To Whom It May Concern, 5pt;">Thank you for your notifying us of this complaint filed against our practiceWe have looked into the matter and are taking steps to resolve this matter as soon as possibleOur patient’s complaint surrounds a bill for $for services rendered 9/14/On this day, she was scheduled with our office to receive an echocardiogram as well as a home sleep studyHer time in the office was spent with a technician doing the ultrasound as well as with our clinical staff for the education on the proper use of her home sleep study equipmentThe claim sent to her insurance was for these procedures as well as a level office visit (99211)Her claim is that a level office visit was not rendered since she did not see a licensed health professional and is therefore disputing the bill which is assigned to her as a coinsuranceWe have sent her a response that includes her bill sent to ***, her Explanation of Benefits for the date of service and an explanation of what constitutes a level office visitAccording to the American Medical Association's Current Procedural Terminology, the definition of (level 1) office visit consists of: “The evaluation and management of an established patient, that may or may not require the presence of a physician or other qualified healthcare professionalUsually the presenting problem(s) are minimalTypically minutes are spent performing or supervising these services.” As I hope you can see, the definition explains clearly the rationale for our billing for the care provided on 9/14/We take all of our patients’ concerns seriouslyAs such our billing manager, Reina, contacted her insurance company as soon as we were made aware of her concernsOn 5/19/16, we sent her insurance company a copy of her medical records and the above mentioned documentation for an additional review of this claimPer their preliminary review, we were told the patient would be responsible for this balance but a formal determination could take up to days to completeWe certainly see how this misunderstanding could have occurred since billing can be confusingWe have communicated to the patient that we are more than willing to discuss any of this information in personWe welcome any additional requests for information and look forward for the positive resolution of this disputeRespectfully, Husna RB***, M.D
To Whom It May Concern,Thank you for your notifying us of this complaint filed against our practiceWe have looked into the matter and are taking steps to resolve this matter as soon as possible.Our patient’s complaint surrounds a bill for $for services rendered 9/14/On this day, she was
scheduled with our office to receive an echocardiogram as well as a home sleep studyHer time in the office was spent with a technician doing the ultrasound as well as with our clinical staff for the education on the proper use of her home sleep study equipmentThe claim sent to her insurance was for these procedures as well as a level office visit (99211).Her claim is that a level office visit was not rendered since she did not see a licensed health professional and is therefore disputing the bill which is assigned to her as a coinsuranceWe have sent her a response that includes her bill sent to ***, her Explanation of Benefits for the date of service and an explanation of what constitutes a level office visit.According to the American Medical Association's Current Procedural Terminology, the definition of (level 1) office visit consists of:“The evaluation and management of an established patient, that may or may not require the presence of a physician or other qualified healthcare professionalUsually the presenting problem(s) are minimalTypically minutes are spent performing or supervising these services.”As I hope you can see, the definition explains clearly the rationale for our billing for the care provided on 9/14/We take all of our patients’ concerns seriouslyAs such our billing manager, Reina, contacted her insurance company as soon as we were made aware of her concernsOn 5/19/16, we sent her insurance company a copy of her medical records and the above mentioned documentation for an additional review of this claimPer their preliminary review, we were told the patient would be responsible for this balance but a formal determination could take up to days to complete.We certainly see how this misunderstanding could have occurred since billing can be confusingWe have communicated to the patient that we are more than willing to discuss any of this information in personWe welcome any additional requests for information and look forward for the positive resolution of this dispute.Respectfully, Husna RB***, M.D
[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
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. I appreciate the prompt response by the business. Based on the information they provided, I agree with their determination that I am responsible for the copay . It appears that my insurance company gave me incorrect information when I contacted them. Thank you for your assistance in resolving this matter.
Regards,
[redacted]
To Whom It May Concern,
5pt;">Thank you for your notifying us of this complaint filed against our practice. We have looked into the matter and are taking steps to resolve this matter as soon as possible.
Our patient’s complaint surrounds a bill for $19.09 for services rendered 9/14/15. On this day, she was scheduled with our office to receive an echocardiogram as well as a home sleep study. Her time in the office was spent with a technician doing the ultrasound as well as with our clinical staff for the education on the proper use of her home sleep study equipment. The claim sent to her insurance was for these 2 procedures as well as a level 1 office visit (99211).
Her claim is that a level 1 office visit was not rendered since she did not see a licensed health professional and is therefore disputing the bill which is assigned to her as a coinsurance. We have sent her a response that includes her bill sent to [redacted], her Explanation of Benefits for the date of service and an explanation of what constitutes a level 1 office visit.
According to the American Medical Association's Current Procedural Terminology, the definition of 99211 (level 1) office visit consists of:
“The evaluation and management of an established patient, that may or may not require the presence of a physician or other qualified healthcare professional. Usually the presenting problem(s) are minimal. Typically 5 minutes are spent performing or supervising these services.”
As I hope you can see, the 99211 definition explains clearly the rationale for our billing for the care provided on 9/14/15. We take all of our patients’ concerns seriously. As such our billing manager, Reina, contacted her insurance company as soon as we were made aware of her concerns. On 5/19/16, we sent her insurance company a copy of her medical records and the above mentioned documentation for an additional review of this claim. Per their preliminary review, we were told the patient would be responsible for this balance but a formal determination could take up to 30 days to complete.
We certainly see how this misunderstanding could have occurred since billing can be confusing. We have communicated to the patient that we are more than willing to discuss any of this information in person. We welcome any additional requests for information and look forward for the positive resolution of this dispute.
Respectfully,
To Whom It May Concern, 5pt;">Thank you for your notifying us of this complaint filed against our practiceWe have looked into the matter and are taking steps to resolve this matter as soon as possibleOur patient’s complaint surrounds a bill for $for services rendered 9/14/On this day, she was scheduled with our office to receive an echocardiogram as well as a home sleep studyHer time in the office was spent with a technician doing the ultrasound as well as with our clinical staff for the education on the proper use of her home sleep study equipmentThe claim sent to her insurance was for these procedures as well as a level office visit (99211)Her claim is that a level office visit was not rendered since she did not see a licensed health professional and is therefore disputing the bill which is assigned to her as a coinsuranceWe have sent her a response that includes her bill sent to ***, her Explanation of Benefits for the date of service and an explanation of what constitutes a level office visitAccording to the American Medical Association's Current Procedural Terminology, the definition of (level 1) office visit consists of: “The evaluation and management of an established patient, that may or may not require the presence of a physician or other qualified healthcare professionalUsually the presenting problem(s) are minimalTypically minutes are spent performing or supervising these services.” As I hope you can see, the definition explains clearly the rationale for our billing for the care provided on 9/14/We take all of our patients’ concerns seriouslyAs such our billing manager, Reina, contacted her insurance company as soon as we were made aware of her concernsOn 5/19/16, we sent her insurance company a copy of her medical records and the above mentioned documentation for an additional review of this claimPer their preliminary review, we were told the patient would be responsible for this balance but a formal determination could take up to days to completeWe certainly see how this misunderstanding could have occurred since billing can be confusingWe have communicated to the patient that we are more than willing to discuss any of this information in personWe welcome any additional requests for information and look forward for the positive resolution of this disputeRespectfully, Husna RB***, M.D
To Whom It May Concern,Thank you for your notifying us of this complaint filed against our practiceWe have looked into the matter and are taking steps to resolve this matter as soon as possible.Our patient’s complaint surrounds a bill for $for services rendered 9/14/On this day, she was
scheduled with our office to receive an echocardiogram as well as a home sleep studyHer time in the office was spent with a technician doing the ultrasound as well as with our clinical staff for the education on the proper use of her home sleep study equipmentThe claim sent to her insurance was for these procedures as well as a level office visit (99211).Her claim is that a level office visit was not rendered since she did not see a licensed health professional and is therefore disputing the bill which is assigned to her as a coinsuranceWe have sent her a response that includes her bill sent to ***, her Explanation of Benefits for the date of service and an explanation of what constitutes a level office visit.According to the American Medical Association's Current Procedural Terminology, the definition of (level 1) office visit consists of:“The evaluation and management of an established patient, that may or may not require the presence of a physician or other qualified healthcare professionalUsually the presenting problem(s) are minimalTypically minutes are spent performing or supervising these services.”As I hope you can see, the definition explains clearly the rationale for our billing for the care provided on 9/14/We take all of our patients’ concerns seriouslyAs such our billing manager, Reina, contacted her insurance company as soon as we were made aware of her concernsOn 5/19/16, we sent her insurance company a copy of her medical records and the above mentioned documentation for an additional review of this claimPer their preliminary review, we were told the patient would be responsible for this balance but a formal determination could take up to days to complete.We certainly see how this misunderstanding could have occurred since billing can be confusingWe have communicated to the patient that we are more than willing to discuss any of this information in personWe welcome any additional requests for information and look forward for the positive resolution of this dispute.Respectfully, Husna RB***, M.D
[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
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. I appreciate the prompt response by the business. Based on the information they provided, I agree with their determination that I am responsible for the copay . It appears that my insurance company gave me incorrect information when I contacted them. Thank you for your assistance in resolving this matter.
Regards,
[redacted]
To Whom It May Concern,
5pt;">Thank you for your notifying us of this complaint filed against our practice. We have looked into the matter and are taking steps to resolve this matter as soon as possible.
Our patient’s complaint surrounds a bill for $19.09 for services rendered 9/14/15. On this day, she was scheduled with our office to receive an echocardiogram as well as a home sleep study. Her time in the office was spent with a technician doing the ultrasound as well as with our clinical staff for the education on the proper use of her home sleep study equipment. The claim sent to her insurance was for these 2 procedures as well as a level 1 office visit (99211).
Her claim is that a level 1 office visit was not rendered since she did not see a licensed health professional and is therefore disputing the bill which is assigned to her as a coinsurance. We have sent her a response that includes her bill sent to [redacted], her Explanation of Benefits for the date of service and an explanation of what constitutes a level 1 office visit.
According to the American Medical Association's Current Procedural Terminology, the definition of 99211 (level 1) office visit consists of:
“The evaluation and management of an established patient, that may or may not require the presence of a physician or other qualified healthcare professional. Usually the presenting problem(s) are minimal. Typically 5 minutes are spent performing or supervising these services.”
As I hope you can see, the 99211 definition explains clearly the rationale for our billing for the care provided on 9/14/15. We take all of our patients’ concerns seriously. As such our billing manager, Reina, contacted her insurance company as soon as we were made aware of her concerns. On 5/19/16, we sent her insurance company a copy of her medical records and the above mentioned documentation for an additional review of this claim. Per their preliminary review, we were told the patient would be responsible for this balance but a formal determination could take up to 30 days to complete.
We certainly see how this misunderstanding could have occurred since billing can be confusing. We have communicated to the patient that we are more than willing to discuss any of this information in person. We welcome any additional requests for information and look forward for the positive resolution of this dispute.
Respectfully,
Husna R. B[redacted], M.D.