Go North R V Rentals Ltd

Tell us why here...This issue has been addressed on with the patients mother Kelly G [redacted]

Hello, The [redacted] that was administered was done in conjunction with the surgery that was performed on the patientAs anesthesiologist we only bill for the time component [redacted] time is based on base and unit calculation which is provided by the then current ASA relative value guideWe do not bill based on the used supplies of thee requested itemized billed format , rather a medical record which is based on a unit value of from the start to the stop of the time that the [redacted] was being administered (total minutes divided by plus the base) The base value for each Anesthesica code we bill is given a value from the relative value guide, which correlates with the surgey that the surgeon is performingThe list of supplies used would need to come from the surgeon office, or hospitalAgain, as anesthesiologists, we are only billing for time Thank you! [redacted]

Revdex.com:At this time, I have not been contacted by North American Partners in Anesthesia regarding complaint ID [redacted] .Sincerely, [redacted]

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 and the matter has been resolvedI would like to mention that there are NO voicemails from NAA and the information was not on the EOB that the charges were for two different people/servicesThat is all I needed to knowIt was the "being ignored" that prompted my request to Revdex.comThank you for getting an answer for me!!! Sincerely, [redacted]

Tell us why here I have mailed a corrected claim with original eob stating modifier missing on 3/*/We are not billing the patient at this timeAllow time for insurance to respond

Revdex.com: I have reviewed the response made by the business in reference to complaint ID# 10756267, and have determined that my complaint has NOT been resolved because: [Your Answer Here] Still waiting to receive the letter, since starting the complaint moved address, have implemented mail forwarding, if it helps the business can send copy of letter via e-mail In order for the Revdex.com to appropriately process your response, you MUST answer the question above Sincerely, [redacted] ***

8/**/2017To Whom It May ConcernOn behalf of North American Partner in Anesthesia, I am responding to your letter dated July **, 2017.As noted in the customer complaint letter, the patient indicated the bill had two charges for the service provided on 4/*/Below find an explanation for the two
charges based on the patient’s insurance billing guidelines:Billing for a qualified Anesthetist and Anesthesiologist in a single anesthesia procedure:When a single anesthesia procedure involves both a physician (Anethesiologist) and a medically directed CRNA (Anesthetist), the payment amount for the service of each is percent of the allowable charge.In the event that there is any patient responsibility, a percentage of the total balance due is applied to each of the provider’s charge linesIn this instance, the patient was balance billed appropriately based on the EOB and the service provided by the physician and the medically directed CRNA.This information is well detailed on the explanation of benefits provided by the insurance carriers to their members.The patient also commented on issues with our Customer Service DepartmentThe patient called the office on 6/** and left a message for a call backIt is documented in the patient’s account that a call was received on 6/** and a message was left in our system for a call back.Upon internal review, our Customer Service Department returned *** ***’s call on 6/** and a message was left on the patient’s voice mail as there was no answerThere is no record of any other calls made by *** *** to our Customer Service Department.In addition, we have researched the issue regarding the no response to the emails sent by *** *** to our Customer Service email and it was determined that there was an error on the patient email notificationsWe are taking every action possible to make sure that this problem is rectified and we are able to provide the best resolution possible to our patient concerns.Please accept our sincerest apology for any inconvenience we have causedWe highly appreciate your feedback as it will assist us in servicing our patients betterIt is our goal to provide outstanding customer care and exceptional service.Sincerely,Elizabeth B***-M***, Assistant Director Revenue Cycle Management

Revdex.com:
I have reviewed the response made by the business in reference to complaint
ID# ***, and have determined that my complaint has NOT been resolved because:
When the claim has been correctly submitted and paid my complaint will be resolved
In order for the Revdex.com to appropriately process your response, you MUST answer the question above
Sincerely,
*** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# ***, and have determined that my complaint has NOT been resolved because:
Spoke to Supervisor,
who informs me that it was mistake on their part and will be sending letter/statement indicating account has been settled. However I am still awaiting the arrival of the statement, so the complaint is still pending until the arrival of the letter.
In order for the Revdex.com to appropriately process your response, you MUST answer the question above
Sincerely,
Robert Darcy

Hello, *** *** was seen for Surgery which required *** on 05/*/North American Partners in *** of PA billed United Healthcare $1032.00, which is the insurance that *** *** provider the hospital with. On 7/*/North American Partners in *** received payment
from United healthcare in the amount of $ 470.56, per *** ***'s policy the allowable is $ 588.25, therefore per the explanation of benefits *** *** is responsible per his policy for $towards his co-insurance.We have received statements from *** *** requesting that we send his a itemized bill, asking what type of *** was used and what size gauge of the needle was usedWe do not send this type of information out** *** is not denying that he had surgery on 5/*/*** *** has an agreement with his Insurance policy to pay co-insurance/deductibles/copays, if the claim is processed as suchNorth American Partners in ***, cannot adjust this balance as we also have a contract with the insurance companyWe have tried to contact *** *** by telephone several times, and her has yet to return our call*** *** continues to send us the same letter asking for information which we cannot provideThe information he is looking for may be able to be obtained from the hospital If you have any further questions I can be reached at ###-###-#### Thank you! *** ***,

Tell us why here...A statement was mailed to pt *** *** acct#*** on 8/*/and will mail again today

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# ***, and have determined that my complaint has NOT been resolved because:
[Your Answer Here]
Hamot Surgery Center and the surgeon's office both have referred me to your office as it is YOUR ANESTHESIOLOGIST who ordered and used this information According to Hamot Surgery Center, they are NOT involved in the record keeping of this information nor is the surgeon as neither of them employ your Anesthesiologist You have a duty to provide an itemized bill, if and when requested under law Thank you
In order for the Revdex.com to appropriately process your response, you MUST answer the question above
Sincerely,
*** ***

Tell us why here...Spoke to ** *** this morning and this issue has been resolved

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# 10756267, and have determined that my complaint has NOT been resolved because:

[Your Answer Here]
Still waiting to receive the letter, since starting the complaint moved address, have implemented mail forwarding, if it helps the business can send copy of letter via e-mail 
 
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

Revdex.com:At this time, I have not been contacted by North American Partners in Anesthesia regarding complaint ID [redacted].Sincerely,[redacted]

Hello,  The [redacted] that was administered was done in conjunction with the surgery that was performed on the patient. As anesthesiologist we only bill for the time component. [redacted] time is based on  base and unit calculation which is provided  by the then current ASA relative value guide. We do not bill based on the used supplies of thee requested itemized billed format , rather a medical record which is based on a unit value of 15 from the start to the stop of the time that the [redacted] was being administered (total minutes divided by 15 plus the base) The base value for each Anesthesica code we bill is given a value from the relative value guide, which correlates with the surgey that the surgeon is performing. The list of supplies used would need to come from the surgeon office, or hospital. Again, as anesthesiologists, we are only billing for time.  Thank you!  [redacted]

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 and the matter has been resolved. I would like to mention that there are NO voicemails from NAA and the information was not on the EOB that the charges were for two different people/services. That is all I needed to know. It was the "being ignored" that prompted my request to Revdex.com. Thank you for getting an answer for me!!!
Sincerely,
[redacted]

Tell us why here...This issue has been addressed on 9/**/15 with the patients mother Kelly G[redacted].

Tell us why here...
I have mailed a corrected claim with original eob stating modifier missing on 3/*/16. We are not billing the patient at this time. Allow time for insurance to respond.