Granger Medical Clinic

I would ask that [redacted] come into our location and we can provide the insurance EOB's to her The accounts are all linked to her as the guarantorHowever it looks like at times a different copay was paid than your insurance required As well as at times required you pay a coinsurance which is a higher percentage than just a copay If your insurance company hasn't provided you with the EOB's (Explanation of Benefits) we are more than happy to help We are relaying what your insurance has processed your claims as If you feel the benefits they are paying and requiring you to pay is incorrect you would need to contact them directly However maybe speaking with our financial counselors to go over each visit would help clear things up Please contact our office at 801-965-and ask for Ave in billing Thank you

I would need the patients name and birthdate as well as the doctor that provided the service please in order to research and resolve the complaintThank you

I can not locate this patient within my system with this limited information I can say that all coding is done to the highest specifity and all claims are processed by insurance carriers We are obligated by contract to follow the processing of those claims based on the individual patients benefits as listed by there plan All patients receive statements each month, a minimum of four, as well as final letters allowing days for response from patient before being sent to an outside collection agency If you contact our offices within the first two weeks of being sent to the outside collections agency to make payment arrangements we will also pull your account back from outside collections and remove the fee's

This was a patient seen in the hospital. It seems that we may have been given bad information by the alleged "patient" and hospital. Could you please contact me directly so I can ask you some clarifying questions and resolve this. Tangie W [redacted] , Director of Revenue Cycle:... 801-965-3682. I would very much like to get this resolved. Thank you.

I would need more information regarding this refund. Based on what I do see here the patient had a refund of $80 that was completed on 3/21/18. I will contact the physicians office and ask why you were not told of the credit and they continued to take copays from you rather than allow... you to use the credit you had. If I can help them with retraining I will definitely get with the manager to complete that. As for the 60 days unfortunately at this time once us here in billing find the credit or are told of the credit accounting is understaffed and is trying to catch up on issuing refund checks to patients at this time. This is in no way intentional it is a staffing issue at this time and hopefully will be corrected soon.

MrC [redacted] was seen in our clinic by the doctor on 4/22/initially for his finger injury His insurance was billed for that visit as the doctor provided him services for his finger The insurance processed the claim and charged him a Co-ins in addition to his copay This is how they processed his claim and I cannot change that The follow up visit he states he was charged for is un true The follow up visit was on 5/13/for his injured finger and there is no charge for that follow up visit, not to him or his insurance The balance on his account stands We have sent him copies of the explanation of benefits from his insurance company, as well as an itemized bill showing all charges, payments, and adjustments He is simply not happy with what his insurance benefits are I am sorry for any confusion but we have billed correctly If he disagrees with the additional fee his insurance left him owing they are who he needs to contact directly Thank you, Tangie W [redacted]

Complaint: ***
I am rejecting this response because: "Doctors service"What does this mean?Once injured, I called my primary care physician. His Nurse recommended me to this doctor (a specialist) I went in to his office with my finger in a splint as recommended by my daughtlaw (an RN working for IHC) and from what I read on the internetThe finger was in the splint for days prior to seeing the Doctor due to it took that long to be able to see himOnce there, I told him the injury was about days old and he told me I was doing the correct thing by keeping it in the splint. He told me to continue to do so and told me to come back in weeks. Select Health was charged over $for this MINUTE CONSULTATION! No surgery, no shot, no prescription, no new finger splint, no tape, nothing was exchanged. I never said I was charged for the follow visit weeks laterThe gals at the front desk insisted I pay another co-pay for the 2nd visitI told them the Doctor told me weeks prior there would be no co-pay for the return visitHe also said if I reinjured the finger, there wouldn't be a co-pay for either or days (I cant remember). It took minutes for the front desk to finally agree there shouldn't be a second co-pay. So this claim is A COMPLETE LIE!!!The bottom line is thisIf the medical world is charging over $800/ 5minutes for consultation and the insurance company is willing to pay $of it, fine. I don't believe this is the case. I believe the service does not match the billing code. I feel the charge is fraudulentI have a voice mail tonight from Granger Medical which I will return the call in the morning (7/31). I'm sure its about this. I have everything recorded (emails, mailing) for future reference if need be.
Sincer
William C***

Revdex.com:It is true that this has been resolved, but not without frustration. I would still appreciate a letter of apology for the time I had to spend trying to resolve this issue because of the neglect to communicate with me.
Sincerely,
Breanna P***

I would ask that [redacted] come into our location and we can provide the insurance EOB's to her.  The accounts are all linked to her as the guarantor. However it looks like at times a different copay was paid than your insurance required.  As well as at times required you pay a coinsurance...

which is a higher percentage than just a copay.  If your insurance company hasn't provided you with the EOB's (Explanation of Benefits) we are more than happy to help.  We are relaying what your insurance has processed your claims as.  If you feel the benefits they are paying and requiring you to pay is incorrect you would need to contact them directly.  However maybe speaking with our financial counselors to go over each visit would help clear things up.  Please contact our office at 801-965-3600 and ask for Ave in billing.  Thank you.

Mr. C[redacted] was seen in our clinic by the doctor on 4/22/15 initially for his finger injury.  His insurance was billed for that visit as the doctor provided him services for his finger.  The insurance processed the claim and charged him a Co-ins in addition to his copay. ...

This is how they processed his claim and I cannot change that.  The follow up visit he states he was charged for is un true.  The follow up visit was on 5/13/15 for his injured finger and there is no charge for that follow up visit, not to him or his insurance.  The balance on his account stands.  We have sent him copies of the explanation of benefits from his insurance company, as well as an itemized bill showing all charges, payments, and adjustments.  He is simply not happy with what his insurance benefits are.  I am sorry for any confusion but we have billed correctly.  If he disagrees with the additional fee his insurance left him owing they are who he needs to contact directly.  Thank you, Tangie W[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted].  Since I submitted my complaint, I have been able to resolve this issue.  Someone at Granger Medical Clinic put my father's mailing address onto the account of a different patient with the same name.  The patient, a 33 year-old man with the same name as my father (who died in his early 80s), had somehow had my father's address attached to his file.  I spoke with a representative in Granger Medical's billing department, and we were able to track down the mistake.  I was told that my father and mother's mailing address has been deleted from the other patient's account, so our family is hoping that this will resolve the issue.  I realize this was likely a simple clerical mistake, but it is a mistake that our family has repeatedly tried to resolve, with no success, for quite a long time.  I would urge the people inputting information into Granger Medical's system to be much more careful in order to avoid such situations.
Sincerely,
[redacted]

This was already resolved. While the Doctors billing and coding is correct he chose to write off that code as a patient satisfaction.  This was done 7/15/15. Patient was called by the billing office staff and made aware of this adjustment to her account. The balance is at zero. Anything...

further, feel free to contact me directly. Thank you, Tangie W[redacted]

I would need the patients name and birthdate as well as the doctor that provided the service please in order to research and resolve the complaint. Thank you.

I can not locate this patient within my system with this limited information.  I can say that all coding is done to the highest specifity and all claims are processed by insurance carriers.  We are obligated by contract to follow the processing of those claims based on the individual...

patients benefits as listed by there plan.  All patients receive statements each month, a minimum of four, as well as 2 final letters allowing 30 days for response from patient before being sent to an outside collection agency.  If you contact our offices within the first two weeks of being sent to the outside collections agency to make payment arrangements we will also pull your account back from outside collections and remove the fee's.

I would need more information regarding this refund.  Based on what I do see here the patient had a refund of $80 that was completed on 3/21/18.  I will contact the physicians office and ask why you were not told of the credit and they continued to take copays from you rather than allow...

you to use the credit you had.  If I can help them with retraining I will definitely get with the manager to complete that.  As for the 60 days unfortunately at this time once us here in billing find the credit or are told of the credit accounting is understaffed and is trying to catch up on issuing refund checks to patients at this time.  This is in no way intentional it is a staffing issue at this time and hopefully will be corrected soon.

This was a patient seen in the hospital.  It seems that we may have been given bad information by the alleged "patient" and hospital.  Could you please contact me directly so I can ask you some clarifying questions and resolve this. Tangie W[redacted], Director of Revenue Cycle:...

801-965-3682.  I would very much like to get this resolved.  Thank you.