EA Health

In response to ID [redacted] the original balance of $has been partially processed and paid by the patients insuranceThere is a remaining balance of $pending insurance paymentI spoke with the customer and Informed him we are waiting for the Insurance to reprocess the remaining balance of $I also advised him that the portion of $was canceled from collectionsThe customer was advised that until we receive payment and the explanation of processing from ***, we will not know if there will be any remaining responsibilityHe understood and thanked me for my help.Thank You,Patient ServicesEA Health

Mr [redacted] was contacted by Ms [redacted] last week His questions were answered, we apologized for the treatment he received from our staff member, and he paid the remaining amount due on his account We believe the matter to now be closed

This email is in response to complaint ID [redacted] for [redacted] submitted on 04/06/ I apologize for the delay in responding however, the first letter I received from the Revdex.com was dated 05/11/ I have been working on this customers account since 04/04/when I originally contacted [redacted] after Ms [redacted] called our office on 03/31/and spoke with [redacted] I spoke with [redacted] at [redacted] call reference number [redacted] and I was informed that the physician was not linked to our group in their system I was advised that a check was made payable to Dr [redacted] in the amount of $1,and mailed directly to the physicians’ office instead of our office [redacted] told me that the check had been cashed however, he would request a refund from the physicians’ office and have our claim reprocessed under the correct provider which is [redacted] and mailed to the correct address On 04/05/I received a faxed copy of the check # [redacted] along with the explanation of benefits When I received the fax, I thought that I had contacted Ms [redacted] and explained to her the error made by [redacted] however, my notes were not documented in the account After I received the letter from Revdex.com, I called [redacted] on 05/18/to check on the status of our payment I spoke with [redacted] call reference [redacted] and she advised me that there were notes in their system regarding my call on 04//04/however, the claim had not been reprocessed She informed me that we did bill the claim correctly and [redacted] was fully responsible for the error [redacted] said she would send the claim back to be reprocessed and promised to monitor the claim until it was paid correctly [redacted] also informed me that she would send an email to [redacted] asking him to call me on 05/19/ I did not receive a call back from [redacted] and on 05/23/I called [redacted] again and spoke with [redacted] call reference [redacted] who was not able to provide any help at all I asked [redacted] to have [redacted] return my call I received a call back from [redacted] with [redacted] and she said our claim was in review and she would contact me as soon as it processes correctly I called Ms [redacted] and explained to her that I have been working on her account since the beginning of April Ms [redacted] also could not recall if her and I had previously discussed this situation but she was happy to know it was being worked on I informed Ms [redacted] that I had her account canceled from collections on 04/04/and she said that she had already received a letter from the collection agency notifying her of the cancelation Ms [redacted] asked me if I would contact her once we receive payment from [redacted] and I told her that I would monitor the account and notify her Ms [redacted] was very pleased with the outcome and thanked me for my help.Sincerely, [redacted] ***, Patient Services & Collections Supervisor

This matter has been received and assigned to a billing staff member for further review Follow up will occur within hours

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me. I will wait for the business to perform this action and, if it does, will consider this complaint resolved. There was a huge misunderstanding
Regards,
*** ***

I spoke with Mr*today and apologized for our failure to respond to his grievances immediatelyI also explained to him in great detail what he exactly owes and per his request, I sent him copies of the Explanation of Benefits from *** *** and gave him an updated statement reflecting his true balance vsthe $notice he receivedHis account was also previously assigned to our collection agency (***) but I assured him that we’ve recalled his account from *** and his assignment since it was done recently should not have any impact on his credit ratings. Mr*expressed satisfaction with the answers I gave him and had no additional questions or concerns

Revdex.com:
I have reviewed
the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me. I will wait for the business to perform this action and, if it does, will consider this complaint resolved
Regards,
*** ***

Mr. [redacted] was contacted by Ms. [redacted] last week.  His questions were answered, we apologized for the treatment he received from our staff member, and he paid the remaining amount due on his account.  We believe the matter to now be closed.

We spoke to patient today about the report to Revdex.com. Per the patient she is currently under her step-fathers policy and he received the insurance check in the amount of $298.00. Patient wasn’t aware of the payment being sent to him instead of us. We told her nothing has hit her credit score as this...

currently is all under in house collections. We have collected a credit card payment of $298.00 from her since account is still outstanding. Account is now in good standing. (pending $298.00 to be posted)

In response to ID [redacted] the original balance of $4368.49 has been partially processed and paid by the patients insurance. There is a remaining balance of $2539.00 pending insurance payment. I spoke with the customer and Informed him we are waiting for the Insurance to reprocess the remaining...

balance of $2539.00. I also advised him that the portion of $737.00 was canceled from collections. The customer was advised that until we receive payment and the explanation of processing from [redacted], we will not know if there will be any remaining responsibility. He understood and thanked me for my help.Thank You,Patient ServicesEA Health

We have received the complaint on 7/25 and are investigating it now.  We did not receive this complaint previously.  We will contact the patient with a response either today or tomorrow once we have been able to review the account activity.  We do not charge for or provide DATA...

SERVICES so we aren't even sure we are the cause of the complaint.

This email is in response to complaint ID [redacted] for [redacted] submitted on 04/06/16.  I apologize for the delay in responding however, the first letter I received from the Revdex.com was dated 05/11/16.  I have been working on this customers account since 04/04/16 when I originally...

contacted [redacted] after Ms. [redacted] called our office on 03/31/16 and spoke with [redacted].  I spoke with [redacted] at [redacted] call reference number [redacted] and I was informed that the physician was not linked to our group in their system.  I was advised that a check was made payable to Dr. [redacted] in the amount of $1,668.38 and mailed directly to the physicians’ office instead of our office.  [redacted] told me that the check had been cashed however, he would request a refund from the physicians’ office and have our claim reprocessed under the correct provider which is [redacted] and mailed to the correct address.  On 04/05/16 I received a faxed copy of the check #[redacted] along with the explanation of benefits.  When I received the fax, I thought that I had contacted Ms. [redacted] and explained to her the error made by [redacted] however, my notes were not documented in the account.  After I received the letter from Revdex.com, I called [redacted] on 05/18/16 to check on the status of our payment.  I spoke with [redacted] call reference [redacted] and she advised me that there were notes in their system regarding my call on 04//04/16 however, the claim had not been reprocessed.  She informed me that we did bill the claim correctly and [redacted] was fully responsible for the error.  [redacted] said she would send the claim back to be reprocessed and promised to monitor the claim until it was paid correctly.  [redacted] also informed me that she would send an email to [redacted] asking him to call me on 05/19/16.  I did not receive a call back from [redacted] and on 05/23/16 I called [redacted] again and spoke with [redacted] call reference [redacted] who was not able to provide any help at all.  I asked [redacted] to have [redacted] return my call.  I received a call back from [redacted] with [redacted] and she said our claim was in review and she would contact me as soon as it processes correctly.  I called Ms. [redacted] and explained to her that I have been working on her account since the beginning of April.  Ms. [redacted] also could not recall if her and I had previously discussed this situation but she was happy to know it was being worked on.  I informed Ms. [redacted] that I had her account canceled from collections on 04/04/16 and she said that she had already received a letter from the collection agency notifying her of the cancelation.  Ms. [redacted] asked me if I would contact her once we receive payment from [redacted] and I told her that I would monitor the account and notify her.  Ms. [redacted] was very pleased with the outcome and thanked me for my help.Sincerely,[redacted], Patient Services & Collections Supervisor

This matter has been received and assigned to a billing staff member for further review.  Follow up will occur within 24 hours.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that the information provided is accurate.  The claim and payment have yet to be completely resolved as of today (5/24/16), but will hopefully be cleared soon by both EA Health and [redacted]. 
Regards,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
This isn't really resolved yet, so I can't say for sure weather I do or do not accept the response, as the resolution may or may not be acceptable. This billing company, EA Health, appears to be billing these charges to my insurance as "emergency" services. If there is an issue with the emergency status of these services, it is an issue for the billing company (EA Health) and [redacted] to resolve, not me. To reiterate, all of the providers identified on the billing are [redacted] in-network providers. No provider was out of network. I am well aware of my rights in California and will not hesitate to contact the Department of Managed Care and the Insurance Commissioner. If in doubt, check the acknowledgements in the California Patient's Guide ([redacted]) and you'll see that my wife and I helped write it.
Regards,
[redacted]