I sent the dissatisfaction statement to the Director of Revenue Cycle Management and they are going to contact the patient to get a better understanding of what happened with the patient's accountThank you
This particular patient is insured by [redacted] UHC Military [redacted] UHC Military benefits require the patient’s Primary Care Physician to send a referral directly to [redacted] for both routine vision and for medical services for services to be considered in networkWe have called [redacted] and confirmed again that there is no referral on file from the patient’s Primary Care Physician for this visit so [redacted] is processing as point of service (out of network benefits) is correct [redacted] has applied $towards the patient’s annual deductible and is indicating the patient is responsible for paying that amountIf the patient disagrees with how [redacted] processed their claim or the amount indicated they owe, they should reach out to [redacted] to discuss further [redacted] has explained to us that they send their subscribers annual education material on their benefits including specifics regarding the need for a referral from their Primary Care Physician that must be received by [redacted] to have services processed as in network
I sent the dissatisfaction statement to the Director of Revenue Cycle Management and they are going to contact the patient to get a better understanding of what happened with the patient's accountThank you
This particular patient is insured by [redacted] UHC Military [redacted] UHC Military benefits require the patient’s Primary Care Physician to send a referral directly to [redacted] for both routine vision and for medical services for services to be considered in networkWe have called [redacted] and confirmed again that there is no referral on file from the patient’s Primary Care Physician for this visit so [redacted] is processing as point of service (out of network benefits) is correct [redacted] has applied $towards the patient’s annual deductible and is indicating the patient is responsible for paying that amountIf the patient disagrees with how [redacted] processed their claim or the amount indicated they owe, they should reach out to [redacted] to discuss further [redacted] has explained to us that they send their subscribers annual education material on their benefits including specifics regarding the need for a referral from their Primary Care Physician that must be received by [redacted] to have services processed as in network