Emergency Physicians of Central Texas, PA

Complaint: [redacted]
I am rejecting this response because:  I did not receive a detailed bill.  That's what I have told them.  Please have them send another bill.  Also, I am not the responsible party to threaten collection proceedings.   I don't understand the difference between myself or Emergency Physicians submitting to CO Medicaid.   Never was it told to me prior to services they didn't bill out-of-state Medicaid.  The only correspondence I received was past due postcards months after service.  I will not pay these charges.  
Regards,
[redacted]

Proper protocol was followed on this account.  Although the providers file insurance as a courtesy to the patient it is ultimately the responsibility of the guarantor to pay for services rendered.  However in an effort to satisfy this patient we our willing to give a 50% discount on this account if paid timely in 30 days from this response.

Complaint: [redacted]
I am rejecting this response because:Please view the attachment that arrived in my mail on Saturday.   I am not happy to be caught up in such miscommunication and definitely not happy that this may end up scarring my credit rating.  I am being told one thing by TCEP and another by the Collection Agency.   This behavior is not only unprofessional but unfair to me the consumer.
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 11/06/13 and is disputing the amount that went to collections to Financial Control Services for an...

amount of $170.00. 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 07/02/13 with Medical Records to support these findings. We verified with Financial Control Services as well and their data matched with ours for DOS 07/02/13. Additionally, the customer did actually pay a partial amount on this bill of $150.00 via check. Total charges were $320.00 with a payment by customer of $150.00 on 08/20/13 check #[redacted] leaving a balance unpaid of $170.00 that went to collections on 11/06/13.There for the charges are justified and valid for 07/02/13 and we have no account for this customer on 11/06/13. The customer can request Medical Records from the hospital if further data is needed regarding the visit.Thank you,

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]

As I previously stated this account did go to collections but we pulled it back.  It is not in collections at this time.  the Collection agency failed to remove from their records when they sold accounts to another company per the client.

Patient was seen in the ER at [redacted] acomplaint of "tightness" in the right eye. Patient was seen and examinedby Dr. [redacted] who diagnosed patient with Conjunctivitis. Patientwas given a prescription for eye drops. She was instructed to follow upwith...

Ophthalmologist and return if symptoms worsens. Therefore, Patienttreated and services were rendered which resulted in charges due.Patients have the right to refuse treatment and leave at will and in thiscase patient did not. They continued their treatment to the point ofdischarge and receiving a prescription and given discharge instructionswith the diagnosis of conjunct~vitis in which patient states they werenever told of these findings, when indeed the patient signed off on thedischarge instruction.

This letter is in response to the Revdex.com complaint about [redacted] The complaint was submitted on 8/29/2017 and was assigned an ID of [redacted]. We did not originally receive the complaint until today 09/21/17. After reviewing the account I found the...

patient was sent a bill on 08/29/15 which was after we received a response from the patients insurance denying the claim. We attempted to appeal this claim with the insurance carrier and while it was on appeal the account was placed on a hold. It was Inadvertently overlooked until just recently when the representative working the account released this to the patient and sent the patient a bill on 6/08/17. After no response from the patient the account was sent to collections. In 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]

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 [redacted].  It is now too late to send the original claim to prove Timely filing because our clearinghouse only holds claims for 2 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.

Complaint: [redacted]
I am rejecting this response because:  I'm not responsible for payment so I'm not negotiating a settlement.  My request is a detailed coded bill to submit to CO Medicaid.  Please send one promptly.  All I've received is your collection postcards.  
Regards,
[redacted]

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 4 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.

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 bill. It was finally paid on 12/16/2015 by Unicare, a major insurance company. As you can see below, my insurance company indicated that I had a $0 balance and therefore I thought this was all settled. I NEVER received a letter in January 2016, nor did I receive any phone calls, regarding my balance. I did not receive anything until that from the collection agency. While 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.

When patient called in to make a payment she paid by Credit card which is processed immediately in the system and can not be stopped.  However, this account was set up immediately to refund the patient but refunds go out at the end of each month.    It does not take 60-90 days to...

process the refund, but we do have to allow time for processing.  This refund would have gone out at the end of this month. However I have requested a rush refund on this account to go out immediately.

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
I remember that day perfectlyThe people from finances made
me sign many papers to let me goI was crying and begging them to let me go
Dr[redacted] hugged me and for a moment I thought that she felt my frustration
and pain, then she left the room and send a paper with her nurseThe dr
deliberately lied about my eye, she new it was not conjunctivitis because I
told her that the drin [redacted] (the one who sent me to that
particular Seton) told me that as regular drshe could only diagnose pink eye
or conjunctivitis and what I had was more serious[redacted] knew thisShe just typed
that diagnose to justify the almost dollar for nothingIt is very sad to
find this kind of practices from doctors
Regards,
[redacted]