ENT and Allergy Specialists

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the responseIf no reason is received your complaint will be closed Administratively Resolved] Complaint: [redacted] I am rejecting this response because: this response is immaterial as it's full of factual innacuracies Insurance cowas notified that I required follow up on this case.Regards, [redacted]

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved] Complaint: [redacted]I am rejecting this response because:
this response is immaterial as it's full of factual innacuracies.
Insurance co. was notified that I required follow up on this case.Regards,[redacted]

June 9, 2014
This is response to letter dated June, 5 2014On May 14, 2014 we contacted [redacted] regarding a balance of $53.10. A...

message was left for him to call back so that we could explain that he would be receiving a statement in the amount of $53.10, which represented a refund was sent due to funds being applied to his account in error.[redacted] called back on May 16, 2014 and was upset that he received a statement in the amount of $53.10. We tried to explain that a payment of $53.10 was incorrectly posted to his account; he told me that he had paid this plus $109.00 and his balance should be zero and that he is calling his insurance company to file a complaint. We double checked our records and confirmed that his payment was for 109.00 bringing his balance to zero. We erroneously applied a payment of 53.10 to [redacted]s account instead the proper patients account.On May 16, 2014 we received a call from [redacted] at [redacted] Healthcare explaining that a payment of $109.00 was made from the members HSA account and the member was not responsible, we agreed that that was correct that is why the patient received a refund for $109.00. We also explained to [redacted] that payment of $53.10, which [redacted] is complaining about, was applied incorrectly to his account and that [redacted] needed to refund us. [redacted] told me that she will explain this and ask [redacted] to send us a copy of his credit card receipt.Sincerely,

Review: Dear Madam/Sir:I saw Dr. [redacted] on Jan. 2nd this yr. in their other office in [redacted].My complaint is about their Billing Dept. which is located in main office, [redacted] , Pa.They started sending me bills smwh. in April for this visit although my insurance claimed (as it is today) that I owe them 0. I ignored the initial bill, to which after couple of wks. they send some sort of notice where in a rude manner they claimed lk. "we understand you might have fin. difficulties but call us so we can do refinancing" something like that.First bill was 53.10 which I paid (I talked ab. end of April w/ someone in their Billing if not mistaken), then another came for 109 bucks after several wks. and I even paid that w/out contacting my insurance, thinking that if it's their billing mistake insurance will auto- correct them and they will issue me a refund.Then the whole billing saga w/ them goes on...:-) They sent me a cheque on 162.10 bucks which is cumulative of those 2 charges btw. completely unauthorized by insurance. So that way I took it as of their apologize for WRONG billing...?! Most recently , couple of days ago I received some stupid v- mail form them stating that I still owe them 53.10.Yesterday I called their Billing Dept. and told woman working ova there that they do NOT know what they are doing asking for their Supervisor to contact me back.. and give final explanation of all billing screw-ups. After it, I called my insurance co. and woman from there took to investigate the whole thing.Here is copy of visiti details from my ins...:Claim Details Learn More About Your Claim Details $457.00 Total Amount billed by [redacted]: $109.00 Your plan pays: $0.00 Amount you can expect to pay out of pocket: Member:[redacted] (Husband)Date(s) of Service: 01/02/2014 Type:MedicalStatus:Completed Claim SummaryClaim ID#:[redacted]Status:Completed Payment: Made on 01/21/2014 to Provider EFT Number:[redacted] You PayYour PlanDesired Settlement: I ask you to investigate the whole case, and for that officeto stop harassing me further. They did unauthorized charges (acc. to insurance), because I owe them 0 for the visit- it's as of today.If insurance reprocesses the whole claim and shows me any balance, will send them check. However as of tod., that's not the case...Otherwise, if they continue w/ harassment and accusations of any owing, I will have to bring them to the court.

Business

Response:

June 9, 2014This is response to letter dated June, 5 2014On May 14, 2014 we contacted [redacted] regarding a balance of $53.10. A message was left for him to call back so that we could explain that he would be receiving a statement in the amount of $53.10, which represented a refund was sent due to funds being applied to his account in error.[redacted] called back on May 16, 2014 and was upset that he received a statement in the amount of $53.10. We tried to explain that a payment of $53.10 was incorrectly posted to his account; he told me that he had paid this plus $109.00 and his balance should be zero and that he is calling his insurance company to file a complaint. We double checked our records and confirmed that his payment was for 109.00 bringing his balance to zero. We erroneously applied a payment of 53.10 to [redacted]s account instead the proper patients account.On May 16, 2014 we received a call from [redacted] at [redacted] Healthcare explaining that a payment of $109.00 was made from the members HSA account and the member was not responsible, we agreed that that was correct that is why the patient received a refund for $109.00. We also explained to [redacted] that payment of $53.10, which [redacted] is complaining about, was applied incorrectly to his account and that [redacted] needed to refund us. [redacted] told me that she will explain this and ask [redacted] to send us a copy of his credit card receipt.Sincerely,

Consumer

Response:

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved] Review: [redacted]I am rejecting this response because:

this response is immaterial as it's full of factual innacuracies.

Insurance co. was notified that I required follow up on this case.Regards,[redacted]