Express Movers

I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution would be satisfactory to me I will wait for the business to perform this action and, if it does, will consider this complaint resolved Regards, [redacted]

Thank you for notifying our team about the complaint ID [redacted] filed with the Revdex.com Optima Health’s response to the Complaint:At Optima Health, we set high standards for customer service and attention to detail If and when claims processing errors occur, we take care to notify members and providers to make necessary corrections For example, we may identify an error in claims processing that results in an overpayment made to a health care providerIf this occurs, we reprocess claims for the corrected reimbursement amount to the provider, send notification to the provider, and send a revised Explanation of Benefits (EOB) to any affected members The EOB identifies the provider, the date of service and the reprocessed claim information For situations like these, the provider needs to refund an overpayment to Optima HealthOptima Health appreciates notification from our members of any problems We will do our best to contact any providers on unusual billing activity and strive for resolution In the meantime, Optima Health members are encouraged to contact us at [redacted] for any questions or concerns surrounding details on their EOB.Regards, [redacted] ***Director, Sales OperationsOptima Health

Good morning, This was forwarded to me by Mr*** ***I am the Complaint Manager for the Health Plan. The enrollee policy was to start with an effective date of March 1, 2015. His initial payment to the Health Plan was due by February 28, 2015. The Health Plan sent the
enrollee a letter on February 10, requesting initial payment by February 28, per the Federally-facilitated Marketplace (FFM) regulations for coverage effective March 1, 2015. The Plan cancelled his membership on March 13, with a retro date of March 1, because payment was not receivedThe payment was received on March 16, 2015, however it was too late He was already mailed a cancellation letter on March 13, The enrollee continue to send in payments for April-June event though he was cancelledThe plan is processing his refund in the amount of $There was no accounting error, except the we have not refunded his payment yetThe enrollee must go back to the Marketplace if he would like to reapply with a new application for review. If you have any questions, please contact me at ###-###-#### or *** *** ***Appeals & Complaint Manager

I have reviewed the response offer made by the business in reference to complaint ID ***, and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below
I did receive a call back from Optima stating that my account from *** had been 'put on hold' at this time, so my account would not be placed in collectionsI feel this is a temporary fix and does not resolve the problem as the bill remains unpaidI pay Optima to provide a service which includes paying my medical expenses, therefore I continue to assert that they are not doing what they are being paid to doThe ongoing dispute between Optima and *** should not be placed upon the customerThe generic response from Optima does not address any real resolution. Sincerely *** ***

Consumer is not being held liable for the bills All issues between Optima and *** are resolved

Thank you for notifying our team about the complaint ID [redacted] filed with the Revdex.com.  Optima Health’s response to the Complaint:At Optima Health, we set high standards for customer service and attention to detail.  If and when claims processing errors occur, we take care...

to notify members and providers to make necessary corrections.  For example, we may identify an error in claims processing that results in an overpayment made to a health care provider. If this occurs, we reprocess claims for the corrected reimbursement amount to the provider, send notification to the provider, and send a revised Explanation of Benefits (EOB) to any affected members.  The EOB identifies the provider, the date of service and the reprocessed claim information.    For situations like these, the provider needs to refund an overpayment to Optima Health. Optima Health appreciates notification from our members of any problems.   We will do our best to contact any providers on unusual billing activity and strive for resolution.  In the meantime, Optima Health members are encouraged to contact us at [redacted] for any questions or concerns surrounding details on their EOB.Regards,[redacted]Director, Sales OperationsOptima Health

I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me.  I will wait for the business to perform this action and, if it does, will consider this complaint resolved.
Regards,
[redacted]