Edward-Elmhurst Health

On 10/20/2020 I had an outpatient procedure done at the Edward Cancer Center in Naperville that was authorized by a doctor (referral is on the system). I thought, it was paid until I got a bill from Edward-Elmhurst Health for $5,484.00 on May 6, 2022, without any explanation why it was denied by my insurance company.
I called my Duly Health and Care medical group and was told that they had not received any invoice/bills from Edwards-Elmhurst Health for the date of October 20, 2021. After numerous calls, it turned out that the bill was sent to BCBS IL instead of Duly Health and Care medical group. I have been calling multiply times (06/03/2022, 06/21/2022, 8/16/2022) to the Edward- Elmhurst and asking to send the bill to Duly Health and Care and was repeatedly told that it will be. Suddenly, I got a Collection letter a week ago. Again, I called to Duly Health and Care, and they had received the bill. After that, I called to Edward-Elmhurst (09/202022) and it turned out that the bill was still sent the bill to BCBS IL. I'm getting nothing but run-around, very frustrating and cannot understand how and where to get help to resolve the issue.
Lubomir Nikolov
DOB:04/22/1963
Guarantor Number:32237819

Complaint: [redacted] I am rejecting this response because: Received itemized billwill contact sender by phone in an attemot to resolve billing issue Sincerely, Barbara [redacted]

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to me I appreciate your assistance in resolving this dispute Sincerely, Donna ***

I asked our ED department to review this complaint The patient was brought to our ED for croup and treated appropriately We have adjusted the balance to zero under our charity policy as the patient was qualified under her mother We have reached out and left a message to provide this information Thank you

I followed up with the lab and was informed that the inaccurate tests were removed on 11/thank you,Shaun [redacted] Patient Accounts

I have confirmed that a settlement was reached on this account The adjustment has been posted and the account is now at zero I apologize for this adjustment not being processed timelyThank you,Shaun [redacted] System Manager, Patient AccountsEdward-Elmhurst Health

I have reviewed all of the accounts for the patient All of the services have been billed to the patient's insurance and none of the accounts have an outstanding patient balance We are not billing the patient for any open balances

Our nurse auditor reviewed the charge in question and agreed that it should be removed The charge has been removed and we are sending a corrected claim to the patient's insurancethank you,Shaun [redacted] Patient Accounts

Complaint: [redacted] I am rejecting this response because:The charges are still unreasonable.I specified that these visits WERE NOT workcomp, they continued to be billed incorrectly. At least one balance was sent to collections with out any notice. As such I had to pay all of the bills with my credit card, which in turn, incurred undue financial hardship.Communication has beeen beyond poor. Sincerely, [redacted] ***

The patient presented for service on multiple dates in December The patient originally told us that the visit was Work Comp, we billed Work Comp and they denied the claim We were then instructed by the patient to bill health insurance which we did The insurance paid and
indicated that there was a balance due from the patient We billed the patient for the amount indicated by his insurance and the patient has paid that balance The account is at zero

I will send an itemized list of charges to the patient and ask her to detail which charges she disputes. This will then be reviewed by the lab. Thank you

Complaint: ***
I am rejecting this response because: I was never xontacted about the adjustment as I am receiving calls from their billing departmentIn addition, I was never informed my daughter was diagnosed with croup as the ER physician told me ny daughtet was fine. This hospital needs to apologize for their miadiagnoses of my daughter and not fully explaining her dies either me
Sincerely,
Tonesha ***

In researching this complaint, I determined that the balance of $was for a charge that was denied by the patient's insurance stating that it was experimental I have adjusted the balance to zero, there is no further balance due from the patient Thank you

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and reserve the right to reopen this complaint if resolution is not forthcoming in a timely manner
Sincerely,
*** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.
Sincerely,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.
Sincerely,
Julia [redacted]

I asked our ED department to review this complaint.  The patient was brought to our ED for croup and treated appropriately.  We have adjusted the balance to zero under our charity policy as the patient was qualified under her mother.  We have reached out and left a message to provide...

this information.  Thank you.

I will research this issue further and contact the patient for resolution.

Our nurse auditor reviewed the charge in question and agreed that it should be removed.  The charge has been removed and we are sending a corrected claim to the patient's insurance. thank you,Shaun [redacted]Patient Accounts

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.  I appreciate your assistance in resolving this dispute. 
Sincerely,
Donna [redacted]