[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
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 until for the business to perform this action and, if it does, will consider this complaint resolved
Regards,
*** ***
The services have been reviewed and the appropriate secondary insurer has been contacted to process the claims. This process will take approximately 45 days to complete.
We have not reached an agreement. I still feel the charge is assured and not fair. Per the comments mentioned in my complaint. I'm seeking further action, which is why I submitted this complaint.
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.
It is correct that we have
had multiple discussions with PCH in an attempt to resolve this issue and make
them aware of the incorrect billing that has taken place. In fact, beginning on 9/25/16, within the
first week of receiving the bill, we contacted PCH five times regarding this
billing error, each time escalating to another level of management. While I did not get the name of the first
person we spoke with, I did note that future conversations were with Claudia,
Kenyatta, Dianna Sierra, and finally, Wanda Bartels. We
were billed an exorbitant, incorrect amount for a standard, scheduled
appointment. There was no “operating
room” and he received no “surgical services”.
The incorrect bill was not reflective of the amount quoted to us at the
time of scheduling the appointment, nor was it reflective of the minimal services
my son received in the twenty minutes he spent in the room. During the very first interaction, PCH
offered a 50% discount off the bill. We
explained that we were not looking for a discount; we simply were requesting a
bill that correctly reflected the services quoted and received. Additionally, we requested the detailed records
from the appointment, both billing and medical, from PCH. We were
told it would take approx. 30 days to receive the medical records and that the
billing record would be a single line item – “Ancillary
Services”. PCH continued to offer 50% off the bill and said the
offer would expire within 7 days. We asked PCH to put their offer in
writing as we have had miscommunication with them regarding billing since
scheduling the appointment. This is very standard practice in any
financial negotiation. PCH (specifically,
Dianna S[redacted] and Wanda Bartels[redacted]We have and continue to ask
only that PCH acknowledge the error in billing and present to us a new bill
correctly reflecting our $60 co-pay for a regularly scheduled appointment with
an orthopedic dr. Unfortunately, his is not an
issue we alone have had with PCH. As
reflected on the Revdex.com and other sites, many families, like us, have gone through
this headache while trying to care for the medical needs of their children. Unfortunately, PCH appears to be in the habit
of practicing creative billing and deceiving the public for monetary gain. It is for this reason that we, along with
many others, have been forced to file complaints with the Revdex.com, The Department
of Insurance, the Medical Board, Yelp, Google, and our State
Representatives. Additionally, at the
advice of both our insurance agent and our representative at BCBSAZ, we have
filed a case with the BCBSAZ Fraud Department.We
would have never made an appointment at this facility if we had known they
would re-code our appointment upon our arrival in an attempt to collect more
money. We
sincerely hope that PCH will re-consider our plea to correct the error in
billing. Upon their doing so, we are
more than happy to promptly pay our $60 co-pay amount for the standard,
scheduled, middle-of-the-day appointment our son had with the orthopedic dr.
Regards,
[redacted]
The account referenced in this complaint has been reviewed. There have been numerous conversations between Ms. * and the billing customer service department. The billing and outstanding balance are accurate. A message was left to please return the call to Phoeni* Childrens on...
9/8/16. This call has not been returned. Please call [redacted]
Mr. [redacted] was contacted by our customer service team and his issue has been resolved per the statements below. I have contacted GTR and advised him of the actions on accounts and informed him that payments have been reported and credit transfers have been completed to zero the balances on the...
statements he is receiving. GTR was not upset just did not want to wait on hold any longer. Account has been resolved by transferring credits on accounts to zero balances owed.
Ms. XXXXX's account has been reviewed. Calls are being placed to discuss the account and the details of the billing with her directly. PCH will discuss with the parent and resolve as soon as possible.
Revdex.com:
I have reviewed the response made by the business...
in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me. I will wait until for the business to perform this action and, if it does, will consider this complaint resolved.
Regards,
[redacted]
This claim was billed correctly and reviewed by coding and risk management for validation. Ms. [redacted] can appeal this directly to her insurance as there is nothing further we can do here at Phoenix Children's Hospital.
Phoenix Children's Hospital stated in their response that they would contact me directly to resolve the issue. It has now been a week, and still, no one has contacted me. I'd also like to...
add that there was an error in my original complaint that said I had called Cigna 9 times, when I meant to say that I had called Phoenix Children's 9 times between January 28th and October 20th.
This inquiry has been completed. The billing process has been explained. The billing process is not customizable by patient and is established to assist parents with keeping track of their many bills. This is a process that is helpful to many parents that are overwhelmed with their...
Messages have been left with this parent - with no response. This issue was resolved on 11/3/and the balance is zero
*** *The parent is being contacted directly to discuss her concerns and come to a resolution
[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
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 until for the business to perform this action and, if it does, will consider this complaint resolved
Regards,
*** ***
Further conversations have taken place with the consumer. An agreement has been reached to resolve the complaint.
The services have been reviewed and the appropriate secondary insurer has been contacted to process the claims. This process will take approximately 45 days to complete.
We have not reached an agreement. I still feel the charge is assured and not fair. Per the comments mentioned in my complaint. I'm seeking further action, which is why I submitted this complaint.
This was resolved on 9/1/15. An updated bill will be mailed in the next week to ten days.
Mother is being contacted directly to gather more details about her concerns and work through the issues with her.
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.
It is correct that we have
had multiple discussions with PCH in an attempt to resolve this issue and make
them aware of the incorrect billing that has taken place. In fact, beginning on 9/25/16, within the
first week of receiving the bill, we contacted PCH five times regarding this
billing error, each time escalating to another level of management. While I did not get the name of the first
person we spoke with, I did note that future conversations were with Claudia,
Kenyatta, Dianna Sierra, and finally, Wanda Bartels. We
were billed an exorbitant, incorrect amount for a standard, scheduled
appointment. There was no “operating
room” and he received no “surgical services”.
The incorrect bill was not reflective of the amount quoted to us at the
time of scheduling the appointment, nor was it reflective of the minimal services
my son received in the twenty minutes he spent in the room. During the very first interaction, PCH
offered a 50% discount off the bill. We
explained that we were not looking for a discount; we simply were requesting a
bill that correctly reflected the services quoted and received. Additionally, we requested the detailed records
from the appointment, both billing and medical, from PCH. We were
told it would take approx. 30 days to receive the medical records and that the
billing record would be a single line item – “Ancillary
Services”. PCH continued to offer 50% off the bill and said the
offer would expire within 7 days. We asked PCH to put their offer in
writing as we have had miscommunication with them regarding billing since
scheduling the appointment. This is very standard practice in any
financial negotiation. PCH (specifically,
Dianna S[redacted] and Wanda Bartels[redacted]We have and continue to ask
only that PCH acknowledge the error in billing and present to us a new bill
correctly reflecting our $60 co-pay for a regularly scheduled appointment with
an orthopedic dr. Unfortunately, his is not an
issue we alone have had with PCH. As
reflected on the Revdex.com and other sites, many families, like us, have gone through
this headache while trying to care for the medical needs of their children. Unfortunately, PCH appears to be in the habit
of practicing creative billing and deceiving the public for monetary gain. It is for this reason that we, along with
many others, have been forced to file complaints with the Revdex.com, The Department
of Insurance, the Medical Board, Yelp, Google, and our State
Representatives. Additionally, at the
advice of both our insurance agent and our representative at BCBSAZ, we have
filed a case with the BCBSAZ Fraud Department.We
would have never made an appointment at this facility if we had known they
would re-code our appointment upon our arrival in an attempt to collect more
money. We
sincerely hope that PCH will re-consider our plea to correct the error in
billing. Upon their doing so, we are
more than happy to promptly pay our $60 co-pay amount for the standard,
scheduled, middle-of-the-day appointment our son had with the orthopedic dr.
Regards,
[redacted]
The account referenced in this complaint has been reviewed. There have been numerous conversations between Ms. * and the billing customer service department. The billing and outstanding balance are accurate. A message was left to please return the call to Phoeni* Childrens on...
9/8/16. This call has not been returned. Please call [redacted]
Mr. [redacted] was contacted by our customer service team and his issue has been resolved per the statements below. I have contacted GTR and advised him of the actions on accounts and informed him that payments have been reported and credit transfers have been completed to zero the balances on the...
statements he is receiving. GTR was not upset just did not want to wait on hold any longer. Account has been resolved by transferring credits on accounts to zero balances owed.
Credit card refund request was submitted on 11/21/16.
the bill is not accurate and not voicemail was left by the hospital.
Ms. XXXXX's account has been reviewed. Calls are being placed to discuss the account and the details of the billing with her directly. PCH will discuss with the parent and resolve as soon as possible.
Revdex.com:
I have reviewed the response made by the business...
in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me. I will wait until for the business to perform this action and, if it does, will consider this complaint resolved.
Regards,
[redacted]
This claim was billed correctly and reviewed by coding and risk management for validation. Ms. [redacted] can appeal this directly to her insurance as there is nothing further we can do here at Phoenix Children's Hospital.
THE REFUND REQUEST IN UNDER REVIEW. THE PROCESS TAKES APPROX 6 WEEKS.
Mrs. XXXX has been given a detailed explaination of her billing. It is accurate. PCH offers have been declined.
Phoenix Children's Hospital stated in their response that they would contact me directly to resolve the issue. It has now been a week, and still, no one has contacted me. I'd also like to...
add that there was an error in my original complaint that said I had called Cigna 9 times, when I meant to say that I had called Phoenix Children's 9 times between January 28th and October 20th.
This inquiry has been completed. The billing process has been explained. The billing process is not customizable by patient and is established to assist parents with keeping track of their many bills. This is a process that is helpful to many parents that are overwhelmed with their...
paperwork.