Ellis Hospital

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this does not resolve my complaint.? For your reference, details of the offer I reviewed appear below [To assist us in bringing this matter to a close, we would like to know your view on the matter.] Regards, ***? [redacted] The dispute is that when they offered the $25/month payment I told them I would probably pay more to get paid off sooner which if you look at my payment record you will see I did exactly as I said? I did not deny your agreement? I told you I would pay it off before the time you would give with the agreement? You could have sent paperwork if that is your arguement but you did not? Telling you I will probably pay it off before the time does not equate to a refusal to make payments as you requested? You did not send the paperwork AND the first time I called you refused to work with me after I told you I could not pay it in months? I had to call the second time to get consideration

I just received notice from my health insurance company that the bill was resubmitted finally with the correct ICD code and the bill was paid by insurance? It only took phone calls, months and a complaint to the Revdex.com to get it done correctlyWhat I did ? notice is based on the contractual agreement between my health insurance and Ellis hospital, they were paid $out $because Ellis hospital is a participating providerI can’t help but wonder if this is the reason why they improperly coded my claim and sent my case to collections in an attempt to have me pay the entire billI am positive there are many patients who just pay the bill and this practice is wholly underhanded and unethicalAlthough I am satisfied now that the bill has been paid, I still have the problem of this bill being sent to collections? I was told by Ellis billing that once it goes to collections there is nothing they can do about itIt was their fault that the bill wasn’t paid and never should have been sent to collectionsI would like this bill satisfied in any collection action taken against meThank you very much for your time and assistance and I am very grateful to the Revdex.com in this matter

I AM IN RECEIPT OF THE COMPLAINT THAT WAS FILED AGAINST ELLIS MEDICINE BY *** * *** ON MAY 29, 2015, *** *** WAS INADVERTENTLY TOLD INCORRECT INFORMATION AT BELLEVUE WOMAN'S CENTER REGARDING WHETHER HIS INSURANCE WOULD COVER THE WHOOPING COUGH VACCINATION a REFUND WILL BE ISSUED AND
SENT WITHIN THE WEEK IN THE AMOUNT OF $ tHE STAFF HAS BEEN MADE AWARE OF THIS SITUATION AND RE-EDUCATED AS THIS TYPE OF COMPLAINT IS ALWAYS AVOIDABLE IF YOU HAVE ANY FURTHER QUESTIONS, PLEASE FEEL FREE TO CONTACT ME DIRECTLY AT 518-243-1560.SINCERELY,KAREN M***SRDIRECTOR REVENUE CYCLE

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

On the Date of service we were not supplied with a copy of an active insurance card for the newborn, nor any Health info for the "Birth" with newborn nurser coverageThe insurance information was provided to us via phone and it ias for *** *** we billed them and were denied as there was and
is no newborn coverage for the child's bill (see enclosures)Due to this complaint I had the account billed to *** and on 04/11/it was rejectedIf a card exists for *** coverage eff 03/17/if mom could provide it to us, we would like to see it and maybe it's as simple as updating the policy ID# the only one we have on file is herWe've searched the *** Website by name and were not able to access *** Health inscoverage / policy for the child.We want to assist but we cannot make the needed changes on the exchange, only the as insured can and the person who enrolled her can. It appears that the baby was not enrolled as needed for insto cover the birth. Please have her enroll with the exchange and be sure to inquire for the Month of Birth Coverage.

I AM IN RECEIPT OF THE COMPLAINT THAT WAS FILED AGAINST ELLIS MEDICINE BY *** * *** ON MAY 29, 2015, *** *** WAS INADVERTENTLY TOLD INCORRECT INFORMATION AT BELLEVUE WOMAN'S CENTER REGARDING WHETHER HIS INSURANCE WOULD COVER THE WHOOPING COUGH VACCINATION a REFUND WILL BE ISSUED AND
SENT WITHIN THE WEEK IN THE AMOUNT OF $ tHE STAFF HAS BEEN MADE AWARE OF THIS SITUATION AND RE-EDUCATED AS THIS TYPE OF COMPLAINT IS ALWAYS AVOIDABLE IF YOU HAVE ANY FURTHER QUESTIONS, PLEASE FEEL FREE TO CONTACT ME DIRECTLY AT 518-243-1560.SINCERELY,KAREN M***SRDIRECTOR REVENUE CYCLE

To Whom it may concern: We are in receipt of the complaint and have researched the circumstances that caused the patient to recieve a bill. We do apologize for the inconvenience this has caused the patient. While researching the complaint with the insurance plan, it
was concluded that there was an error on the part of insurance plan. This particular physician was not correctly added to Ellis' physician group in the system and therefore that physician was processing with the out of network benefit. It has been requested that the insurance plan correct the error and reprocess the claim. They have agreed to do soEllis, as an organization, contracts with the insurance plans and therefore all Ellis employed physicians accept the same insurance.If there are any further questions, please feel free to contact my office.Thank you.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below
[To assist us in bringing this matter to a close, we would like to know your view on the matter.]
Regards,
*** ***
The dispute is that when they offered the $25/month payment I told them I would probably pay more to get paid off sooner which if you look at my payment record you will see I did exactly as I said I did not deny your agreement I told you I would pay it off before the time you would give with the agreement You could have sent paperwork if that is your arguement but you did not Telling you I will probably pay it off before the time does not equate to a refusal to make payments as you requested You did not send the paperwork AND the first time I called you refused to work with me after I told you I could not pay it in months I had to call the second time to get consideration

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below
[To assist us in bringing this matter to a close, we would like to know your view on the matter.]
Regards,
*** ***
The dispute is that when they offered the $25/month payment I told them I would probably pay more to get paid off sooner which if you look at my payment record you will see I did exactly as I said I did not deny your agreement I told you I would pay it off before the time you would give with the agreement You could have sent paperwork if that is your arguement but you did not Telling you I will probably pay it off before the time does not equate to a refusal to make payments as you requested You did not send the paperwork AND the first time I called you refused to work with me after I told you I could not pay it in months I had to call the second time to get consideration

I just received notice from my health insurance company that the bill was resubmitted finally with the correct ICD code and the bill was paid by insurance It only took phone calls, months and a complaint to the Revdex.com to get it done correctlyWhat I did notice is based on the contractual agreement between my health insurance and Ellis hospital, they were paid $out $because Ellis hospital is a participating providerI can’t help but wonder if this is the reason why they improperly coded my claim and sent my case to collections in an attempt to have me pay the entire billI am positive there are many patients who just pay the bill and this practice is wholly underhanded and unethicalAlthough I am satisfied now that the bill has been paid, I still have the problem of this bill being sent to collections I was told by Ellis billing that once it goes to collections there is nothing they can do about itIt was their fault that the bill wasn’t paid and never should have been sent to collectionsI would like this bill satisfied in any collection action taken against meThank you very much for your time and assistance and I am very grateful to the Revdex.com in this matter

Called and spoke with business, they stated that the consumer's has two insurances and he had a deductible to meet for his secondary insurance Consumer was liable for payment, consumer paid in 11/and 1/and did not pay again until 5/and there still is a balance owed

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

Called and spoke with business, they stated that the consumer's has two insurances and he had a deductible to meet for his secondary insurance Consumer was liable for payment, consumer paid in 11/and 1/and did not pay again until 5/and there still is a balance owed

On May 05,2016,
personally spoke with Mr***, I apologized for the lack of a returned phone call, and advised him that we also have e-mail information listed on all of our statements as another option to contact usIt was explained that payment in full is expected within daysAt that timeIf the account is not satisfied and at a zero balance it will be sent to collectionsA formal payment arrangement is needed to stop that from occurringDuring our conversation, Mr*** was informed that we tried to seek reimbursement from his secondary health insurance plan; his health insurance companies could process and pay on this outstanding balance if he would reply to their correspondence regarding "Coordination of Benefits" (which plan was primary / secondary) between *** Health Plan and *** HealthcareHe refused, saying he has a High Deductible Health plan and the balance will be the sameHe wanted to pay itIn order to rectify the fact that Mr*** was unable to reach our office, I agreed to recall the account from collections and had the account cleared from his credit historyHe was sent a letter of confirmationHe agreed to a $down payment and a monthly payment agreement was made for $a month going forwardHe was told that delinquency could result in our returning the encounter to collections due to defaultBased on the above, I believe that we addressed Mr*** concernsIf I may be of any additional assistance please contact me at ###-###-#### or ***.***

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

In response to the complaint the following information was obtained from our billing manager. FHC visit for 01/25/17 ECD# *** I see codes of: *** ((Ins. processed and paid leaving her a $bal* she paid this one)This claim was
not recoded and processed as the patient states in her letter, the original claim was processed and paid with the noted diagnosis codes, leaving a $copay, which the patient has paid X-Ray visit 01/25/ECD# *** Coded with *** ( Ins. processed and paid leaving her a $bal* still unpaid) This is correct, claim was billed and paid w/ dx ***, leaving a $copayAccording to HDX, patient copay for PREFERRED AND PARTICIPATING FACILITY; OUTPATIENT DIAGNOSTIC TESTING is $ Lab visit 01/28/ECD# ***Coded with ***, *** *** and *** ( Insdenied as non covered; she is currently in BD collections for this .) This claim originally billed w/dx Z(encounter to establish care), and was denied as non-covered which is correctThis is not a reason for lab work to be orderedClaim was rebilled with codes noted above on 10/13, payment or denial is still pending

This customer presented on 10/19/in our Emergent care site: Health Insprocessed 11/01/balance dropped to the Guarantor.11/01/first statement mailed $On 12/11/second statement mailed requesting payment balance at that time was $323.00.? 01/12/a call was placed after
speaking with Ms*** she was offered Financial Assistance: Charity Care as an option and an application was then mailed as she couldn’t afford to pay in full nor in months and didn’t want to pay the minimum requested $monthlyHad she agreed, a payment arrangement would have been? set up in our system that would have prevented the bill from going to collections (unless defaulted on)Ms*** was verbally advised of the possibility of BD collections placement when she offered $monthly01/20/17…our last attempt and final statement was mailed the balance was $Payments: 01/23/we received our first payment of $On 2/09/a payment of $was receivedOn 02/10/a second Charity care application was mailed to herThen on 03/01/Our account balance was sent to BD collections for the balance due of $03/8/a Bad Debt collection letter was mailed; 03/13/another payment of $was receivedBetween this date and June various payments were made on the collection encounter which is now paid in full.On 06/09/she called the Bad Debt collection agency to advise that she had paidShe then called them back on 07/09/to say she now wants the reference on her credit profile completely removedShe was advised it will be listed as a paid collection debtShe then called again on 10/25/upset asking for the same and ended up telling the rep to shut up and hung the phone up.Please note: We follow NYS laws and our collection policy states that when an account reaches days and is not paid in full and has no payment agreement set up in our system; the account is referred to BD collectionsWe made an attempt to work with Ms***? to obtain a monthly Payment Agreement however that process failed, we offered our Financial Assistance program: Charity care and mailed the application twice, it? was never returned to us to provide her with Financial Assistance.Payment agreement’ s are set up to assist with patients that require additional time, it is set up for a specific amount that we both agree upon and can expect on a monthly basis…When set up these arrangements the system stops all collection aging and we mail a letter of agreement and the terms of that agreementIt is not unreasonable to expect payment in full for services rendered timely; we do try to work with someone as they pay us over time, when they request a payment agreement or agree to one; unfortunately we had no such arrangement with Ms***.I’ve listened to (2) of the recorded phone call interactions and agree that our process was followed as designed…This bill will remain as a paid in full Bad Debt collection

This customer presented on 10/19/2016 in our Emergent care site: Health Ins. processed 11/01/16 balance dropped to the Guarantor.11/01/16 first statement mailed $323.00. On 12/11/16 second statement mailed requesting payment balance at that time was $323.00.  01/12/17 a call was placed after...

speaking with Ms. [redacted] she was offered Financial Assistance: Charity Care as an option and an application was then mailed as she couldn’t afford to pay in full nor in 3 months and didn’t want to pay the minimum requested $25.00 monthly. Had she agreed, a payment arrangement would have been  set up in our system that would have prevented the bill from going to collections (unless defaulted on). Ms. [redacted] was verbally advised of the possibility of BD collections placement when she offered $5.00 monthly. 01/20/17…our last attempt and final statement was mailed the balance was $323.00. Payments: 01/23/17 we received our first payment of $10.00. On 2/09/17 a payment of $25.00 was received. On 02/10/17 a second Charity care application was mailed to her. Then on 03/01/17 Our account balance was sent to BD collections for the balance due of $288. 03/8/2017 a Bad Debt collection letter was mailed; 03/13/17 another payment of $10.00 was received. Between this date and June 2017 various payments were made on the collection encounter which is now paid in full.On 06/09/2017 she called the Bad Debt collection agency to advise that she had paid. She then called them back on 07/09/2017 to say she now wants the reference on her credit profile completely removed. She was advised it will be listed as a paid collection debt. She then called again on 10/25/2017 upset asking for the same and ended up telling the rep to shut up and hung the phone up.Please note: We follow NYS laws and our collection policy states that when an account reaches 120 days and is not paid in full and has no payment agreement set up in our system; the account is referred to BD collections. We made an attempt to work with Ms. [redacted]  to obtain a monthly Payment Agreement however that process failed, we offered our Financial Assistance program: Charity care and mailed the application twice, it  was never returned to us to provide her with Financial Assistance.Payment agreement’ s are set up to assist with patients that require additional time, it is set up for a specific amount that we both agree upon and can expect on a monthly basis…. When set up these arrangements the system stops all collection aging and we mail a letter of agreement and the terms of that agreement. It is not unreasonable to expect payment in full for services rendered timely; we do try to work with someone as they pay us over time, when they request a payment agreement or agree to one; unfortunately we had no such arrangement with Ms. [redacted].I’ve listened to (2) of the recorded phone call interactions and agree that our process was followed as designed…. This bill will remain as a paid in full Bad Debt collection.

To Whom it may concern:  We are in receipt of the complaint and have researched the circumstances that caused the patient to recieve a bill. We do apologize for the inconvenience this has caused the patient. While researching the complaint with the insurance plan, it...

was concluded that there was an error on the part of insurance plan.  This particular physician was not correctly added to Ellis' physician group in the system and therefore that physician was processing with the out of network benefit.  It has been requested that the insurance plan correct the error and reprocess the claim.  They have agreed to do so. Ellis, as an organization, contracts with the insurance plans and therefore all Ellis employed physicians accept the same insurance.If there are any further questions, please feel free to contact my office.Thank you.

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