reassured to her about a full refund upon the claim for the mention service finalized*** *** continued to posed treat toward my staffs in personI have called her several timesUnfortunately there was no answer and the phone line failed to get through until 06/**/2014. Please feel free to call me if I can future assist this matterI can be reached at ###-###-####
Sincerely,
*** ***.
E*** *** *** *** ***
*** *** *** *** *** *** *** ** *** *** *** *** *** *** *** *** ** *** *** ** *** ** *** *** *** *** ** *** *** *** *** *** ** *** *** *** *** *** *** *** *** *** *** *** *** ** *** *** *** *** *** *** ** *** *** *** *** *** *** *** *** *** *** *** ** *** *** *** *** *** *** *** *** ** *** ** *** *** *** *** *** ** *** *** *** *** *** *** *** *** ** *** *** *** *** *** *** *** *** *** *** *** *** *** ** *** *** *** ** *** ** *** *** ** *** *** ** *** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# ***, and have determined that my complaint has NOT been resolved because:
*** *** has made some accusationsFirst, she proclaimed
that I “posed threat towards my staffs in person” which is untrue because I
have never showed up in person demanding my deposit to be returnedSecond, her
front desk receptionist did not “explain and reassured” me that my deposit will
be returnedAll they said was that my insurance company did not pay them the
full amount billed and I was responsible for itThird, *** *** proclaims
that she tried to contact the insurance company to resolve this issueHowever,
that is because the date of service was back on Jan **She had almost
months to contact the insurance company to satisfy the claims but she didn’t until
I made the initial step of contacting my insurance company on June *, on a
way conference callThat is when she learned that her office put in the
wrong billing code which is why my insurance company denied those claimsAll
along, it was the fault of her office for the billing code errorHad they
follow up with my insurance company and fix the billing codes prior to having
me get involved with contacting my insurance company, then we would not be
having this issue Fourth, yes, *** *** contacted me twice but did not leave a messageWhen I returned the call,
she was no longer in the office and since then she never tried to reach out to
me again until I called her backIt is not my responsibility to have to get
involve between my insurance company and the provider to make sure the provider
gets paidClearly, *** *** is not doing her job
In order for the Revdex.com to appropriately process your response, you MUST answer the question above
Sincerely,
*** ***

In response to the 06/**/2014 letter concerning the above complaint ID,  I called [redacted] on 06/**/2014  to follow up on the status of 01/**/2014 claim. I
spoke to [redacted], reference number [redacted], I was told that claim have not yet  finalized. As I have reminded [redacted] during the last conference call,  the $50 dollar will be refunded upon the insurance payment finalized.  Payment is per contract.  Since [redacted] delays the enrollment of her child(patient), therefore the process of submission of claim and payment also delayed.  [redacted]'s statement " Not Enough" is a fabrication.  I hope [redacted] understands and be patience with the required  time of her insurance company to finalize the claim. 
 
Sincerely,
 
[redacted]
 
[redacted]
[redacted]

Review: Doctor's office charged my credit card for a well-visit deposit and said they will refund me the amount once my son, a newborn, was added onto my health insurance. My insurance company already settled the claim with this provider but now they refuse to refund me my initial well-visit deposit claiming that my insurance did not pay the amount that was billed. I contacted my insurance company and was told that this doctor was an in-network physician and I was not responsible for any other balance due, not even a copay. The doctor's office is now refusing to return my deposit and refusing to return my phone call.Desired Settlement: I would like a refund check or a refund back onto my credit card.

Business

Response:

Dear [redacted]

In response to the above complaint, [redacted] (complainer) and I had a three way phone conference with her insurance company ([redacted]) on 06/**/2014, phone conference reference ID [redacted]. We spoke with [redacted] of [redacted] regarding the pending claim for service rendered on 01/**/2014. [redacted] seemed to understand that the claim may required additional time(two weeks from the conference date) for her insurance to finalize the payment. Our medical office is a fee for service private practice. At the time of visit (01/**/2014), [redacted]'s new born was not enrolled to her policy. As a courtesy, we secured a $50 dollar credit card deposit instead of a full fee for a thorough newborn check up for her newborn(patient) . Due to a medical reason, the patient return for another visit on 01/**/2014. [redacted] was not happy because we charged her a $I5 dollar copayment which is part of her out of packet responsibility. Shortly after, [redacted] made several harassing phone calls to our office demanding her deposit to be immediately returned. My front desk receptionist explained and reassured to her about a full refund upon the claim for the mention service finalized. [redacted] continued to posed treat toward my staffs in person. I have called her several times. Unfortunately there was no answer and the phone line failed to get through until 06/**/2014. Please feel free to call me if I can future assist this matter. I can be reached at ###-###-####.

Sincerely,

[redacted].

E[redacted]

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

[redacted] has made some false accusations. First, she proclaimed

that I “posed threat towards my staffs in person” which is untrue because I

have never showed up in person demanding my deposit to be returned. Second, her

front desk receptionist did not “explain and reassured” me that my deposit will

be returned. All they said was that my insurance company did not pay them the

full amount billed and I was responsible for it. Third, [redacted] proclaims

that she tried to contact the insurance company to resolve this issue. However,

that is false because the date of service was back on Jan **. She had almost 5

months to contact the insurance company to satisfy the claims but she didn’t until

I made the initial step of contacting my insurance company on June *, 2014 on a

3 way conference call. That is when she learned that her office put in the

wrong billing code which is why my insurance company denied those claims. All

along, it was the fault of her office for the billing code error. Had they

follow up with my insurance company and fix the billing codes prior to having

me get involved with contacting my insurance company, then we would not be

having this issue. Fourth, yes, [redacted] contacted me twice but did not leave a message. When I returned the call,

she was no longer in the office and since then she never tried to reach out to

me again until I called her back. It is not my responsibility to have to get

involve between my insurance company and the provider to make sure the provider

gets paid. Clearly, [redacted] is not doing her job.

In order for the Revdex.com to appropriately process your response, you MUST answer the question above.

Sincerely,

Business

Response:

In response to the 06/**/2014 letter concerning the above complaint ID, I called [redacted] on 06/**/2014 to follow up on the status of 01/**/2014 claim. I

spoke to [redacted], reference number [redacted], I was told that claim have not yet finalized. As I have reminded [redacted] during the last conference call, the $50 dollar will be refunded upon the insurance payment finalized. Payment is per contract. Since [redacted] delays the enrollment of her child(patient), therefore the process of submission of claim and payment also delayed. [redacted]'s statement " Not Enough" is a fabrication. I hope [redacted] understands and be patience with the required time of her insurance company to finalize the claim.

Sincerely,