GSEP Emergency Medicine

June 15, [redacted] While we are disappointed that Complainant in the above referenced ID is frustrated that services rendered were not paid for by his insuranceit is clear that this issue was the result of clerical issues somewhere in the emergency department registration process at the hospital combined with a misunderstanding on the part of ComplainantInitially, the insurance submitted was inactive and the registration data received by the physician group billing department from the hospital was incorrectWhen he (or his representative) called the hospital to correct the insurance information, the hospital staff member states that Complainant was told to contact Greater San Antonio Emergency Physicians to change his insurance information in their system as wellThis did not happenAs a resulti Greater San Antonio Emergency Physicians was not apprised of the insurance changeWe went beyond normally accepted collection standards, investing a significant amount of resources to obtain payment including sending separate statements and separate phone call attempts before sending Complainant to collections By the time he did connect with us, payment directly from the insurance was not a possibilitySo, we offered a severely discounted rate (63% discount) which he did not acceptWe will again offer that if Complainant remits payment of $for services rendered by no later than July 15, We will consider his obligation fulfilled and we will contact the collection agency to remove this issue from his credit report From there, if he chooses, he can seek direct reimbursement from his insurance

June 15, 2018 [redacted]
 
While we are disappointed that Complainant in the above referenced ID is frustrated that services rendered were not paid...

for by his insurance. it is clear that this issue was the result of clerical issues somewhere in the emergency department registration process at the hospital combined with a misunderstanding on the part of Complainant. Initially, the insurance submitted was inactive and the registration data received by the physician group billing department from the hospital was incorrect. When he (or his representative) called the hospital to correct the insurance information, the hospital staff member states that Complainant was told to contact Greater San Antonio Emergency Physicians to change his insurance information in their system as well. This did not happen. As a resulti Greater San Antonio Emergency Physicians was not apprised of the insurance change. We went beyond normally accepted collection standards, investing a significant amount of resources to obtain payment including sending 5 separate statements and 4 separate phone call attempts before sending Complainant to collections.  By the time he did connect with us, payment directly from the insurance was not a possibility. So, we offered a severely discounted rate (63% discount) which he did not accept. We will again offer that if Complainant remits payment of $250 for services rendered by no later than July 15, 2018. We will consider his obligation fulfilled and we will contact the collection agency to remove this issue from his credit report From there, if he chooses, he can seek direct reimbursement from his insurance.