Hanley Chiropractic

Complaint: [redacted] I am rejecting this response because:This case is not resolved I have not received any information from Scott and White other than they said they were going to appeal the charges from Seton Today I received an appeal form from Scott and White with no explanation of what it is for and why I need to fill it out There are four pages of legal disclaimer included that do nothing to explain what the appeal form is for This is ridiculous I have never experienced an insurance company refusing to pay their bills I can see that this is just an endless cycle of delay It looks like a complaint to the Texas Department of Insurance is in order [redacted] Regards, [redacted]

Complaint: [redacted] I am rejecting this response because: The number provided was for patient advocacy ( issues with clinic and the patient experience, not the Scott and white health plan.) I spoke with the gentleman named [redacted] who will be forwarding the information on to someone in the correct department but I have not heard backI feel as if Scott and White provided a generic response and did not even read my complaint or they would've directed me to the correct department Regards, [redacted]

It is my understanding that contact was made todayBaylor Scott and White Health (BSW), is in receipt of a complaint filed with the Revdex.com, referenced as Case # [redacted] Federal and state laws generally prohibit covered entities, such as BSW, from disclosing patient information without a valid authorization Therefore, BSW is prohibited from providing any additional documentation or specific comments beyond the information disclosed personally by the complainant BSW can, however, provide very general information to address the allegations stated in the complaint BSW will conduct a review and will respond directly to the patientBSW is committed to protecting the privacy of patient health information and all patient and consumer concerns are taken very seriously Thank you for the opportunity to provide this information If you have any questions, please feel free to contact my office at [redacted]

Baylor Scott & White Health Plan (BSWHP), is inreceipt of a complaint filed with the Revdex.com, referenced asCase # [redacted] Federaland state laws generally prohibit covered entities, such as BSWHP, fromdisclosing patient information without a valid authorization Therefore, BSWHP is prohibited from providingany additional documentation or specific comments beyond the informationdisclosed personally by the complainant BSWHP can, however, provide very generalinformation to address the allegations stated in the complaint BSWHP was previously made aware of theallegations on July 21, 2015, after receiving a complaint filed by theindividual BSWHP is currently conductinga review and will respond directly to the patientBSWHP is committed to protecting the privacy ofpatient health information and all patient and consumer concerns are taken veryseriously Thank you for the opportunityto provide this information If you haveany questions, please feel free to contact my office at [redacted] Sincerely, [redacted] ***Manager, Department of Patient Relations

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and would like to consult with my attorney regarding a conclusive response to BSW, if possible Regards, [redacted]

Complaint: [redacted] I am rejecting this response because:Just so you know, I am not an expert in provider based billingHowever, I know what it isAnd that is precisely the problemIf I were to have a surgery, it doesn't matter if I go to BSW or Providence Health in Waco or UT Southwestern in Dallas, I will get a bill from the hospital and a separate bill from the providerThis is usual and customaryAs a reminder, my wife did not have a surgeryShe had an EYE EXAMShe did not see an Opthalmologist for an eye surgeryShe saw an Optometrist for an eye examTo make sure I am familiar with the commercial practice of eye exam and optometry, I decided to call three optical places around town.- Temple Vision- Texas State Optical- Belton Eye CenterWith no vision insurance, each place charges $55, $73, and $respectively for an eyeglass examI also asked whether they will charge me for the benefit of using the facility, the seat, the equipment that the doctor is using, etcThe first one laughedThe second one was confused and said 'no." The third one thought I was crazy or not from the USTo my point, it is NOT usual and customary for an optometry place to charge separately for an "eye exam" and for the "facility." After three calls, I am certain of all the optometry places in Central Texas, no one charges me for the benefit of using the facilityThis is USUAL and CUSTOMARYAdditionally, I am sure all these optometrists in Central Texas fall under the same regulation BSW falls under for optometryIf you think that "Well, we are a hospital, and this is how we do billing." Fair pointBut I believe Scott & White hospital in Temple also has a CafeteriaIf that's the case, you could mind as well start billing a chicken sandwich under three different charges: one for the sandwich, one for the provider (the cook), and one for the facility (the seating, AC, utensil, etc.) Why don't you do that? It's not only because the law doesn't allow you to, but it is ridiculousIt goes against the intention of the lawIt is not a usual and customary commercial practiceDo you see the problem? It is when BSW starts applying medical billing practice to everything elseThis is unethicalRegards, [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.Shortly after submitting my complaint, Dr [redacted] messaged me that she would be working with the billing dept to have the charges eliminated The following day, I received a call from a gentleman named [redacted] in Patient Relations who informed me that the charges were adjusted to zero He thanked me for bringing my issue to their attention Regards, [redacted]

Baylor Scott and White Health (BSW), is in receipt of a complaint filed with the Revdex.com, referenced as Case # [redacted] Federal and state laws generally prohibit covered entities, such as BSW, from disclosing patient information without a valid authorization Therefore, BSW is prohibited from providing any additional documentation or specific comments beyond the information disclosed personally by the complainant BSW can, however, provide very general information to address the allegations stated in the complaint BSW will conduct a review and will respond directly to the patientBSW will update the Revdex.com when issue is resolved BSW is committed to protecting the privacy of patient health information and all patient and consumer concerns are taken very seriously Thank you for the opportunity to provide this information If you have any questions, please feel free to contact my office at 254-724-Matter will be forwarded to review charges and we will respond to complainant directly

Complaint: [redacted] I am rejecting this response because: This issue has not been resolved and I have called several times in an attempt to get it resolved, but nobody has called me back Regards, [redacted] ***

Complaint: [redacted] I am rejecting this response because:I would like to consult with my attorney regarding a conclusive response to BSW, if possible Regards, [redacted]

I assure you the reply is not "Auto"It is being review as stated in the responseTherefore, again...Baylor Scott and White Health (BSW), is in receipt of a complaint filed with the Revdex.com, referenced as Case # [redacted] Federal and state laws generally prohibit covered entities, such as BSW, from disclosing patient information without a valid authorization Therefore, BSW is prohibited from providing any additional documentation or specific comments beyond the information disclosed personally by the complainantBSW can, however, provide very general information to address the allegations stated in the complaint BSW will conduct a review and will respond directly to the patient.BSW is committed to protecting the privacy of patient health information and all patient and consumer concerns are taken very seriously Thank you for the opportunity to provide this information If you have any questions, please feel free to contact my office at [redacted]

Complaint: [redacted] I am rejecting this response because: Scott & WhiteNever lets me know what they find out.they seem to forget that is a result of their billing department cannot make up there mind NB whether we were covered or not Regards, [redacted]

We appreciate this responseSomeone will be reaching out to this complainant and will work directly with her to resolve this issue

When the complainant receives his official response, he can choose at that time to share with the Revdex.comMeanwhile, Baylor Scott and White Health (BSW), is in receipt of a complaint filed with the Revdex.com, referenced as Case # [redacted] Federal and state laws generally prohibit covered entities, such as BSW, from disclosing patient information without a valid authorization Therefore, BSW is prohibited from providing any additional documentation or specific comments beyond the information disclosed personally by the complainantBSW can, however, provide very general information to address the allegations stated in the complaint BSW will conduct a review and will respond directly to the patient.BSW is committed to protecting the privacy of patient health information and all patient and consumer concerns are taken very seriously Thank you for the opportunity to provide this information If you have any questions, please feel free to contact my office at 254-724-

Baylor Scott and White Health (BSW), is in receipt of a complaint filed with the Revdex.com, referenced as Case # [redacted] Federal and state laws generally prohibit covered entities, such as BSW, from disclosing patient information without a valid authorization Therefore, BSW is prohibited from providing any additional documentation or specific comments beyond the information disclosed personally by the complainantBSW can, however, provide very general information to address the allegations stated in the complaint BSW will conduct a review and will respond directly to the patient.BSW is committed to protecting the privacy of patient health information and all patient and consumer concerns are taken very seriously Thank you for the opportunity to provide this information If you have any questions, please feel free to contact my office at 254-724- Tell us why here

Baylor Scott and White Health (BSW), is in receipt of a complaint filed with the Revdex.com, referenced as Case # [redacted] Federal and state laws generally prohibit covered entities, such as BSW, from disclosing patient information without a valid authorization Therefore, BSW is prohibited from providing any additional documentation or specific comments beyond the information disclosed personally by the complainant BSW can, however, provide very general information to address the allegations stated in the complaint BSW will conduct a review and will respond directly to the patientBSW will update the Revdex.com when issue is resolved BSW is committed to protecting the privacy of patient health information and all patient and consumer concerns are taken very seriously Thank you for the opportunity to provide this information If you have any questions, please feel free to contact my office at ***-***-***

Baylor Scott and White Health (BSW), is in receiptof a complaint filed with the Revdex.com, referenced as Case # [redacted] Federal and state laws generally prohibitcovered entities, such as BSW, from disclosing patient information without avalid authorization Therefore, BSW isprohibited from providing any additional documentation or specific commentsbeyond the information disclosed personally by the complainant BSW can, however, provide very general information toaddress the allegations stated in the complaint BSW will conduct a review and will responddirectly to the patientBSW is committed to protecting the privacy ofpatient health information and all patient and consumer concerns are taken veryseriously Thank you for the opportunityto provide this information If you haveany questions, please feel free to contact my office at [redacted] Tell us why here

Thank you for your patience during our review processOur records indicate that you did not make an effort to resolve this prior to going to the Revdex.com, so I regret you were not satisfied with the procedure for all billing concernsAs responded to earlier, we will respond our findings directly to youA letter has been mailed both certified and regular to assure you receive itThis letter was mailed today, January 15, I am certain you will find the response to your satisifactionHowever, if you do notPlease feel free to place in writing an appeal directly to the address belowThank youDepartment of Patient Relations [redacted] ***

Baylor Scott and White Health (BSW), is in receipt of a complaint filed with the Revdex.com, referenced as Case # [redacted] Federal and state laws generally prohibit covered entities, such as BSW, from disclosing patient information without a valid authorization Therefore, BSW is prohibited from providing any additional documentation or specific comments beyond the information disclosed personally by the complainantBSW can, however, provide very general information to address the allegations stated in the complaint BSW will conduct a review and will respond directly to the patientBSW is committed to protecting the privacy of patient health information and all patient and consumer concerns are taken very seriously Thank you for the opportunity to provide this information If you have any questions, please feel free to contact my office at [redacted] Tell us why here

Baylor Scott and White Health (BSW), is in receipt of a complaint filed with the Revdex.com, referenced as Case # [redacted] Federal and state laws generally prohibit covered entities, such as BSW, from disclosing patient information without a valid authorization Therefore, BSW is prohibited from providing any additional documentation or specific comments beyond the information disclosed personally by the complainant BSW can, however, provide very general information to address the allegations stated in the complaint BSW will conduct a review and will respond directly to the patient BSW is committed to protecting the privacy of patient health information and all patient and consumer concerns are taken very seriously Thank you for the opportunity to provide this information If you have any questions, please feel free to contact my office at [redacted] [redacted] Manager, Department of Patient Relations