Elite OB/GYN

August 27, 2014Dear [redacted]:Our office is writing in response to a letter dated August 11, 2014 notifiying our office of Revdex.com Complaint ID: [redacted],Our client was seen in the office on 04/10/12 and due to human error at time of registration her address and current insurance...

information was not updated in the billing system. Services for 04/10/2012 were submitted to her previous Insurance company. The claim was denied and a statement was sent to her address on file. Our office did not receive any returned mail and statements were sent on 05/29/12, 09/19/12, 11/21/12, 03/18/13, 06/11/13, 10/02/13,01/27/14, and 04/04/14, Her account was turned over to collections on 06/11/14 due to outstanding balance of $160,00.The client contacted our office to dispute the balance after she was contacted by collections. We apologized to the client and requested time to research the issue. At this time we contacted the collections agency arid they put a stop on her account pending research. We determined based on review of client's file, billing Software and insurance payment explanation of benefits that an error was made at time of registration. The account was to be written off and collections cancelled but our office was contacted by her Insurance provider for the date of 04/10/12. The insurance provider and client requested our office to resubmit the claim. Pending insurance response the account remained in hold status. The claim was submitted and notification of denial due to untimely filing was received on 07/28/2014. The account was written off our billing Systern årld the collection agency was notified to cancel the account on 08/13/14.
We apologize for the inconvenience pur client experienced due to the unfortunate human error and cooperated with all requests made by the client and her insurance provider, Her account has a zero balance and all collections actions have been stopped. The client should not experience any negative residual effects against her credit or credit rating in the future.Thank you,
Caitlin E
Billing Mariager Elite OB/GYN

[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 [redacted], and find that this resolution is satisfactory to me.  
I appreciate the Revdex.com services in helping with a timely closure of this manner.
Regards,
[redacted]

Review: A debt collector called me in late June regarding an unpaid bill from services provided by Elite OB/GYN on April 10, 2012. I contacted the provider and asked them to send me the bill and my insurance card information. They did not mail me the bill but mailed me a copy of my 2011 insurance card and my 2012 insurance card. I contacted my 2012 insurance provider, [redacted] ([redacted]) and they notified me that part of the services provided on April 10, 2012 were submitted to [redacted] but they had no record of the $160 part of this service date. To my knowledge, communications occurred between [redacted] and Elite OB/GYN and Elite OB/GYN submitted in July 2014 the claim to the accurate insurance provider provided on the date of service. But [redacted] denied reimbursing services that were filed after the deadline. [redacted] explained to me there is state policy indicated its the responsible of the provider to file in a timely manner when given the insurance card information on date of service. Elite OB/GYN mailed me a copy of the right insurance card with the note "new 4/10/12" and [redacted] indicated Elite OB/GYN office submitted a claim from 4/10/12 for part of the services rendered on this date that were reimbursed in 2012. Elite OB/GYN indicated they had been mailing notice $160 portion due (when the were submitting this portion of the claim to my 2011 insurance provider for services in 2012) but were not only using the 2011 insurance card at this time but also my 2011 mailing address. My phone number has been the same and [redacted] my name and easily find my email.Desired Settlement: It's my understanding the law is clear in resolving this manner and the provider needs to stop pursing payment from me since I provided accurate insurance information on the date of service. It was their mistake in not submitting the claim to the 2012 insurance provider in a timely manner. They had my phone number and could have contacted me via phone in a timely manner to resolve their mistake earlier.

Business

Response:

August 27, 2014Dear [redacted]:Our office is writing in response to a letter dated August 11, 2014 notifiying our office of Revdex.com Complaint ID: [redacted],Our client was seen in the office on 04/10/12 and due to human error at time of registration her address and current insurance information was not updated in the billing system. Services for 04/10/2012 were submitted to her previous Insurance company. The claim was denied and a statement was sent to her address on file. Our office did not receive any returned mail and statements were sent on 05/29/12, 09/19/12, 11/21/12, 03/18/13, 06/11/13, 10/02/13,01/27/14, and 04/04/14, Her account was turned over to collections on 06/11/14 due to outstanding balance of $160,00.The client contacted our office to dispute the balance after she was contacted by collections. We apologized to the client and requested time to research the issue. At this time we contacted the collections agency arid they put a stop on her account pending research. We determined based on review of client's file, billing Software and insurance payment explanation of benefits that an error was made at time of registration. The account was to be written off and collections cancelled but our office was contacted by her Insurance provider for the date of 04/10/12. The insurance provider and client requested our office to resubmit the claim. Pending insurance response the account remained in hold status. The claim was submitted and notification of denial due to untimely filing was received on 07/28/2014. The account was written off our billing Systern årld the collection agency was notified to cancel the account on 08/13/14.We apologize for the inconvenience pur client experienced due to the unfortunate human error and cooperated with all requests made by the client and her insurance provider, Her account has a zero balance and all collections actions have been stopped. The client should not experience any negative residual effects against her credit or credit rating in the future.Thank you,Caitlin EBilling Mariager Elite OB/GYN

Consumer

Response:

[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.]

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