Five Star ER

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] 0, and find that this resolution is satisfactory to me Regards, [redacted]

Complaint: [redacted] I am rejecting this response because:I contacted the company twiceInitial contact was by phone at which point I was offered a 20% discount in return for full immediate paymentAfter explaining my situation to the agent, she suggested I contact their team through email where they will be able to investigateMy issue is not that I was billed for something I should not have been, my issue was that I was lied to by the business in order to gain my business before ultimately billing me extraordinarily more than what was initially promisedWhen I went to the clinic I informed them I had insurance but that it may not cover the full balanceThey offer an OOP discount for those that don't have insurance coverage, however after looking at my insurance information, they told me to I must go through my insurance and asked for a "good faith" $payment since their system was having issues due to the New Year holidayThey informed me that since I was going through my insurance I would only pay maybe an additional $on top of what I had just paidWhile expensive, I agreed to thatThat is not what happened; instead I was charged nearly $700.Offering a 20% discount for immediate payment is not a resolution to the issue, nor does not absolve the company of the deceptive tactics, they used to convince me to use their clinicAdditionally I have attached my emails to their email support for referenceI contacted them by email on March 5th, received no responseFollowed up on March 14th, and finally received a response on the 20th from [redacted] , initially claiming an investigation is occurringThe same day she followed up, simply apologizing for the misunderstanding caused by the clinic and offering the aforementioned 20% discountI responded to her email, but received no responseI sent another email on April 26th and that has also gone without response Regards, [redacted]

Here is the patients information based on our discussion It appears we have spoken to him on several occasions and have offered him a discount however he is adamant that we $balance the account As we discussed, this is his contractural obligation with his insurance benefit carrier and I cannot waive his portion since this is what he agreed to be responsible for based on the monthly fee he paid for his benefitsBy the way, TOS mean TIME OF SERVICEThank you again for you time,Please note my email address has changed to [redacted] Please update your records[redacted] Patient did call us, he's been offered the 20% PIF discount multiple times and never wants to take it, says he was told at the TOS that the most he'd be billed after paying a good faith deposit was $I tried to get more information on his benefits since it looks like it couldn't be validated at the TOS, but the patient is now inactive with BCBS, so I can't pull any benefits information on himBelow is information on how the claims processed FacilityBilled: $581.00Allowed: $553.12Insurance Paid: $0.00Insurance Adjust: $27.88Patient Responsibility: $(Deductible) patient paid good faith deposit of $at TOS, remaining balance due is $PhysicianBilled: $233.00Allowed: $136.00Insurance Paid: $0.00Insurance Adjust: $97.00Patient Responsibility: $(deductible) Please let me know if there is any further information I can provide [redacted] I need a breakdown of this patient payment info Also, can you tell me if he contacted [redacted] [redacted]

Complaint: [redacted] I am rejecting this response because: they requested additional information:Name: [redacted] Date of Service [redacted] Account #: [redacted] Regards, [redacted]

This complaint does not have any patient information to look up the accountI will need name, date of birth, date of service or a medical record numberAlso please update your email to [redacted] The original email is our information at our site location only Thank you

Complaint: [redacted]
I am rejecting this response because: they requested additional information:Name: [redacted]Date of Service[redacted]Account #: [redacted]
Regards,
[redacted]

We have contacted the Ms. [redacted] directly and have let her know of the resolution to her account. This was a staff error on our part and she is aware.  Please see the letter that was sent to her on Friday by email and certified mail to confirm our resolution.

Complaint: [redacted]
I am rejecting this response because:I contacted the company twice. Initial contact was by phone at which point I was offered a 20% discount in return for full immediate payment. After explaining my situation to the agent, she suggested I contact their team through email where they will be able to investigate. My issue is not that I was billed for something I should not have been, my issue was that I was lied to by the business in order to gain my business before ultimately billing me extraordinarily more than what was initially promised. When I went to the clinic I informed them I had insurance but that it may not cover the full balance. They offer an OOP discount for those that don't have insurance coverage, however after looking at my insurance information, they told me to I must go through my insurance and asked for a "good faith" $100 payment since their system was having issues due to the New Year holiday. They informed me that since I was going through my insurance I would only pay maybe an additional $150 on top of what I had just paid. While expensive, I agreed to that. That is not what happened; instead I was charged nearly $700.Offering a 20% discount for immediate payment is not a resolution to the issue, nor does not absolve the company of the deceptive tactics, they used to convince me to use their clinic. Additionally I have attached my emails to their email support for reference. I contacted them by email on March 5th, received no response. Followed up on March 14th, and finally received a response on the 20th from [redacted], initially claiming an investigation is occurring. The same day she followed up, simply apologizing for the misunderstanding caused by the clinic and offering the aforementioned 20% discount. I responded to her email, but received no response. I sent another email on April 26th and that has also gone without response. 
Regards,
[redacted]
[redacted]

Here is the patients information based on our discussion.  It appears we have spoken to him on several occasions and have offered him a discount however he is adamant that we $0 balance the account.  As we discussed, this is his contractural obligation with his insurance benefit carrier...

and I cannot waive his portion since this is what he agreed to be responsible for based on the monthly fee he paid for his benefits. By the way, TOS mean TIME OF SERVICE. Thank you again for you time,Please note my email address has changed to [redacted]. Please update your records.[redacted] Patient did call us, he's been offered the 20% PIF discount multiple times and never wants to take it, says he was told at the TOS that the most he'd be billed after paying a good faith deposit was $150.00. I tried to get more information on his benefits since it looks like it couldn't be validated at the TOS, but the patient is now inactive with BCBS, so I can't pull any benefits information on him. Below is information on how the claims processed.  FacilityBilled: $581.00Allowed: $553.12Insurance Paid: $0.00Insurance Adjust: $27.88Patient Responsibility: $553.12 (Deductible) patient paid good faith deposit of $100 at TOS, remaining balance due is $453.12 PhysicianBilled: $233.00Allowed: $136.00Insurance Paid: $0.00Insurance Adjust: $97.00Patient Responsibility: $136 (deductible) Please let me know if there is any further information I can provide.                       [redacted]   I need a breakdown of this patient payment info.  Also, can you tell me if he contacted 360.   [redacted]     [redacted]

This complaint does not have any patient information to look up the account. I will need name, date of birth, date of service or a medical record number. Also please update your email to [redacted].  The original email is our information at our site location only.  Thank you

Talked with [redacted] and review concerns and discussed resolution.Basics are:Account has been placed on hold.Billing and coding will be reviewed and corrected as indicated and resubmitted.Remaining balance, after corrections are completed, will be adjusted off.[redacted]Director of...

Operations

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted]0, and find that this resolution is satisfactory to me.
Regards,
[redacted]