This is in response to a recent inquiry concerning a complaint referenced above We have been working diligently on Ms [redacted] claim On 2/9/we received the medical bills needed to complete her bodily injury claimAt this time we are currently in the process of evaluating the information received for Ms [redacted] Her claim will be evaluated but now offers extended at this time due to there were four other injured people included in this accident We have requested the same information on the other four people injured, however, we still lack items for three of them The full medical bills and records will have to be obtained for all parties presenting a claim before any offers will be extended Due to this being a minim limits policy, we take all precaution to provide equal and fair opportunity for all injured parties to present and receive what is due to them Please let me know if you have any further questions or concerns on this matter Sincerely, [redacted] GCI claims manager NAIC #***
This is in response to a recent inquiry concerning a complaint referenced aboveWe received this claim on 6/6/which was the same as the date oflossWe received a partial subrogation demand for the claimant, [redacted] ***, on 7//We responded with an email on 7/23/stating we will need a full subrogation package complete with payment and supporting documents in order to settleWe never received anything more on the subrogation until when we received a notice that [redacted] filed with Arbitration ForumsWe filed that arbitration response todayWe will wait for a decision to be determined before we will settle property damageAs for the bodily injury claim for the claimant, Mr [redacted] , we have received bills for the treatmentWe explained to him on /that we will need to also get the medical records from treatments before an evaluation can beginOn we mailed Mr [redacted] a hippa form to complete, sign and return so we may obtain the medical recordsOn 2/25/, after nothing was received and we had not had contact with Mr [redacted] we closed the claim for lack of interestWe received a call from Mr [redacted] on requesting the current status fo r his claim and advised him of the closureOn 3111115, after speaking with the claimant we reopened the claim and assigned it to adjuster [redacted] to handle the bodily injury portionThe adjuster, Mr [redacted] , mailed out a new hippa form to be signed on 3/12/We still have not heard from him nor have we received the requested hippa formWe must receive the completed and signed hippa form so we can obtain the medical recordsOnce the records are received we can proceed toward the settlement of this claimI have attached another copy of this hippa fonn to this responseHe can email me the completed hippa to J [redacted] @greenvillecasualty.com or mail to Mr [redacted] at *** Attn: [redacted] / CLM*** PO Box *** ***, SC Please let me know if you have any further questions or concerns on this matterSincerely, [redacted] GCl claims manager [redacted] GENERAL AUTHORIZATION FOR USE AND/OR DISCLOSURE OF MEDICAL INFORMATION Claim Number - [redacted] Section A: Explanation This authorization for use and/or disclosure of medical information is being requested ofyou to comply with the terms of the federal HlPAA privacy regulations, C.F.R§ Section B: Individual Authorizing the Use and/or Disclosure ofInformation This section is used to identify the individual who is the subject ofthe information to be used and/or disclosed, usually yourself (hereinafter the person named below in this Section B is to be referred to as the "individual")Ifyou are a legal representative you must authorize the release of information for the individual you representI Name: I Address: Section C: Individuals or Organizations Authorized to Make the Disclosure Any individual or organization that receives this request and has records or information in their possession, including records or infonnation containing protected health information, concerning the past or present physical condition of the Individual, are authorized to disclose such records or infonnation pursuant to this authorizationFurthennore, I specifically authorize the following individual or organization to make the disclosureName of Health Provider: Name of Health Provider: Patient RecordIFile Number: Patient RecordlFile Number: Address: Address: Dates of Service: Dates ofService: Name of Health Provider: Name ofHealth Provider: Patient RecordlFile Number: Patient RecordlFile Number: Address: Address: Dates ofService: Dates ofService: Section D: Authorized Recipient ofInfonnation to be Used and/or Disclosed This authorization allows for use and/or disclosure of the information to any authorized representative of: Greenville Casualty Insurance Company, PO Box [redacted] ***, SC Section E: Purpose and Description ofInformation to be Used and/or Disclosed This document is required to authorize any physician, surgeon, dentist, hospital, rehabilitation! convalescent/custodial faci lity, ambulance service, any other medical professional or insurance company to release to any authorized representative of Greenville Casualty Insurance Company all records or information in their possession, including records or information containing protected health information, concerning the past or present physical condition of the IndividualFurther any of the aforementioned may submit ",'litten reports about the Individual upon the request of an authorized representative of Greenville Casualty Insurance CompanyThis authorization is being made at the Individual's request and the information or records disclosed will be used for the purposes of veri tying, evaluating, negotiating, and other pertinent legal uses, with respect to the Individual's claimSection F: Expiration and Revocation This authorization shall remain valid for the duration of the claim or until revokedThe Individual has the right to revoke this authorization, which may be done at any time by giving w'litten notice of revocation to Greenville Casualty Insurance CompanyThe Individual understands that any revocation will not apply to infomlation that has already been released pursuant to this authorizationSection G: Effect of Granting this Authorization The Individual understands that once the information has been disclosed, federal health information privacy laws or regulations may no longer protect itSection H: Signature ofIndividuai or Legal Representative To be valid, this authorization must be signed and dated by the Individual or the Individual's legal representative (i.e., a parent, guardian, or person holding a valid and legal power ofattorney)I have had full opportunity to read and consider the contents of this authorizationI understand that, by signing this form, I am confirming my authorization for the use and/or disclosure of my protected health information, as described in this form and that I make this authori7..ation voluntarilyIndividual or the Individual's legal representative's signature: _____________________ Date: Relationship to Individual: _________________
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. *** *** Auto Sales LLC does not agree to having the storage fees deducted from the total loss settlement due to the storage fees being seperate from the total loss settlement agreed upon verbally and in writing on the letter of guarantee we provided for Greenville Casualty Insurance and *** ***.
If you have any further questions reguarding this matter, you may contact me at ***
Regards,
*** ***
Dear Ms***: This is in response to a recent inquiry concerning a complaint referenced aboveWe never received any documents at all from *** as stated in complaintWe are still in need of the attached HIPPA form so we can obtain the required documents and proceed toward settlement. I have attached another copy of this hippa form to this responseHe can email me the completed HIPPA to ***@greenvillecasualty.com or mail to Mr*** at GCI Attn: *** *** ***
PO Box *** ***, SC 29652 Please let me know if you have any further questions or concerns on this matter. Sincerely, *** *** GCI claims manager *** #*** View Complaint Message Page of2 J*** *** Greenville Casualty Insurance Co. PO Box *** *** SC 29652 *** ***
* *** *** *** *** *** ** *** *** ** *** ** *** ** 10612682, and have determined that this does not resolve my complaint. 9/11/*** contacted me saying that medical records were needed. 9/15/Email from me to *** stating that *** Medical has made MULTIPLE attempts to reach out to *** who will not respond 9/15/*** resends records 9/30/Email to *** asking for updateNo response 10/31/Email to *** asking for updateNo response 10/31/*** says she is awaiting records 10/31/Response to *** that *** has already sent records 11/26/Email to *** asking for updateNo response 12/16/Email to *** asking for updateNo response 1/5/Email to *** asking for updateNo response 3/10/Email to *** asking for updateNo response 3/11/Email from *** telling me that it has been reassigned 3/11/Email to *** whom *** tells me it has been reassigned to, no response 5/6/Email to ***, no response 5/14/Email from *** telling me he needs medical authorization for medical records that have already been sent to ***
*** has already sent records of my conditionYou should not need any more paperworkThese are just the latest emails as well, this does not include the large number of times I called and left voicemails (as *** picking up her phone is a rarity to say the least) or was simply put on hold for plus minutes to be hung up on. Regards, *** ***
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. 9/11/2014 [redacted] contacted me saying...
that medical records were needed.9/15/2014 Email from me to [redacted] stating that [redacted] Medical has made MULTIPLE attempts to reach out to [redacted] who will not respond
9/15/2014 [redacted] resends records
9/30/2014 Email to [redacted] asking for update. No response
10/31/2014 Email to [redacted] asking for update. No response
10/31/2014 [redacted] says she is awaiting records
10/31/2014 Response to [redacted] that [redacted] has already sent records
11/26/2014 Email to [redacted] asking for update. No response
12/16/2014 Email to [redacted] asking for update. No response
1/5/2015 Email to [redacted] asking for update. No response
3/10/2015 Email to [redacted] asking for update. No response
3/11/2015 Email from [redacted] telling me that it has been reassigned
3/11/2015 Email to [redacted] whom [redacted] tells me it has been reassigned to, no response
5/6/2015 Email to [redacted], no response
5/14/2015 Email from [redacted] telling me he needs medical authorization for medical records that have already been sent to [redacted] has already sent records of my condition. You should not need any more paperwork. These are just the latest emails as well, this does not include the large number of times I called and left voicemails (as [redacted] picking up her phone is a rarity to say the least) or was simply put on hold for 20 plus minutes to be hung up on.
Regards,
[redacted]
This is in response to a recent inquiry concerning a complaint referenced above. We have been working diligently on Ms. [redacted] claim. On 2/9/2015 we...
received the medical bills needed to complete her bodily injury claim. At this time we are currently in the process of evaluating the information received for Ms. [redacted]. Her claim will be evaluated but now offers extended at this time due to there were four other injured people included in this accident. We have requested the same information on the other four people injured, however, we still lack items for three of them. The full medical bills and records will have to be obtained for all parties presenting a claim before any offers will be extended. Due to this being a minim limits policy, we take all precaution to provide equal and fair opportunity for all injured parties to present and receive what is due to them. Please let me know if you have any further questions or concerns on this matter. Sincerely, [redacted] GCI claims manager NAIC #[redacted]
see the attached file for response.
Thank you.
11123/2015
[redacted]
Revdex.com [redacted]@upstatesc.Revdex.com.org
RE: Insured- [redacted]
Complainant- [redacted]
Claim #- [redacted]-1
Policy #- P [redacted]-4
Date of Loss- 10/1 0/15
Revdex.com 10#...
[redacted] Dear Ms. [redacted]:
This is in response to a recent inquiry concerning a complaint referenced above.
GCI received report of this flood claim on 10/12/2015. We assigned Property Damage
Appraisers complete the estimate on Ms. [redacted]' car. When we received the estimate, we
deemed this a total loss due to extensive water damage. We extended the total loss offer on
10/28/15. Ms. [redacted] did not accept offer. We extended the second offer on 10/29/2015. This
offer was accepted and the total loss documents were sent to Ms. [redacted] via email on 10/30/15.
We requested the letter of guarantee and copy of title from the lienholder on 10/29/2015. We
received the total loss paperwork back from the insured on 11106/15 and the information from
the lienholder was received on 11117/2015. We mailed the total loss settlement check for the
amount that was agreed upon $2000.00 to the lienholder. Ms. [redacted] will be responsible for any
monies owed to the lienholder over and above the value of the vehicle.
Please see the attached total loss documents regarding, Ms. [redacted] and the letter of guarantee
and copy of title from the lienholder. I have also included a copy of the check.
Please let me know if you have any further questions or concerns on this matter.
Sincerely,
[redacted]
GCI claims manag
All the information that they say they need was mailed to them via certified mail and signed for(see attached)
Medical records and bills from [redacted] Hospital. This company has got to be the worst insurance company ever. Now to cause further delays they are asking for the same...
information again that I know they have because I have a signed receipt showing that they do. But I returned the forms anyway as well as send them additional copies of the same forms. Since They showed me in the beginning how they were going to conduct business I scanned all the Medical summaries and bills to my computer as well as mail everything via certified mail so I had proof of delivery and it still has done no good. I actually emailed Ms. [redacted] all of those Bills and summaries several weeks ago along with a copy of the certified receipt so she could see who received them.
This is in response to a recent inquiry concerning a complaint referenced above. We received this claim on 6/6/2014 which was the same as the date ofloss. We received a partial subrogation demand for the claimant, [redacted], on 7/23 /2014. We responded with an email on 7/23/2014 stating we will need a full subrogation package complete with payment and supporting documents in order to settle. We never received anything more on the subrogation until 311612015 when we received a notice that [redacted] filed with Arbitration Forums. We filed that arbitration response today. We will wait for a decision to be determined before we will settle property damage. As for the bodily injury claim for the claimant, Mr. [redacted], we have received bills for the treatment. We explained to him on 9111 /2014 that we will need to also get the medical records from treatments before an evaluation can begin. On 12112114 we mailed Mr. [redacted] a hippa form to complete, sign and return so we may obtain the medical records. On 2/25/2015 , after nothing was received and we had not had contact with Mr. [redacted] we closed the claim for lack of interest. We received a call from Mr. [redacted] on 3111115 requesting the current status fo r his claim and advised him of the closure. On 3111115, after speaking with the claimant we reopened the claim and assigned it to adjuster [redacted] to handle the bodily injury portion. The adjuster, Mr. [redacted], mailed out a new hippa form to be signed on 3/12/15. We still have not heard from him nor have we received the requested hippa form. We must receive the completed and signed hippa form so we can obtain the medical records. Once the records are received we can proceed toward the settlement of this claim. I have attached another copy of this hippa fonn to this response. He can email me the completed hippa to J[redacted]@greenvillecasualty.com or mail to Mr. [redacted] at [redacted] Attn: [redacted] / CLM[redacted] PO Box [redacted], SC 29652 Please let me know if you have any further questions or concerns on this matter. Sincerely, [redacted] GCl claims manager [redacted] GENERAL AUTHORIZATION FOR USE AND/OR DISCLOSURE OF MEDICAL INFORMATION Claim Number - [redacted] Section A: Explanation This authorization for use and/or disclosure of medical information is being requested ofyou to comply with the terms of the federal HlPAA privacy regulations, 45 C.F.R. § 164.508. Section B: Individual Authorizing the Use and/or Disclosure ofInformation This section is used to identify the individual who is the subject ofthe information to be used and/or disclosed, usually yourself (hereinafter the person named below in this Section B is to be referred to as the "individual"). Ifyou are a legal representative you must authorize the release of information for the individual you represent. I Name: I Address: Section C: Individuals or Organizations Authorized to Make the Disclosure Any individual or organization that receives this request and has records or information in their possession, including records or infonnation containing protected health information, concerning the past or present physical condition of the Individual, are authorized to disclose such records or infonnation pursuant to this authorization. Furthennore, I specifically authorize the following individual or organization to make the disclosure. Name of Health Provider: Name of Health Provider: Patient RecordIFile Number: Patient RecordlFile Number: Address: Address: Dates of Service: Dates ofService: Name of Health Provider: Name ofHealth Provider: Patient RecordlFile Number: Patient RecordlFile Number: Address: Address: Dates ofService: Dates ofService: Section D: Authorized Recipient ofInfonnation to be Used and/or Disclosed This authorization allows for use and/or disclosure of the information to any authorized representative of: Greenville Casualty Insurance Company, PO Box [redacted], SC 29652. Section E: Purpose and Description ofInformation to be Used and/or Disclosed This document is required to authorize any physician, surgeon, dentist, hospital, rehabilitation! convalescent/custodial faci lity, ambulance service, any other medical professional or insurance company to release to any authorized representative of Greenville Casualty Insurance Company all records or information in their possession, including records or information containing protected health information, concerning the past or present physical condition of the Individual. Further any of the aforementioned may submit ",'litten reports about the Individual upon the request of an authorized representative of Greenville Casualty Insurance Company. This authorization is being made at the Individual's request and the information or records disclosed will be used for the purposes of veri tying, evaluating, negotiating, and other pertinent legal uses, with respect to the Individual's claim. Section F: Expiration and Revocation This authorization shall remain valid for the duration of the claim or until revoked. The Individual has the right to revoke this authorization, which may be done at any time by giving w'litten notice of revocation to Greenville Casualty Insurance Company. The Individual understands that any revocation will not apply to infomlation that has already been released pursuant to this authorization. Section G: Effect of Granting this Authorization The Individual understands that once the information has been disclosed, federal health information privacy laws or regulations may no longer protect it. Section H: Signature ofIndividuai or Legal Representative To be valid, this authorization must be signed and dated by the Individual or the Individual's legal representative (i.e., a parent, guardian, or person holding a valid and legal power ofattorney). I have had full opportunity to read and consider the contents of this authorization. I understand that, by signing this form, I am confirming my authorization for the use and/or disclosure of my protected health information, as described in this form and that I make this authori7..ation voluntarily. Individual or the Individual's legal representative's signature: _____________________ Date: Relationship to Individual: _________________
RE: Insured- Jillane H. Minium Complainant-Tammy [redacted] Claim #- GCI0012382
-27pt;"> Policy #- PAA0364057-0 Date of Loss- 12/17/2015 Revdex.com# - 11097782 Dear Ms. [redacted]: This is in response to a recent inquiry concerning a complaint referenced above. When we received this claim, the claimant informed us that her car had been towed to her home and not accruing any storage cost. Once it was determined that Ms. [redacted]’s car was a total loss, we called to extend the total loss offer and get permission to move the salvage to [redacted], a storage free facility. We then discovered that Ms. [redacted] had allowed the lienholder to move the vehicle to a storage facility where it has been accruing storage. We were not notified, nor did we approve for storage cost. We will be deducting the storage cost of $1218.00 from the total loss settlement. It was the insured’s obligation to mitigate any unnecessary cost. If the car needed to be moved, we offered & at any time could have provided a storage free facility. If you have any further questions requiring this matter, you may reach me at 1-[redacted], extension [redacted]. Sincerely, [redacted] GCI claims manager/NAIC #[redacted]
I am seeking for hospital bills to be paid primarily
This is in response to a recent inquiry concerning a complaint referenced above We have been working diligently on Ms [redacted] claim On 2/9/we received the medical bills needed to complete her bodily injury claimAt this time we are currently in the process of evaluating the information received for Ms [redacted] Her claim will be evaluated but now offers extended at this time due to there were four other injured people included in this accident We have requested the same information on the other four people injured, however, we still lack items for three of them The full medical bills and records will have to be obtained for all parties presenting a claim before any offers will be extended Due to this being a minim limits policy, we take all precaution to provide equal and fair opportunity for all injured parties to present and receive what is due to them Please let me know if you have any further questions or concerns on this matter Sincerely, [redacted] GCI claims manager NAIC #***
This is in response to a recent inquiry concerning a complaint referenced aboveWe received this claim on 6/6/which was the same as the date oflossWe received a partial subrogation demand for the claimant, [redacted] ***, on 7//We responded with an email on 7/23/stating we will need a full subrogation package complete with payment and supporting documents in order to settleWe never received anything more on the subrogation until when we received a notice that [redacted] filed with Arbitration ForumsWe filed that arbitration response todayWe will wait for a decision to be determined before we will settle property damageAs for the bodily injury claim for the claimant, Mr [redacted] , we have received bills for the treatmentWe explained to him on /that we will need to also get the medical records from treatments before an evaluation can beginOn we mailed Mr [redacted] a hippa form to complete, sign and return so we may obtain the medical recordsOn 2/25/, after nothing was received and we had not had contact with Mr [redacted] we closed the claim for lack of interestWe received a call from Mr [redacted] on requesting the current status fo r his claim and advised him of the closureOn 3111115, after speaking with the claimant we reopened the claim and assigned it to adjuster [redacted] to handle the bodily injury portionThe adjuster, Mr [redacted] , mailed out a new hippa form to be signed on 3/12/We still have not heard from him nor have we received the requested hippa formWe must receive the completed and signed hippa form so we can obtain the medical recordsOnce the records are received we can proceed toward the settlement of this claimI have attached another copy of this hippa fonn to this responseHe can email me the completed hippa to J [redacted] @greenvillecasualty.com or mail to Mr [redacted] at *** Attn: [redacted] / CLM*** PO Box *** ***, SC Please let me know if you have any further questions or concerns on this matterSincerely, [redacted] GCl claims manager [redacted] GENERAL AUTHORIZATION FOR USE AND/OR DISCLOSURE OF MEDICAL INFORMATION Claim Number - [redacted] Section A: Explanation This authorization for use and/or disclosure of medical information is being requested ofyou to comply with the terms of the federal HlPAA privacy regulations, C.F.R§ Section B: Individual Authorizing the Use and/or Disclosure ofInformation This section is used to identify the individual who is the subject ofthe information to be used and/or disclosed, usually yourself (hereinafter the person named below in this Section B is to be referred to as the "individual")Ifyou are a legal representative you must authorize the release of information for the individual you representI Name: I Address: Section C: Individuals or Organizations Authorized to Make the Disclosure Any individual or organization that receives this request and has records or information in their possession, including records or infonnation containing protected health information, concerning the past or present physical condition of the Individual, are authorized to disclose such records or infonnation pursuant to this authorizationFurthennore, I specifically authorize the following individual or organization to make the disclosureName of Health Provider: Name of Health Provider: Patient RecordIFile Number: Patient RecordlFile Number: Address: Address: Dates of Service: Dates ofService: Name of Health Provider: Name ofHealth Provider: Patient RecordlFile Number: Patient RecordlFile Number: Address: Address: Dates ofService: Dates ofService: Section D: Authorized Recipient ofInfonnation to be Used and/or Disclosed This authorization allows for use and/or disclosure of the information to any authorized representative of: Greenville Casualty Insurance Company, PO Box [redacted] ***, SC Section E: Purpose and Description ofInformation to be Used and/or Disclosed This document is required to authorize any physician, surgeon, dentist, hospital, rehabilitation! convalescent/custodial faci lity, ambulance service, any other medical professional or insurance company to release to any authorized representative of Greenville Casualty Insurance Company all records or information in their possession, including records or information containing protected health information, concerning the past or present physical condition of the IndividualFurther any of the aforementioned may submit ",'litten reports about the Individual upon the request of an authorized representative of Greenville Casualty Insurance CompanyThis authorization is being made at the Individual's request and the information or records disclosed will be used for the purposes of veri tying, evaluating, negotiating, and other pertinent legal uses, with respect to the Individual's claimSection F: Expiration and Revocation This authorization shall remain valid for the duration of the claim or until revokedThe Individual has the right to revoke this authorization, which may be done at any time by giving w'litten notice of revocation to Greenville Casualty Insurance CompanyThe Individual understands that any revocation will not apply to infomlation that has already been released pursuant to this authorizationSection G: Effect of Granting this Authorization The Individual understands that once the information has been disclosed, federal health information privacy laws or regulations may no longer protect itSection H: Signature ofIndividuai or Legal Representative To be valid, this authorization must be signed and dated by the Individual or the Individual's legal representative (i.e., a parent, guardian, or person holding a valid and legal power ofattorney)I have had full opportunity to read and consider the contents of this authorizationI understand that, by signing this form, I am confirming my authorization for the use and/or disclosure of my protected health information, as described in this form and that I make this authori7..ation voluntarilyIndividual or the Individual's legal representative's signature: _____________________ Date: Relationship to Individual: _________________
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. *** *** Auto Sales LLC does not agree to having the storage fees deducted from the total loss settlement due to the storage fees being seperate from the total loss settlement agreed upon verbally and in writing on the letter of guarantee we provided for Greenville Casualty Insurance and *** ***.
If you have any further questions reguarding this matter, you may contact me at ***
Regards,
*** ***
Dear Ms***: This is in response to a recent inquiry concerning a complaint referenced aboveWe never received any documents at all from *** as stated in complaintWe are still in need of the attached HIPPA form so we can obtain the required documents and proceed toward settlement. I have attached another copy of this hippa form to this responseHe can email me the completed HIPPA to ***@greenvillecasualty.com or mail to Mr*** at GCI Attn: *** *** ***
PO Box *** ***, SC 29652 Please let me know if you have any further questions or concerns on this matter. Sincerely, *** *** GCI claims manager *** #*** View Complaint Message Page of2 J*** *** Greenville Casualty Insurance Co. PO Box *** *** SC 29652 *** ***
* *** *** *** *** *** ** *** *** ** *** ** *** ** 10612682, and have determined that this does not resolve my complaint. 9/11/*** contacted me saying that medical records were needed. 9/15/Email from me to *** stating that *** Medical has made MULTIPLE attempts to reach out to *** who will not respond 9/15/*** resends records 9/30/Email to *** asking for updateNo response 10/31/Email to *** asking for updateNo response 10/31/*** says she is awaiting records 10/31/Response to *** that *** has already sent records 11/26/Email to *** asking for updateNo response 12/16/Email to *** asking for updateNo response 1/5/Email to *** asking for updateNo response 3/10/Email to *** asking for updateNo response 3/11/Email from *** telling me that it has been reassigned 3/11/Email to *** whom *** tells me it has been reassigned to, no response 5/6/Email to ***, no response 5/14/Email from *** telling me he needs medical authorization for medical records that have already been sent to ***
*** has already sent records of my conditionYou should not need any more paperworkThese are just the latest emails as well, this does not include the large number of times I called and left voicemails (as *** picking up her phone is a rarity to say the least) or was simply put on hold for plus minutes to be hung up on. Regards, *** ***
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. 9/11/2014 [redacted] contacted me saying...
that medical records were needed.9/15/2014 Email from me to [redacted] stating that [redacted] Medical has made MULTIPLE attempts to reach out to [redacted] who will not respond
9/15/2014 [redacted] resends records
9/30/2014 Email to [redacted] asking for update. No response
10/31/2014 Email to [redacted] asking for update. No response
10/31/2014 [redacted] says she is awaiting records
10/31/2014 Response to [redacted] that [redacted] has already sent records
11/26/2014 Email to [redacted] asking for update. No response
12/16/2014 Email to [redacted] asking for update. No response
1/5/2015 Email to [redacted] asking for update. No response
3/10/2015 Email to [redacted] asking for update. No response
3/11/2015 Email from [redacted] telling me that it has been reassigned
3/11/2015 Email to [redacted] whom [redacted] tells me it has been reassigned to, no response
5/6/2015 Email to [redacted], no response
5/14/2015 Email from [redacted] telling me he needs medical authorization for medical records that have already been sent to [redacted] has already sent records of my condition. You should not need any more paperwork. These are just the latest emails as well, this does not include the large number of times I called and left voicemails (as [redacted] picking up her phone is a rarity to say the least) or was simply put on hold for 20 plus minutes to be hung up on.
Regards,
[redacted]
Worst claims process ever.
This is in response to a recent inquiry concerning a complaint referenced above. We have been working diligently on Ms. [redacted] claim. On 2/9/2015 we...
received the medical bills needed to complete her bodily injury claim. At this time we are currently in the process of evaluating the information received for Ms. [redacted]. Her claim will be evaluated but now offers extended at this time due to there were four other injured people included in this accident. We have requested the same information on the other four people injured, however, we still lack items for three of them. The full medical bills and records will have to be obtained for all parties presenting a claim before any offers will be extended. Due to this being a minim limits policy, we take all precaution to provide equal and fair opportunity for all injured parties to present and receive what is due to them. Please let me know if you have any further questions or concerns on this matter. Sincerely, [redacted] GCI claims manager NAIC #[redacted]
I am seeking for hospital bills to be paid primarily.
see the attached file for response.
Thank you.
11123/2015
[redacted]
Revdex.com [redacted]@upstatesc.Revdex.com.org
RE: Insured- [redacted]
Complainant- [redacted]
Claim #- [redacted]-1
Policy #- P [redacted]-4
Date of Loss- 10/1 0/15
Revdex.com 10#...
[redacted] Dear Ms. [redacted]:
This is in response to a recent inquiry concerning a complaint referenced above.
GCI received report of this flood claim on 10/12/2015. We assigned Property Damage
Appraisers complete the estimate on Ms. [redacted]' car. When we received the estimate, we
deemed this a total loss due to extensive water damage. We extended the total loss offer on
10/28/15. Ms. [redacted] did not accept offer. We extended the second offer on 10/29/2015. This
offer was accepted and the total loss documents were sent to Ms. [redacted] via email on 10/30/15.
We requested the letter of guarantee and copy of title from the lienholder on 10/29/2015. We
received the total loss paperwork back from the insured on 11106/15 and the information from
the lienholder was received on 11117/2015. We mailed the total loss settlement check for the
amount that was agreed upon $2000.00 to the lienholder. Ms. [redacted] will be responsible for any
monies owed to the lienholder over and above the value of the vehicle.
Please see the attached total loss documents regarding, Ms. [redacted] and the letter of guarantee
and copy of title from the lienholder. I have also included a copy of the check.
Please let me know if you have any further questions or concerns on this matter.
Sincerely,
[redacted]
GCI claims manag
All the information that they say they need was mailed to them via certified mail and signed for(see attached)
Medical records and bills from [redacted] Hospital. This company has got to be the worst insurance company ever. Now to cause further delays they are asking for the same...
information again that I know they have because I have a signed receipt showing that they do. But I returned the forms anyway as well as send them additional copies of the same forms. Since They showed me in the beginning how they were going to conduct business I scanned all the Medical summaries and bills to my computer as well as mail everything via certified mail so I had proof of delivery and it still has done no good. I actually emailed Ms. [redacted] all of those Bills and summaries several weeks ago along with a copy of the certified receipt so she could see who received them.
Thank you
[redacted]
This is in response to a recent inquiry concerning a complaint referenced above. We received this claim on 6/6/2014 which was the same as the date ofloss. We received a partial subrogation demand for the claimant, [redacted], on 7/23 /2014. We responded with an email on 7/23/2014 stating we will need a full subrogation package complete with payment and supporting documents in order to settle. We never received anything more on the subrogation until 311612015 when we received a notice that [redacted] filed with Arbitration Forums. We filed that arbitration response today. We will wait for a decision to be determined before we will settle property damage. As for the bodily injury claim for the claimant, Mr. [redacted], we have received bills for the treatment. We explained to him on 9111 /2014 that we will need to also get the medical records from treatments before an evaluation can begin. On 12112114 we mailed Mr. [redacted] a hippa form to complete, sign and return so we may obtain the medical records. On 2/25/2015 , after nothing was received and we had not had contact with Mr. [redacted] we closed the claim for lack of interest. We received a call from Mr. [redacted] on 3111115 requesting the current status fo r his claim and advised him of the closure. On 3111115, after speaking with the claimant we reopened the claim and assigned it to adjuster [redacted] to handle the bodily injury portion. The adjuster, Mr. [redacted], mailed out a new hippa form to be signed on 3/12/15. We still have not heard from him nor have we received the requested hippa form. We must receive the completed and signed hippa form so we can obtain the medical records. Once the records are received we can proceed toward the settlement of this claim. I have attached another copy of this hippa fonn to this response. He can email me the completed hippa to J[redacted]@greenvillecasualty.com or mail to Mr. [redacted] at [redacted] Attn: [redacted] / CLM[redacted] PO Box [redacted], SC 29652 Please let me know if you have any further questions or concerns on this matter. Sincerely, [redacted] GCl claims manager [redacted] GENERAL AUTHORIZATION FOR USE AND/OR DISCLOSURE OF MEDICAL INFORMATION Claim Number - [redacted] Section A: Explanation This authorization for use and/or disclosure of medical information is being requested ofyou to comply with the terms of the federal HlPAA privacy regulations, 45 C.F.R. § 164.508. Section B: Individual Authorizing the Use and/or Disclosure ofInformation This section is used to identify the individual who is the subject ofthe information to be used and/or disclosed, usually yourself (hereinafter the person named below in this Section B is to be referred to as the "individual"). Ifyou are a legal representative you must authorize the release of information for the individual you represent. I Name: I Address: Section C: Individuals or Organizations Authorized to Make the Disclosure Any individual or organization that receives this request and has records or information in their possession, including records or infonnation containing protected health information, concerning the past or present physical condition of the Individual, are authorized to disclose such records or infonnation pursuant to this authorization. Furthennore, I specifically authorize the following individual or organization to make the disclosure. Name of Health Provider: Name of Health Provider: Patient RecordIFile Number: Patient RecordlFile Number: Address: Address: Dates of Service: Dates ofService: Name of Health Provider: Name ofHealth Provider: Patient RecordlFile Number: Patient RecordlFile Number: Address: Address: Dates ofService: Dates ofService: Section D: Authorized Recipient ofInfonnation to be Used and/or Disclosed This authorization allows for use and/or disclosure of the information to any authorized representative of: Greenville Casualty Insurance Company, PO Box [redacted], SC 29652. Section E: Purpose and Description ofInformation to be Used and/or Disclosed This document is required to authorize any physician, surgeon, dentist, hospital, rehabilitation! convalescent/custodial faci lity, ambulance service, any other medical professional or insurance company to release to any authorized representative of Greenville Casualty Insurance Company all records or information in their possession, including records or information containing protected health information, concerning the past or present physical condition of the Individual. Further any of the aforementioned may submit ",'litten reports about the Individual upon the request of an authorized representative of Greenville Casualty Insurance Company. This authorization is being made at the Individual's request and the information or records disclosed will be used for the purposes of veri tying, evaluating, negotiating, and other pertinent legal uses, with respect to the Individual's claim. Section F: Expiration and Revocation This authorization shall remain valid for the duration of the claim or until revoked. The Individual has the right to revoke this authorization, which may be done at any time by giving w'litten notice of revocation to Greenville Casualty Insurance Company. The Individual understands that any revocation will not apply to infomlation that has already been released pursuant to this authorization. Section G: Effect of Granting this Authorization The Individual understands that once the information has been disclosed, federal health information privacy laws or regulations may no longer protect it. Section H: Signature ofIndividuai or Legal Representative To be valid, this authorization must be signed and dated by the Individual or the Individual's legal representative (i.e., a parent, guardian, or person holding a valid and legal power ofattorney). I have had full opportunity to read and consider the contents of this authorization. I understand that, by signing this form, I am confirming my authorization for the use and/or disclosure of my protected health information, as described in this form and that I make this authori7..ation voluntarily. Individual or the Individual's legal representative's signature: _____________________ Date: Relationship to Individual: _________________
RE: Insured- Jillane H. Minium Complainant-Tammy [redacted] Claim #- GCI0012382
-27pt;"> Policy #- PAA0364057-0 Date of Loss- 12/17/2015 Revdex.com# - 11097782 Dear Ms. [redacted]: This is in response to a recent inquiry concerning a complaint referenced above. When we received this claim, the claimant informed us that her car had been towed to her home and not accruing any storage cost. Once it was determined that Ms. [redacted]’s car was a total loss, we called to extend the total loss offer and get permission to move the salvage to [redacted], a storage free facility. We then discovered that Ms. [redacted] had allowed the lienholder to move the vehicle to a storage facility where it has been accruing storage. We were not notified, nor did we approve for storage cost. We will be deducting the storage cost of $1218.00 from the total loss settlement. It was the insured’s obligation to mitigate any unnecessary cost. If the car needed to be moved, we offered & at any time could have provided a storage free facility. If you have any further questions requiring this matter, you may reach me at 1-[redacted], extension [redacted]. Sincerely, [redacted] GCI claims manager/NAIC #[redacted]