I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution would be satisfactory to meWhile it's odd that on one hand the business admits it is doing data mining & in same letter claims it's trying to protect the privacy rights of [redacted] clients, I accept the fact they will no longer contact meI will wait for the business to perform this action and, if it does, will consider this complaint resolved.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.I would like a copy of what gives this party the right to my private information and where it states that I must comply in providing any information the Rawlings Company requests from me and what legal recourse I have to refuse to answer thier questionairresHow is my private healthcare the business of a 3rd party company in Kentucky? My Dr visit had nothing to do with a 3rd party or any injury relating to any 3rd partyThis is an intrusion of my rights to privacy by a big government entity clearly seeking to data mine healthcare customers of [redacted] for a purpose not related to my welfare [redacted]
This letter is in response to the Complaint filed with your organization bearing [redacted] Rawlings provides data mining and claims recovery services to health insurance companies and administratorsAs part of its work, Rawlings seeks to recover payments which were made by its clients after an individuals coverage with that insurer or plan has endedThe records of [redacted] ( [redacted] ) reflect that a prescription was filled for the complainant on 15/after his coverage with [redacted] had terminated [redacted] was billed by the pharmacy and paid for that prescription To assist in facilitating the billing of this expense to the proper coverage, Rawlings can work with the complainant at his request to complete the necessary forms and file them on his behalf with his current carrier after he reviews and signs themThis may require additional time on the complainants partRawlings cannot guarantee the outcome of this processPlease note that Rawlings will not be reporting this matter to any credit reporting agency We will contact the complainant regarding the completion of the forms referred to aboveWe regret the difficulties this matter has caused him [redacted] ###-###-#### [redacted]
See attachment for originalThis letter is in response to the complaint referenced aboveThe Rawlings Company LLC provides services pursuant to contracts with health insurance companies, including that of the complainant’sPursuant to our contract with the complainant’s health insurer, Rawlings sent to him letters requesting information about other insurance coverage he may have and his employment statusHaving this information helps to ensure that the claims are paid properly.The letters are neither advertisements nor fraudulentThe inquiry was made on behalf of and authorized by his insurerWe regret that the Complainant was not correctly informed of the relationship between Rawlings and his insurer when he called his carrierSo that Rawlings can fulfill its obligations to its client, we respectfully request that the Complainant complete the questionnaire and return it to Rawlings or call us at the toll-free number indicated in the letter if he has any further questions about Rawlings or the questionnaire.Rawlings holds customer service among our most important valuesWe regret any inconvenience or concern that this process may have caused the Complainant.Sincerely, [redacted] Deputy General Counsel -The Rawlings Group
This letter is in response to the Complaint filed with your organization bearing # [redacted] Rawlings provides Services to health insurance companies and administrators, including the Complainant's,Summarily, the Complainant cites issues regarding Rawlings delay in responding to communications and requests for information, as well as her dealings with Rawlings’ employeesRawlings employees are trained to promptly respond to all such communicationsRawlings also expects its employees to communicate with others with the highest level of respect, professionalism and courtesyWe do note that the Complainant had telephone conversations with two different Rawlings individualsAfter the Complainant's calls, her concerns were escalated to the proper individualsWe apologize that the Complainants concerns were not properly addressed.The President of The Rawlings Group is writing to the Complainant in separate correspondenceOur file regarding her motor vehicle accident has been closedWe certainly regret any concern and inconvenience that this matter may have caused the Complainant
This letter is in response to the complaint referenced aboveThe Rawlings Company LLC provides data mining and claims recovery services pursuant to contract with health insurance companies, including that of the complainant'sAs part of our contract with the complainant's health insurer, Rawlings seeks information pertaining to medical treatment for which the insurer has paid and which may have resulted due to the fault of another partyTo obtain this information, insureds such as the complainant are sent questionnaires to which to respondThe complainant received such letters to which no response has been receivedUnfortunately, when the complainant called his insurer, he was given incorrect information about Rawlings Rawlings holds customer service among our most important valuesWe any complaints related to our servicesWhile we do not believe any of our correspondence was harassing, we regret any inconvenience or concern that this process may have caused the complainantWe request that the complainant complete the questionnaire and return it to Rawlings with any questions using the phone number indicated in the letters Sincerely, [redacted] Deputy General Counsel The Rawlings Group
This letter is in response to the Complaint filed with your organization bearing # [redacted] Rawlings provides data mining and claims recovery services to health insurance companies, including the Complainant'sAs part of its work, Rawlings seeks information from insureds pertaining to medical treatment which may have resulted due to the fault of another partyTo obtain this information, individuals who have received treatment, such as the complainant, are mailed questionnaires to which to respondThe complainant's health plan is seeking information to determine if the treatment is the responsibility of another person, organization or insurerThe member’s health plan requires full cooperation with such efforts Rawlings holds customer service among our most important valuesWe take seriously any complaints related to our servicesWe strive to ensure that our processes provide high value to our clients and are as seamless as possible to their membersWhile the correspondence addressed to the complainant is authorized by the health plan, we regret any inconvenience or concern that this process may have caused the complainantWe have closed our record on this matter so that no additional letters will be sent to the complainant Please contact me if you have any further questions Sincerely, [redacted] ***
This letter is in response to the Complaint filed with your organization bearing [redacted] Rawlings contracts with the Complainant’s previous health insurer to provide data mining and claims recovery servicesAs part of its work for that insurer, Rawlings’ seeks to recover payments which were made by its client after an individual’s coverage with that insurer has endedThe records of the Complainants previous insurer reflect that a prescription was filled for her on /24/which was after her coverage with that insurer had terminatedHer previous insurer, which is Rawlings’ client, was billed by the pharmacy and paid for that prescription By letter dated /115, Rawlings mailed a letter to the Complainant advising of the overpayment and outlining methods by which it could be handledThese included contacting the pharmacy to correct the billing and submitting the claim to the new insurerWe have no record of a response to this letterThus, another letter was mailed on or about /8/This appears to be the letter referenced in the ComplaintThe address utilized on these letters was provided to Rawlings by her previous insurer(We understand from the Complaint that this is not a current address.) We have closed this audit and will not seek any repayment from the ComplainantWe regret any inconvenience this matter has caused the Complainant [redacted] General Counsel to The Rawlings Group ###-###-#### [redacted]
I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution would be satisfactory to meWhile it's odd that on one hand the business admits it is doing data mining & in same letter claims it's trying to protect the privacy rights of [redacted] clients, I accept the fact they will no longer contact meI will wait for the business to perform this action and, if it does, will consider this complaint resolved.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.I would like a copy of what gives this party the right to my private information and where it states that I must comply in providing any information the Rawlings Company requests from me and what legal recourse I have to refuse to answer thier questionairresHow is my private healthcare the business of a 3rd party company in Kentucky? My Dr visit had nothing to do with a 3rd party or any injury relating to any 3rd partyThis is an intrusion of my rights to privacy by a big government entity clearly seeking to data mine healthcare customers of [redacted] for a purpose not related to my welfare [redacted]
This letter is in response to the Complaint filed with your organization bearing [redacted] Rawlings provides data mining and claims recovery services to health insurance companies and administratorsAs part of its work, Rawlings seeks to recover payments which were made by its clients after an individuals coverage with that insurer or plan has endedThe records of [redacted] ( [redacted] ) reflect that a prescription was filled for the complainant on 15/after his coverage with [redacted] had terminated [redacted] was billed by the pharmacy and paid for that prescription To assist in facilitating the billing of this expense to the proper coverage, Rawlings can work with the complainant at his request to complete the necessary forms and file them on his behalf with his current carrier after he reviews and signs themThis may require additional time on the complainants partRawlings cannot guarantee the outcome of this processPlease note that Rawlings will not be reporting this matter to any credit reporting agency We will contact the complainant regarding the completion of the forms referred to aboveWe regret the difficulties this matter has caused him [redacted] ###-###-#### [redacted]
See attachment for originalThis letter is in response to the complaint referenced aboveThe Rawlings Company LLC provides services pursuant to contracts with health insurance companies, including that of the complainant’sPursuant to our contract with the complainant’s health insurer, Rawlings sent to him letters requesting information about other insurance coverage he may have and his employment statusHaving this information helps to ensure that the claims are paid properly.The letters are neither advertisements nor fraudulentThe inquiry was made on behalf of and authorized by his insurerWe regret that the Complainant was not correctly informed of the relationship between Rawlings and his insurer when he called his carrierSo that Rawlings can fulfill its obligations to its client, we respectfully request that the Complainant complete the questionnaire and return it to Rawlings or call us at the toll-free number indicated in the letter if he has any further questions about Rawlings or the questionnaire.Rawlings holds customer service among our most important valuesWe regret any inconvenience or concern that this process may have caused the Complainant.Sincerely, [redacted] Deputy General Counsel -The Rawlings Group
This letter is in response to the Complaint filed with your organization bearing # [redacted] Rawlings provides Services to health insurance companies and administrators, including the Complainant's,Summarily, the Complainant cites issues regarding Rawlings delay in responding to communications and requests for information, as well as her dealings with Rawlings’ employeesRawlings employees are trained to promptly respond to all such communicationsRawlings also expects its employees to communicate with others with the highest level of respect, professionalism and courtesyWe do note that the Complainant had telephone conversations with two different Rawlings individualsAfter the Complainant's calls, her concerns were escalated to the proper individualsWe apologize that the Complainants concerns were not properly addressed.The President of The Rawlings Group is writing to the Complainant in separate correspondenceOur file regarding her motor vehicle accident has been closedWe certainly regret any concern and inconvenience that this matter may have caused the Complainant
This letter is in response to the complaint referenced aboveThe Rawlings Company LLC provides data mining and claims recovery services pursuant to contract with health insurance companies, including that of the complainant'sAs part of our contract with the complainant's health insurer, Rawlings seeks information pertaining to medical treatment for which the insurer has paid and which may have resulted due to the fault of another partyTo obtain this information, insureds such as the complainant are sent questionnaires to which to respondThe complainant received such letters to which no response has been receivedUnfortunately, when the complainant called his insurer, he was given incorrect information about Rawlings Rawlings holds customer service among our most important valuesWe any complaints related to our servicesWhile we do not believe any of our correspondence was harassing, we regret any inconvenience or concern that this process may have caused the complainantWe request that the complainant complete the questionnaire and return it to Rawlings with any questions using the phone number indicated in the letters Sincerely, [redacted] Deputy General Counsel The Rawlings Group
This letter is in response to the Complaint filed with your organization bearing # [redacted] Rawlings provides data mining and claims recovery services to health insurance companies, including the Complainant'sAs part of its work, Rawlings seeks information from insureds pertaining to medical treatment which may have resulted due to the fault of another partyTo obtain this information, individuals who have received treatment, such as the complainant, are mailed questionnaires to which to respondThe complainant's health plan is seeking information to determine if the treatment is the responsibility of another person, organization or insurerThe member’s health plan requires full cooperation with such efforts Rawlings holds customer service among our most important valuesWe take seriously any complaints related to our servicesWe strive to ensure that our processes provide high value to our clients and are as seamless as possible to their membersWhile the correspondence addressed to the complainant is authorized by the health plan, we regret any inconvenience or concern that this process may have caused the complainantWe have closed our record on this matter so that no additional letters will be sent to the complainant Please contact me if you have any further questions Sincerely, [redacted] ***
This letter is in response to the Complaint filed with your organization bearing [redacted] Rawlings contracts with the Complainant’s previous health insurer to provide data mining and claims recovery servicesAs part of its work for that insurer, Rawlings’ seeks to recover payments which were made by its client after an individual’s coverage with that insurer has endedThe records of the Complainants previous insurer reflect that a prescription was filled for her on /24/which was after her coverage with that insurer had terminatedHer previous insurer, which is Rawlings’ client, was billed by the pharmacy and paid for that prescription By letter dated /115, Rawlings mailed a letter to the Complainant advising of the overpayment and outlining methods by which it could be handledThese included contacting the pharmacy to correct the billing and submitting the claim to the new insurerWe have no record of a response to this letterThus, another letter was mailed on or about /8/This appears to be the letter referenced in the ComplaintThe address utilized on these letters was provided to Rawlings by her previous insurer(We understand from the Complaint that this is not a current address.) We have closed this audit and will not seek any repayment from the ComplainantWe regret any inconvenience this matter has caused the Complainant [redacted] General Counsel to The Rawlings Group ###-###-#### [redacted]