Ellis Hospital

On May 05,2016,1...

personally spoke with Mr. [redacted], 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 us. It was explained that payment in full is expected within 120 days. At that time. If the account is not satisfied and at a zero balance it will be sent to collections. A formal payment arrangement is needed to stop that from occurring. During our conversation, Mr. [redacted] 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 [redacted] Health Plan and [redacted] Healthcare. He refused, saying he has a High Deductible Health plan and the balance will be the same. He wanted to pay it. In order to rectify the fact that Mr. [redacted] was unable to reach our office, I agreed to recall the account from collections and had the account cleared from his credit history. He was sent a letter of confirmation. He agreed to a $75.00 down payment and a monthly payment agreement was made for $75.00 a month going forward. He was told that delinquency could result in our returning the encounter to collections due to default. Based on the above, I believe that we addressed Mr. [redacted] concerns. If I may be of any additional assistance please contact me at ###-###-#### or [redacted].[redacted]

I just received notice from my health insurance company that the bill was resubmitted finally with the correct ICD 10 code and the bill was paid by insurance.  It only took 6 phone calls, 9 months and a complaint to the Revdex.com to get it done correctly. What I did  notice is based on the contractual agreement between my health insurance and Ellis hospital, they were paid $115.64 out $676.00 because Ellis hospital is a participating provider. I 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 bill. I am positive there are many patients who just pay the bill and this practice is wholly underhanded and unethical. Although 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 it. It was their fault that the bill wasn’t paid and never should have been sent to collections. I would like this bill satisfied in any collection action taken against me. Thank you very much for your time and assistance and I am very grateful to the Revdex.com in this matter.

In response to the complaint the following information was obtained from our billing manager. FHC visit for 01/25/17  ECD# [redacted] I see codes of: [redacted] ((Ins.  processed and paid leaving her a $30.00 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 $30 copay, which the patient has paid.   X-Ray visit 01/25/2017 ECD# [redacted] Coded with [redacted] ( Ins.  processed and paid leaving her a $40.00 bal* still unpaid) This is correct, claim was billed and paid w/ dx [redacted], leaving a $40 copay. According to HDX, patient copay for PREFERRED AND PARTICIPATING FACILITY; OUTPATIENT DIAGNOSTIC TESTING is $40   Lab visit 01/28/2017 ECD# [redacted]Coded with [redacted] and [redacted] ( Ins.. denied as non covered; she is currently in BD collections for this .) This claim originally billed w/dx Z71.89 (encounter to establish care), and was denied as non-covered which is correct. This is not a reason for lab work to be ordered. Claim was rebilled with codes noted above on 10/13, payment or denial is still pending.