Emergency Physicians of Central Texas, PA

This letter is in response to your communication with our office concerning the account listed aboveThis account represents Physician services rendered at the Emergency Department of [redacted] The patient received services by the Emergency Department Physcians at [redacted] [redacted] ; [redacted] Emergency Physicians is the physician group that staffs the emergency department at [redacted] Two statements were sent to the patient at [redacted] ***, which is the address that was on the documentation received from [redacted] However, the statements were returned due to bad address at which time the account was sent to collectionsOur records do not indicate that the patient tried to contact usAn itemized statement will be mailed to the patient at the address [redacted] ***If you have any questions, please feel free to contact my office at [redacted] Sincerely,

I have reveiewed this patient concern and their account The information we received from the hospital for the patient's insurance is what we billed to *** It is now too late to send the original claim to prove Timely filing because our clearinghouse only holds claims for years from the date the claim was submitted However, as an act of good faith I will have this account removed from collections and attempt to re-submit the cliaim with the insurance carrier However, if insurance carrier refuses to pay we will send back to the patient for payment to the ER group

This letter is in response to the Revdex.com complaint about [redacted] The complaint was submitted on 8/29/and was assigned an ID of [redacted] We did not originally receive the complaint until today 09/21/After reviewing the account I found the patient was sent a bill on 08/29/which was after we received a response from the patients insurance denying the claimWe attempted to appeal this claim with the insurance carrier and while it was on appeal the account was placed on a holdIt was Inadvertently overlooked until just recently when the representative working the account released this to the patient and sent the patient a bill on 6/08/After no response from the patient the account was sent to collectionsIn an effort to show good faith in our delay of billing I have requested this account be removed from collections and the account written off [redacted] ***

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 dispute Please enter your reason(s) for rejecting the business response below Regards, [redacted] I had been in constant contact with my insurance company to settle this billIt was finally paid on 12/16/by Unicare, a major insurance companyAs you can see below, my insurance company indicated that I had a $balance and therefore I thought this was all settledI NEVER received a letter in January 2016, nor did I receive any phone calls, regarding my balanceI did not receive anything until that from the collection agencyWhile I had been traveling much of January through March, no notice was received in my mail regarding this payment due prior to the collection agency.While they stated they were contacting me multiple times, during that time frame my insurance company was trying to negotiate with them

The group is not in network with patient's insurance, although attempts are made to contract with all major carriers and other that the hospital also contracts with A coding investigation was done on this account and found charges justified Patient was sent notices about the bill and has the opportunity to pay their portion that the insurance did not pay Account has not gone to collections yet but will if no payment is received Account was handled appropriately and there were no findings to support any billing or collection errors on this account

Complaint: [redacted] I am rejecting this response because:it does not address the problem of the collections report on my credit report. Additionally, the collections agency never mentioned that services were delivered at [redacted] hospital. The only contact information I had was for a group in [redacted] . Additionally, it concerns me that the billing department had mail returned twice saying I was no longer living at the address on [redacted] and that no effort was made to forward the bill to the new address before turning the bill over to collections. It seems intuitive that if a piece of mail comes back one time saying a person no longer lives at said address, one would not send a second piece of mail to that same address. I am pleased that [redacted] will be sending an itemized billing so that I can properly pay the provider. However, I would like for the credit reporting issue to be resolved in my favor so that my credit score does not continue to be negatively affected. Regards, [redacted] ***

We are in receipt of the Revdex.com complaint ID # [redacted] from Customer [redacted] In her dispute she states she did not have service from Emergency physicians of Central Texas on 11/06/and is disputing the amount that went to collections to Financial Control Services for an amount of $We were unable to locate any charges for this customer on that DOS in our system and we contacted FCS who state they do not have charges for that DOS either.I verified that the customer was seen at Smithville Regional Hospital on 07/02/with Medical Records to support these findingsWe verified with Financial Control Services as well and their data matched with ours for DOS 07/02/Additionally, the customer did actually pay a partial amount on this bill of $via checkTotal charges were $with a payment by customer of $on 08/20/check # [redacted] leaving a balance unpaid of $that went to collections on 11/06/13.There for the charges are justified and valid for 07/02/and we have no account for this customer on 11/06/The customer can request Medical Records from the hospital if further data is needed regarding the visit.Thank you,

I reviewed the account for *** *** for 08/10/and that account did get written off to Charity on 10/01/15. However there was an account on 08/15/that did go to collections for non payment and it was not approved for charity by the hospital

I have reviewed this patients account and the patient was making monthly payments. However, in account went to collections because the patient missed a payment which is due every days to keep the account in good standings and avoid collections. The account went to collections on
02/06/ The patient then made a payment on 02/21/since the payment was within days from the time we sent it to collections we pulled the account back from collections. Where the patient continued to make monthly payments. This account is not in collections. The patient was misinformed. If the patient continues to make timely monthly payments the account will remain in good standings

Complaint: ***
I am rejecting this response because: I never received a 2nd statementThe only way I know that I owed less than the $I sent is because I called when I received a letter from a collections agencyAlso, no one ever mentioned my account went to collections in error and I asked twice why it wasThat still doesn't explain why it is taking so long to return my money when the issue was resolved so many weeks ago as is being indicatedI have called 3x requesting my refund
Regards,
*** ***

Complaint: ***
I am rejecting this response because: I phoned *** *** *** *** and was assured that my account had been sent to Collections I am wondering if my phone conversations are documented and how the communication could be so conflicted?
Regards,
*** ***

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. Noone should have to wait 60-days to get their money back and If I called to make the payment why didn't anyone state the balance was only for and actually it was made this your emailI hope to see my refund with in days as to what your customer service rep *** stated
Regards,
*** ***

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 I have already paid the amount to the collection group per advice from the ER physicians group So now I just need to get reimbursed from the physicians group for what *** pays on the claim I am still monitoring my credit reports daily to see that the collection group removes the collection from my credit report
Regards,
*** ***

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 dispute
Please enter your reason(s) for rejecting the business response below
It is so sad how you trick patients to sign paper under stress to let them go. I will take this as a bad experience in where I'm losing moneyI hope that this will help other people to know what to do when something like this happen to them. I will do my best to inform people their right to not sign or to take the time to read absurd diagnostics even when they are under stress like I was.You will get my money, yes but
Regards,
*** *** ***

This letter is In response to your communication with our office concerning your account This account represents Physician services rendered at the Emergency Department of North Central Baptist Hospital.Patient is enrolled in out of state Medicaid plan and as such the Texas provider is not
enrolled in out of state Medicaid planWe did attempt to bill Colorado Medicaid for services rendered in Texas but they denied the claim as they will not pay claims for providers not enrolled in their state Medicaid programProviders that practice medicine will enroll In the state Medicaid program they practice In but It is not feasible for them to enroll in other state programsPatient was sent a detailed billed that they can submit tn their State Medicaid program for payment.If you have any questions, please feel free to contact my office at ***

Statements were sent on 10/16/after account was input then again on 11/01/once we received a response from patients insurance of balance being applied to the deductible. This patient was sent a refund on Wednesday 12/27/17. The account is not just now over months old and we refund once a month. The account was not paid in full until November. November refunds had already been cut so this account was waiting for the December refund process

As stated in the previous reply, the patient was seen in the ER at Seton Medical Center*** and exanined by Dr*** ** ***Dr*** did consult with ophthalmology priorto diagnosing patient with ConjunctivitisThe Ophthalmologisc offered to see patient in theoffice the next day to which the patient was instructed to follow up with ophthalmologist thenext day to receive further treatment.Therefore, pat:.ent treated and services were rendered which resulted in charges d;lePatienthave t.he right to refuse treatment and leave at will and in this case the patientdid not:.They con:inued their treatment to the point of discharge and rece~ving a prescription andgiven discharge instructions with diagnosis of Conjunct.ivitis in which patient states theywere never told of these findings, when indeed the patient signed off on the dischargeins':ructions

Response to patient complaint:   Emergency Physicians of Central Texas,  the physicians who staff the ED at Seton Medical Center Williamson - are not employees of the hospital but, rather, a separate entity. As a separate entity, the physician group makes every effort to enter into fair...

and reasonable payor contracts.   They are always willing to be involved as participating providers in any plan which has a reasonable reimbursement for services provided by the physician.  They have worked diligently on negotiations with  insurance companies to reimburse the physicians at a rate considered fair and reasonable in the industry.  Emergency Physicians of Central Texas, contracts with most major insurance carriers and is  continually in negotiations to contract with key payors who service employers in the hospital area.  Although final agreements have not yet been reached with all payors, our staff is making diligent efforts to finalize contracts as quickly as possible.   There was no settlement agreement made between the Emergency Physicians of Central Texas and the patients insurance carrier.  We show payment from patients primary and secondary insurance.  Patient was sent statements on 06/22/15, 07/22/16, 08/21/15, 10/21/15 and then again on  01/04/16 after her secondary insurance finally paid after no payment or correspondence from patient the account finally went to collections on 03/08/16 almost a year after services were rendered.  Giving the patient plenty of opportunity to pay their account before it was set to go to collections.   Although we regret the patient perceived this to be unfair the account was handled appropriately.    Thank you,   [redacted] Director of Operations

Patient was seen in the ER on 10/10/17.  We did not receive any insurance at time of service from the hospital so a bill was sent to the patient on 10/16/17.  We did a search for insurance through our third party [redacted] search and found Insurance.  We billed the insurance on...

10/17/17.  Insurance paid on 10/26/17.   On 11/01/17 patient was sent a notice of balance due o f $452.00 not $830.00.  However since it was her second statement our system set this to go to collections in error.  On 11/09/17 is when we received the payment from the patient of $830.00 Refund was set up at that time but Refunds do not come from our office and they are set up to go out once a month.  I have requested this refund go out as a rush refund but due to the Holidays I am not sure this will be completed before the end of the year.  However, I have requested this.

This letter is in response to your communication with our office concerning the account listed above. This account represents Physician services rendered at the Emergency Department of [redacted]. The patient received services by the Emergency Department Physcians at [redacted]...

[redacted] Emergency Physicians is the physician group that staffs the emergency department at [redacted]. Two statements were sent to the patient at [redacted], which is the address that was on the documentation received from [redacted]. However, the statements were returned due to bad address at which time the account was sent to collections. Our records do not indicate that the patient tried to contact us. An itemized statement will be mailed to the patient at the address [redacted]. If you have any questions, please feel free to contact my office at [redacted]. Sincerely,