Fountain Health, Incorporated

Although I haveNot heard from the company I see that they have filed a claim with my insurance company as requested Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to me Regards, John Balkits

July, 18th, 2017.Dear Revdex.com,I am writing in response to clam # [redacted] filed against Fountain Health Incon 6/22/by [redacted] .First of all, I must say that I was very shocked to hear about [redacted] ' complaint first from your office given that I had seen and treated him on the same day that he had issues with his insurance [redacted] did not mention any insurance issues to me during the visit.Upon receiving your letter, I spoke to the office Manager (Emily A [redacted] ) who narrated the events and I had asked her to write about what had transpired on that visit.My understanding is that [redacted] did not inform our office about his new insurance until when he arrived for his visit despite the fact that he was told upon admission about our policy that requires notification about any insurance changes at least 24-48hrs prior to the appointment to which he signed (a copy of that signed policy is attached with this response)We had also called to remind him about that appointment and we routinely ask that patient update their insurance information if there has been changes and after he was left a message, he never called back as he claimed in his complaintThe receptionist on seeing his new insurance informed him that we do not accept [redacted] of New Jersey but he insisted that it is a blue card and that it was fineThe receptionist then told him that he can still be seen by the doctor for that date but it will be at a private pay rate of $150, and I was told that [redacted] was fine with that and that was how he got seen by meI did not know any of this had happenedWhen the office manager came to work the next morning, this was brought to her attention and she did call [redacted] to let him know that his charge for that visit will be Sbecause, according to our records, he had a credit of $91, which was then applied to the visit of 6/19/I was told that [redacted] never returned the call or acknowledged receipt of the message up till now[redacted] has been a patient of Fountain Health since 10/1/and we have never refused him care or failed to bill his insurance until he switched to [redacted] ***.I find it disturbing that he will rather choose to file a complaint at your office and supply inaccurate information than bring this up with me knowing I am both the president of Fountain Health as well as his treating physician[redacted] had a scheduled appointment on June 19, at 5:45PMOur office left the patient a message the day before to remind him of his scheduled appointmentI left work that day at 4:00PM, and Diana was at work from 2:00PM - closeI came in the following day and saw the insurance card, Diana had let me know that the patient came in with a new insurance card - [redacted] even though he had signed our updated insurance policy stating we needed new insurance information 24–hours prior to the next scheduled appointmentDiana informed the patient that she could not verify the insurance and we may not accept the insurance so he may have a balance to which he said okayI called the patient and left him a message stating we do not accept [redacted] and that is why we have an office policy of requiring new insurance information 24–hours prior to the patient's next appointmentI let him know his visit on June 19,would be a cash patient visit, which we charge $for, and that his following appointments will be seen as cash patient visitsI looked into the patients account and saw he had a $credit on his account so that would be applied to his visit and he would owe $for his visit on June 19, As of today, July 12, 2017, he has yet to return my call to discuss my message.Emily AOffice Manager

July, 18th, 2017.Dear Revdex.com,I am writing in response to clam # [redacted] filed against Fountain Health Inc. on 6/22/17 by [redacted].First of all, I must say that I was very shocked to hear about [redacted]' complaint first from your office given that I had seen and treated him on the same day that he had issues with his insurance. [redacted] did not mention any insurance issues to me during the visit.Upon receiving your letter, I spoke to the office Manager (Emily A[redacted]) who narrated the events and I had asked her to write about what had transpired on that visit.My understanding is that [redacted] did not inform our office about his new insurance until when he arrived for his visit despite the fact that he was told upon admission about our policy that requires notification about any insurance changes at least 24-48hrs prior to the appointment to which he signed (a copy of that signed policy is attached with this response). We had also called to remind him about that appointment and we routinely ask that patient update their insurance information if there has been changes and after he was left a message, he never called back as he claimed in his complaint. The receptionist on seeing his new insurance informed him that we do not accept [redacted] of New Jersey but he insisted that it is a blue card and that it was fine. The receptionist then told him that he can still be seen by the doctor for that date but it will be at a private pay rate of $150, and I was told that [redacted] was fine with that and that was how he got seen by me. I did not know any of this had happened. When the office manager came to work the next morning, this was brought to her attention and she did call [redacted] to let him know that his charge for that visit will be S59 because, according to our records, he had a credit of $91, which was then applied to the visit of 6/19/17. I was told that [redacted] never returned the call or acknowledged receipt of the message up till now.[redacted] has been a patient of Fountain Health since 10/1/14 and we have never refused him care or failed to bill his insurance until he switched to [redacted].I find it disturbing that he will rather choose to file a complaint at your office and supply inaccurate information than bring this up with me knowing I am both the president of Fountain Health as well as his treating physician.[redacted] had a scheduled appointment on June 19, 2017 at 5:45PM. Our office left the patient a message the day before to remind him of his scheduled appointment. I left work that day at 4:00PM, and Diana was at work from 2:00PM - close. I came in the following day and saw the insurance card, Diana had let me know that the patient came in with a new insurance card - [redacted] even though he had signed our updated insurance policy stating we needed new insurance information 24–48 hours prior to the next scheduled appointment. Diana informed the patient that she could not verify the insurance and we may not accept the insurance so he may have a balance to which he said okay. I called the patient and left him a message stating we do not accept [redacted] and that is why we have an office policy of requiring new insurance information 24–48 hours prior to the patient's next appointment. I let him know his visit on June 19,2017 would be a cash patient visit, which we charge $150.00 for, and that his following appointments will be seen as cash patient visits. I looked into the patients account and saw he had a $91.00 credit on his account so that would be applied to his visit and he would owe $59.00 for his visit on June 19, 2017. As of today, July 12, 2017, he has yet to return my call to discuss my message.Emily A. Office Manager

Although I have. Not heard from the company I see that they have filed a claim with my insurance company as requested.   
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is...

satisfactory to me. 
Regards,
John Balkits