Epoch Integrated Health Services

Labs are conducted by order of the Physician In this case the Doctor may have requested all new patients require testing before they will prescribe medications or treatment This is conducted by an outside lab and is not done by Epoch I will cc: this response to the Lab representative so they can address this Thank youJana

7-19-17Revdex.comI am responding to a letter received July 12, from *** *** ID #*** Epoch IntegratedNew Info:I received a letter from *** ** *** Attorney Gen saying he also contacted Next Bio Research Serv, LLC to have medicine panel results mailed to meSo far nothing…but, Next Bio has quit billing me for $that Epoch said I did not have to pay now Thanks! :)I still want results of blood panelNo more bills from Next BiologicalsThanks*** ***###-###-####*** *** *** *** ** ***###-###-####Next Bio ResearchPO Box 791491Baltimore, MD 21279-

Epoch Integrated Health Services and our staff make every attempt to inform patients of their responsibility for payment. When we ran the initial insurance verification for Mr*** the amount of the copayment was shown on the initial report as $10.00. Based on that, we quoted
the amount to Mr*** however, our documentation that is completed by patients upon accessing services informs patients that should the insurance benefits quoted vary once a claim is submitted and paid they will be responsible for further payment. Epoch bills a patients insurance as a courtesy only and the patient carries the ultimate responsibility for ensuring payment to Epoch. Mr***'s contract for health coverage is with his insurance company in which he agrees to pay all copayments, co-insurance and deductibles. Epochs contract with the health plan requires us to collect these monies from the patient after final payment is made to Epoch which is often 60-days later. This is precisely what occurred in Mr***'s case. Mr*** first received service on 03/12/2015. Payment for this services was made to Epoch on April 27, 2015.It was upon receipt of that EOB (i.eExplanation of Benefits, which we received and was ALSO sent to the patient by the health plan at the same time) that we were first notified of the higher copayment due by Mr***. Mr***'s final date of services was 4/27/for which we received payment on 5/15/2015. That means that EPOCH did not receive the EOB's for services rendered and thus acknowledgement of the correct co-payment amount until AFTER Mr***'s last visit.Epoch however is a reasonable organization and if Mr*** is experiencing a hardship he may contact our office to arrange for a payment agreement that will afford Mr*** time to meet his obligation. Thank you,Jana S***, CEO

Labs are conducted by order of the Physician.  In this case the Doctor may have requested all new patients require testing before they will prescribe medications or treatment.   This is conducted by an outside lab and is not done by Epoch.  I will cc:  this response to the Lab...

representative so they can address this.   Thank you. Jana

Complaint: [redacted]
I am rejecting this response because:Revdex.com7007 Jefferson St. NE Ste AAlbuquerquen, NM 87109Reason, ID [redacted]I have received your responses dated 9/14/15 and 9/21/15, I feel this complaint is on going, the issues have not been addressed or resolved. They did not mention the primary issues and problems that need clarification. They say that it takes 60-90 days to receive payment from the insurance company, this may be right. However, this has nothing to do with their recieving payment when they already know how they billed the insurance company and that they will be paid accordingly. They billed themselves as specialists, this was pre-determined from the beginning. They just withheld this information from e so as they could keep making appointments and charging me, they knw what they were doing. According to [redacted] they make payments the way there are submitted by the company. The insurance company does not determine the amount of the bill. They are considered either primary or specialist. Epoch considered themselves as specialists. The insurance company did not change the rules, epoch created this scenario from the befinning. There was not any changes in the health plan, when they billed themselves as Specialists from the first appointment through number Ten, nothing changed. This entire matter is an Un-truth as to what they did and the way it was done. Their own billing statement proves the way this occured. Carrying over $30.00 from the first appointment and all future appointments, (10 x $30=$300.00.) No attempt to correct, change or notify me was ever made until they had run up the boll. Then they say, you owe us money, but we will work with you.I have had further discussions with my Doctors office and [redacted] on this matter. I wonder how many unsuspecting people have had this treatment from epoch???[redacted]
[To assist us in bringing this matter to a close, the consumer must give a reason why they are rejecting the response. If the consumer does not provide a reason if he complaint will be closed Administratively Resolved]