September 30, [redacted] Marketplace Resource Consultant Revdex.com Cincinnati, OH RE: [redacted] ID#: [redacted] Dear [redacted] ***: I am writing in follto your letter that was received on September 29, Please be advised that the HIPAA regulations regarding Privacy and Confidentiality prohibit disclosure of protected health information; therefore, we are unable to assist you with this matter and will contact the member directly Thank you very much for bringing this to our attention Sincerely, Cheryl R Grievance & Appeal Coordinator HealthSpan [redacted] Cleveland, OH Phone: [redacted] Fax: [redacted]
July 2, [redacted] Marketplace Resource Consultant Revdex.com Cincinnati, OH RE: [redacted] ID#: [redacted] Dear Ms***: I am writing in follto your letter that was received on July 1, Please be advised that the HIPAA regulations regarding Privacy and Confidentiality prohibit disclosure of protected health information; therefore, we are unable to assist you with this matter and will contact the member directly Thank you very much for bringing this to our attention Sincerely, Cheryl R Appeal/Grievance Coordinator HealthSpan [redacted] ** [redacted]
February 1, [redacted] Marketplace Resource Consultant [redacted] @cincinnati.Revdex.com.org RE: [redacted] ID#: [redacted] Dear [redacted] ***: I am writing in follto your letter that was received on January 28, Please be advised that the HIPAA regulations regarding Privacy and Confidentiality prohibit disclosure of protected health information; therefore, we are unable to assist you with this matter and will contact the member directly Thank you very much for bringing this to our attention Please Note: A copy of this letter was received by us from the [redacted] and we have resolved this issue with the member through them Sincerely, Cheryl R*** Grievance & Appeal Coordinator HealthSpan [redacted]
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 For your reference, details of the offer I reviewed appear below My view on this matter has been attached and is addressed to HealthSpanA full copy of the text is contained in the body of the message bellow To HealthSpan, I would like to thank you for having taken the time to respond to the claim issued with the Revdex.com pertaining to your billing practices and errorsYour commitment to getting this resolved is acknowledged, but unfortunately your response is truly disappointing Having tried for over four months to mitigate your mistakes with your customer relations department, I have to emphasize that your response is nothing less than insultingDuring many of the conversations, which may have been recorded for training purposes, had with your employees I was repeatedly denied access to my payment records and was constantly told that I missed a payment in March, or April, or that the last payment that shows in your records for is December 3rd , hence being behind the required premium payments and therefore you demanded that I make additional premium paymentsDespite my repeated attempts to explain to your own employees how your billing system works and how all your customers pay a month in advance, and how I have paid all the premiums, and I have the banking records to prove that I am and always have been up to date with all payments, you insisted and continue to insist that I owe more that I actually doYour constant contradiction regarding which month was unpaid is a clear sign of an attempt at deceit and serves only to prove your lack of professionalism and ethics During my last conversation, which may have been recorded for training purposes, with one of your customer relations representative I was told that the last payment for that is posted in your records is December 3rd and that you have no records of a payment in December 29th, 2014, as I indicated many times and my banking records reflectDuring the very same conversation, that may have been recorded for training purposes, I have repeatedly asked for a complete list of the payment records for 2014, only to be denied firmly such a listIt is strange that only after I have issued the complaint with Revdex.com your were more than willing to supply the list of payments for and 2015, but you have done so in a manner that is untruthful, therefore purposely lying about my records with the intent of deceiving and hiding your incompetenceThe list you have provided is riddled with errors and inaccuraciesThroughout the many conversations, that may have been recorded for training purposes, with your customer relations reps I have emphasized that all the bills pertaining to my health care services provided by [redacted] or HealthSpan have been done through online bill payment service provided by my Bank and the payments of the premiums have been setup for the 20th or 25th of each monthIf that is the case, how do you explain the December 13, and December 16, payments listed in your response? Am I to assume that my bank has taken upon itself to pay my bills ahead of the time frame indicated by me, or is it more plausible to assume that you have used the December 13, payment as a means of justifying the December 16, payment? By the way, the last payment for has been made in December and not the 13th and the last payments for have been made in December 3rd and 29thNot only that, but if you would take the time to actually look at the payment records you would immediately realize that all the payments have been made at the end of the month, with few exceptions due to holidays or weekends that have pushed the payments to the beginning of the next month Actual payments made to [redacted] and HealthSpan since December are as follows: December 23rd , ---- $January 23rd , ---- $February 3rd, ---- $February 24th, ---- $March 21st, ----$April 24th , ----$May 21st ---- $June 23rd ---- $July 28th ---- $August 28th ---- $September 29th ----$October 28th ----$November 28th ---- $December 29th ----$January 29th ----$March 2nd ----$March 30th ----$April 28th ----$May 19th ----$July 17th ----$ July 29th ----$August 28th ----$ As one can tell from the dates and sums posted above and in total contrast to your records, there is a clear lack of professionalism that explains your incompetence, hence my remarks throughout this letter Your lying is mindboggling! Furthermore, you continue with your very complicated math in order to provide some form of explanation for this utterly unjustified stupidityThe math that you use has no basis in this conversation due to it being flawed by way of the nature of the premiums that have continuously increased throughout the yearsSometimes in the middle of the year I would find myself with an increase in the premiumNot only that, but if the records provided, as flawed as they are, prove that I have made payments in and payments in 2015, and we are in September 15th, 2015, and each customer pays a month in advance, the only logical deduction one can make is that I have paid my premiums up to the end of and including all of the month of September which is the ninth month of the year, in case you get confusedTherefore, if I made payments in as indicated by the list provided by you and my banking records, I am up to date with all the premium paymentsYour attempt to credit me $only to request $is a ridiculous attempt to extort more money out of me and is the dumbest possible route you could have takenIt is without a doubt, at this point, that your incompetence has no boundaries and your corporation should not be allowed to participate in the health care market In closing, I have never claimed that I have overpaid for any of the years since my enrolment with [redacted] or HealthSpan, but I have continually stated that you demand of me to overpay your corporation in the amount consisting of two monthly premiums that you so nicely explained would be a gesture of goodwill on your part by only demanding $and crediting me $This dear corporation is the height of ignorance, arrogance and stupidity on your part The fact that you lied so openly about my payment history in your response to my claim should have some serious legal implications for your corporationSuch a behavior is unacceptable! There needs to be some accountability for your actions! Your response is insulting, therefore rejected! / [redacted] Style Definitions */ Regards, [redacted]
Per HealthSpan's Membership Administrative Department, the prior information sent is the only payment information that we have We will need to have proof of any payment the member is stating that is missing, such as the front and back copy of his check or a confirmation number for any online payments made Per documented calls, [redacted] was previously asked to send in his proof of payment so that we could research further [redacted] refused to do so There is nothing further we can do at this time, without proof of payment We have already researched 2013, 2014, and payments
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 For your reference, details of the offer I reviewed appear below Good morning [redacted] ***, Thank you for taking the time to review my response to HealthSpanInc and providing your honest assessment regarding the payment issues addressed earlier in my initial complaint and then in my responseYour truthful and sincere attempt at bringing this to a just resolution for both parties involved is greatly appreciatedWith all due respect, if the information or documentation/ confirmation provided by HealthSpan is sufficient and acceptable for you and the institution that you represent, Revdex.com, in order to reach your conclusions, then the information/ documentation or confirmation provided by me, should be equally validAfter all, this dispute started from Health Span accusing me of not paying my dues to them and as previously mentioned and proven, their claim is baseless and without any documentation to demonstrate this factFurthermore, throughout this process their claim has been repeatedly disproven by simple and demonstrable facts such as documented payment history provided as requested and in the same form as the business has provided their side of the documentation, simple arithmetic, general knowledge of basic notions such as the number of months in a year and, more importantly, by the billing practices used in the industry of health care services that require all customers to pay a month in advance in order to benefit for health care coverageEven looking at the discrepancies between the two responses from HealthSpan such as their statement that I have claimed to have overpaid my dues when this was never the case, quite the contrary my claim is that HealthSpan demands that I overpay, should have been enough to provide you and Revdex.com with an accurate image and assessment of the issues at hand and their true and honest intentionsThere is a big difference between the claim that I have overpaid, which is a past action and untrue (I have never claimed to have overpaid), and their demand that I overpay, which is a future action and desired outcome by HealthSpan in order to cover up their record keeping incompetenceLastly, the initial claim with your institution has been made precisely because HealthSpan accused me of wrong doing and continue to do so presently by continuing to send bills that are erroneous and would require me to overpay, therefore the burden of proving that I have not complied with the contractual agreement between the two parties, rests on their shoulders and not mineThe accuser always has to prove the accusations, otherwise it is just hearsayJust a few questions in order to better understand your stance on this issue: If I were to claim that I have overpaid by months my dues to HealthSpan, who would have to prove that this is the case? Me or the business? On whose shoulders rests the burden of proof? Would you require the business to bend over backwards to provide documentation showing the contrary? In conclusion, please send my responses to HealthSpan and also post the correspondence on the Revdex.com’s website so that other customers see the facts and, maybe just maybe, they can find other options to protect themselves from this type of predatory practices Thank you for all you have done to mediate this misunderstanding! Regards, [redacted]
August 26, [redacted] Marketplace Resource Consultant Revdex.com Cincinnati, OH RE: [redacted] ID#: [redacted] Dear [redacted] ***: I am writing in follto your letter that was received on August 26, Please be advised that the HIPAA regulations regarding Privacy and Confidentiality prohibit disclosure of protected health information; therefore, we are unable to assist you with this matter and will contact the member directly Thank you very much for bringing this to our attention Sincerely, Cheryl R Appeal/Grievance Coordinator HealthSpan P.OBox Cleveland, OH [redacted]
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 For your reference, details of the offer I reviewed appear below we sent the Revdex.com a release form to discuss and dispute this matter on our behalfWe have canceled the account and would now just like a refund of the funds applied to the wrong account Regards, [redacted]
September 30, [redacted] Marketplace Resource Consultant Revdex.com Cincinnati, OH RE: [redacted] ID#: [redacted] Dear [redacted] ***: I am writing in follto your letter that was received on September 29, Please be advised that the HIPAA regulations regarding Privacy and Confidentiality prohibit disclosure of protected health information; therefore, we are unable to assist you with this matter and will contact the member directly Thank you very much for bringing this to our attention Sincerely, Cheryl R Grievance & Appeal Coordinator HealthSpan [redacted] Cleveland, OH Phone: [redacted] Fax: [redacted]
July 2, [redacted] Marketplace Resource Consultant Revdex.com Cincinnati, OH RE: [redacted] ID#: [redacted] Dear Ms***: I am writing in follto your letter that was received on July 1, Please be advised that the HIPAA regulations regarding Privacy and Confidentiality prohibit disclosure of protected health information; therefore, we are unable to assist you with this matter and will contact the member directly Thank you very much for bringing this to our attention Sincerely, Cheryl R Appeal/Grievance Coordinator HealthSpan [redacted] ** [redacted]
February 1, [redacted] Marketplace Resource Consultant [redacted] @cincinnati.Revdex.com.org RE: [redacted] ID#: [redacted] Dear [redacted] ***: I am writing in follto your letter that was received on January 28, Please be advised that the HIPAA regulations regarding Privacy and Confidentiality prohibit disclosure of protected health information; therefore, we are unable to assist you with this matter and will contact the member directly Thank you very much for bringing this to our attention Please Note: A copy of this letter was received by us from the [redacted] and we have resolved this issue with the member through them Sincerely, Cheryl R*** Grievance & Appeal Coordinator HealthSpan [redacted]
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 For your reference, details of the offer I reviewed appear below My view on this matter has been attached and is addressed to HealthSpanA full copy of the text is contained in the body of the message bellow To HealthSpan, I would like to thank you for having taken the time to respond to the claim issued with the Revdex.com pertaining to your billing practices and errorsYour commitment to getting this resolved is acknowledged, but unfortunately your response is truly disappointing Having tried for over four months to mitigate your mistakes with your customer relations department, I have to emphasize that your response is nothing less than insultingDuring many of the conversations, which may have been recorded for training purposes, had with your employees I was repeatedly denied access to my payment records and was constantly told that I missed a payment in March, or April, or that the last payment that shows in your records for is December 3rd , hence being behind the required premium payments and therefore you demanded that I make additional premium paymentsDespite my repeated attempts to explain to your own employees how your billing system works and how all your customers pay a month in advance, and how I have paid all the premiums, and I have the banking records to prove that I am and always have been up to date with all payments, you insisted and continue to insist that I owe more that I actually doYour constant contradiction regarding which month was unpaid is a clear sign of an attempt at deceit and serves only to prove your lack of professionalism and ethics During my last conversation, which may have been recorded for training purposes, with one of your customer relations representative I was told that the last payment for that is posted in your records is December 3rd and that you have no records of a payment in December 29th, 2014, as I indicated many times and my banking records reflectDuring the very same conversation, that may have been recorded for training purposes, I have repeatedly asked for a complete list of the payment records for 2014, only to be denied firmly such a listIt is strange that only after I have issued the complaint with Revdex.com your were more than willing to supply the list of payments for and 2015, but you have done so in a manner that is untruthful, therefore purposely lying about my records with the intent of deceiving and hiding your incompetenceThe list you have provided is riddled with errors and inaccuraciesThroughout the many conversations, that may have been recorded for training purposes, with your customer relations reps I have emphasized that all the bills pertaining to my health care services provided by [redacted] or HealthSpan have been done through online bill payment service provided by my Bank and the payments of the premiums have been setup for the 20th or 25th of each monthIf that is the case, how do you explain the December 13, and December 16, payments listed in your response? Am I to assume that my bank has taken upon itself to pay my bills ahead of the time frame indicated by me, or is it more plausible to assume that you have used the December 13, payment as a means of justifying the December 16, payment? By the way, the last payment for has been made in December and not the 13th and the last payments for have been made in December 3rd and 29thNot only that, but if you would take the time to actually look at the payment records you would immediately realize that all the payments have been made at the end of the month, with few exceptions due to holidays or weekends that have pushed the payments to the beginning of the next month Actual payments made to [redacted] and HealthSpan since December are as follows: December 23rd , ---- $January 23rd , ---- $February 3rd, ---- $February 24th, ---- $March 21st, ----$April 24th , ----$May 21st ---- $June 23rd ---- $July 28th ---- $August 28th ---- $September 29th ----$October 28th ----$November 28th ---- $December 29th ----$January 29th ----$March 2nd ----$March 30th ----$April 28th ----$May 19th ----$July 17th ----$ July 29th ----$August 28th ----$ As one can tell from the dates and sums posted above and in total contrast to your records, there is a clear lack of professionalism that explains your incompetence, hence my remarks throughout this letter Your lying is mindboggling! Furthermore, you continue with your very complicated math in order to provide some form of explanation for this utterly unjustified stupidityThe math that you use has no basis in this conversation due to it being flawed by way of the nature of the premiums that have continuously increased throughout the yearsSometimes in the middle of the year I would find myself with an increase in the premiumNot only that, but if the records provided, as flawed as they are, prove that I have made payments in and payments in 2015, and we are in September 15th, 2015, and each customer pays a month in advance, the only logical deduction one can make is that I have paid my premiums up to the end of and including all of the month of September which is the ninth month of the year, in case you get confusedTherefore, if I made payments in as indicated by the list provided by you and my banking records, I am up to date with all the premium paymentsYour attempt to credit me $only to request $is a ridiculous attempt to extort more money out of me and is the dumbest possible route you could have takenIt is without a doubt, at this point, that your incompetence has no boundaries and your corporation should not be allowed to participate in the health care market In closing, I have never claimed that I have overpaid for any of the years since my enrolment with [redacted] or HealthSpan, but I have continually stated that you demand of me to overpay your corporation in the amount consisting of two monthly premiums that you so nicely explained would be a gesture of goodwill on your part by only demanding $and crediting me $This dear corporation is the height of ignorance, arrogance and stupidity on your part The fact that you lied so openly about my payment history in your response to my claim should have some serious legal implications for your corporationSuch a behavior is unacceptable! There needs to be some accountability for your actions! Your response is insulting, therefore rejected! / [redacted] Style Definitions */ Regards, [redacted]
Per HealthSpan's Membership Administrative Department, the prior information sent is the only payment information that we have We will need to have proof of any payment the member is stating that is missing, such as the front and back copy of his check or a confirmation number for any online payments made Per documented calls, [redacted] was previously asked to send in his proof of payment so that we could research further [redacted] refused to do so There is nothing further we can do at this time, without proof of payment We have already researched 2013, 2014, and payments
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 For your reference, details of the offer I reviewed appear below Good morning [redacted] ***, Thank you for taking the time to review my response to HealthSpanInc and providing your honest assessment regarding the payment issues addressed earlier in my initial complaint and then in my responseYour truthful and sincere attempt at bringing this to a just resolution for both parties involved is greatly appreciatedWith all due respect, if the information or documentation/ confirmation provided by HealthSpan is sufficient and acceptable for you and the institution that you represent, Revdex.com, in order to reach your conclusions, then the information/ documentation or confirmation provided by me, should be equally validAfter all, this dispute started from Health Span accusing me of not paying my dues to them and as previously mentioned and proven, their claim is baseless and without any documentation to demonstrate this factFurthermore, throughout this process their claim has been repeatedly disproven by simple and demonstrable facts such as documented payment history provided as requested and in the same form as the business has provided their side of the documentation, simple arithmetic, general knowledge of basic notions such as the number of months in a year and, more importantly, by the billing practices used in the industry of health care services that require all customers to pay a month in advance in order to benefit for health care coverageEven looking at the discrepancies between the two responses from HealthSpan such as their statement that I have claimed to have overpaid my dues when this was never the case, quite the contrary my claim is that HealthSpan demands that I overpay, should have been enough to provide you and Revdex.com with an accurate image and assessment of the issues at hand and their true and honest intentionsThere is a big difference between the claim that I have overpaid, which is a past action and untrue (I have never claimed to have overpaid), and their demand that I overpay, which is a future action and desired outcome by HealthSpan in order to cover up their record keeping incompetenceLastly, the initial claim with your institution has been made precisely because HealthSpan accused me of wrong doing and continue to do so presently by continuing to send bills that are erroneous and would require me to overpay, therefore the burden of proving that I have not complied with the contractual agreement between the two parties, rests on their shoulders and not mineThe accuser always has to prove the accusations, otherwise it is just hearsayJust a few questions in order to better understand your stance on this issue: If I were to claim that I have overpaid by months my dues to HealthSpan, who would have to prove that this is the case? Me or the business? On whose shoulders rests the burden of proof? Would you require the business to bend over backwards to provide documentation showing the contrary? In conclusion, please send my responses to HealthSpan and also post the correspondence on the Revdex.com’s website so that other customers see the facts and, maybe just maybe, they can find other options to protect themselves from this type of predatory practices Thank you for all you have done to mediate this misunderstanding! Regards, [redacted]
August 26, [redacted] Marketplace Resource Consultant Revdex.com Cincinnati, OH RE: [redacted] ID#: [redacted] Dear [redacted] ***: I am writing in follto your letter that was received on August 26, Please be advised that the HIPAA regulations regarding Privacy and Confidentiality prohibit disclosure of protected health information; therefore, we are unable to assist you with this matter and will contact the member directly Thank you very much for bringing this to our attention Sincerely, Cheryl R Appeal/Grievance Coordinator HealthSpan P.OBox Cleveland, OH [redacted]
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 For your reference, details of the offer I reviewed appear below we sent the Revdex.com a release form to discuss and dispute this matter on our behalfWe have canceled the account and would now just like a refund of the funds applied to the wrong account Regards, [redacted]