Independence Blue Cross

Hello, Please be advised that I just faxed this completed form to IBX as well..*** **

Re:
3"> *** ***
Identification No: *** ***
Dear *** ***:
I am writing to acknowledge our receipt of your April 18, 2014, letter to the Manager of the Executive Inquiries Department, *** ***. We appreciate your writing to alert us to your concern(s).
Our records indicate that there is no authorization for your office to receive *** *** protected health information or PHIAs a result, we cannot disclose any information regarding our memberPlease complete the enclosed Authorization form and return it in the envelope providedOnce this information is received and processed, we will be able to release his PHI to your office
Should you have any questions, please call me at ###-###-####. I will be glad to assist you
Thank you.
Sincerely,
*** ***
Specialist
Executive Inquiries

Good afternoon *** ***:
I am writing in response to the complaint regarding *** *** ***, complaint# ***We were able to resolve her issue by locating her misapplied payment of $We applied this amount to her account, which pays her account to November 30, The next schedule premium payment is due December 1, 2014, in the amount of $
*** *** has also be notified of this in writing*** ***, thank you for bringing *** ***’s concerns to our attentionIf you have any questions, please contact me at ###-###-####I will be glad to assist you
Sincerely,
Scott Y***
Specialist
Executive Inquiries

Good Morning *** ***,
Thank you for providing our office with a copy of the HIPAA authorization form for *** *** ***Your department file number is *** Unfotunately, the form is invald., under Section D nothing was selected therefore, we have to enter the form in
as invalid
Please provide a copy of a complete HIPAA authorization form which will allow us to respond directly to your office
If you have any questions, please feel free to contact me at ###-###-####
Sincereley,
Sylvia B***, Specialist
Executive Inquiries

Dear *** ***, >
I am writing to acknowledge our receipt of your July 23, 2014, letter to the Manager of the Executive Inquiries Department, *** ***. We appreciate your writing to alert us to your concern(s).
Our record indicate that there is no authorization for your office to receive *** ***'s protected health information our PHIAs a result, we cannot dislcose any informaton regarding our memberPlease complete te enclosed authorizatio formOnce this information is received and process, we will be abloe to release ***'s PHI to your office Should you have any questions, please call me at ###-###-####. I will be glad to assist you
Thank you.
Sincerely,
Sylvia B***
Specialist
Executive Inquiries

As we discussed on 12/29/and this morning, because our records do not reflect receipt of a HIPAA authorization to issue the member’s Protected Health Information (PHI) to your office, we will respond directly to the member with our findings. Thanks Reginald
H***Lead Client Service RepresenativeOffice of Consumer Advocacy *** *** *** *** **Philadelphia, PA ***P ###-###-#### x*** |

Dear Mr***:
I am writing to acknowledge our receipt of the complaint filed by *** ***We are currently working to resolve his concernsPlease note they we will need a completed HIPAA form which will alow our office to respond to you
If you have any questions,
please feel free to contact me at ###-###-####I will be happy to assist you
Sincerely,
Sylvia B***, Specialist
Executive Inquiries

Complaint ID: ***Complainant: *** ***
Dear Sir/Madame,
I will be handling the review and response for the above complaint Please
be assured that our investigation is underway; however, I will not be able to respond to your office without consent from the member
Compliance with the HIPAA Privacy RuleThe federal Health Insurance Portability and Accountability Act, known as the HIPAA Privacy rule requires that we obtain an individual’s written approval before using or disclosing his/her protected health information or PHI for any purpose not permitted or required by the HIPAA Privacy Rule or other applicable lawPHI is individually identifiable health information transmitted or maintained in any form or medium (including written, spoken, or electronic) related to: health care, health conditions, payment for care, and identityThe written approval, called an “authorization”, must contain certain required elements for us to consider it valid under the HIPAA Privacy rule
If *** wishes to appoint yourself /Revdex.com as the recipient of his son's PHI, he must complete and return the attached Authorization formPlease complete one form, per memberYou may return the form by way of this email or mail it to: Independence Blue Cross, Attention: *** *** *** *** *** *** *** *** ** ***
Thanks so much
Sincerely,
*** ***Specialist, Executive InquiriesTelephone: ###-###-####

Good Afternoon *** ***,
Please advise if the member completed a HIPAA authorization form, which will allow our office to respond to MrEsposito's concerns
If you have any questions, please contact me at ###-###-####
Sincerely,
Sylvia B***,
Specialist
Executive Inquiries

">
Re: [redacted]
Dear [redacted]:
I am writing to acknowledge our receipt of your June 26, 2014, correspondence to Detra D[redacted], Manager of the Executive Inquiries DepartmentWe appreciate your writing to alert us to your concern(s)
In order to fully address the concerns you have presented, additional research is necessaryI have forwarded your correspondence to the appropriate liaison for further review.
However, as you may be aware, the federal Health Insurance Portability and Accountability Act, known as the HIPAA Privacy rule requires that we obtain an individual's written approval before using or disclosing his/her protected health information or PHI for any purpose not permitted or required by the HIPAA Privacy Rule or other applicable lawThe written approval, called an "authorization", must contain certain required elements for us to consider it valid under the HIPAA Privacy rule
Our records indicate that there is no authorization for you to receive this member's PHIAs a result, we cannot disclose any information regarding our memberWe ask that you have [redacted] complete the attached Authorization to Release Information formIn order for the form to be considered valid, all sections of the document must be completedShould [redacted] require assistance, instructions for the completion of the form are located on the back of the documentPlease return the completed document to us via email as a PDF
[redacted], should we complete our review before the completed form is received, we will be required to correspond our findings directly to [redacted]. Thank you for bringing this matter to our attention and for the opportunity to address her concerns
Sincerely,
Yvonne *P[redacted], Specialist
Executive Inquiries
Attachment

[redacted]
Good morning.
Although we have already conversed regarding this case, I am writing to officially acknowledge the complaint. I spoke with [redacted] and received additional information yesterday. Our review is currently underway and...

I will provide your office with our response upon the conclusion of our investigation.
In the interim, should you have any questions, please contact me directly at [redacted]
Thank you.
Regards,
Rafael P. D[redacted]
Specialist
Executive Inquiries Department

Dear [redacted]
I am writing to acknowledge our receipt of your August 11, 2015, correspondence to Detra D[redacted], Supervisor of the Executive Inquiries Department.  We appreciate your writing to alert us of your...

concerns.
As you are aware, the federal Health Insurance Portability and Accountibility Act, known as the HIPAA Privacy rule requires that we obtain an individual's written permission before using her/his protected health information, or PHI for any purpose not permitted or required by the HIPAA Privacy Rule or other applicable law. The written approval, called an "authorization", must contain certain required elements for us to consider it valid under the HIPAA Privacy Rule. 
We have received the Authorization for Disclosure of Health Information form that accompanied your inquiry. However, Sections B, and C of the form are completed with incorrect information. In addition, the form should only contain one signature. Therefore, we must consider the form invalid and ask that the attched blank form be completed.  Instructions are located onteh back of the form. 
Although - according to the attachment that accompanied your inquiry - [redacted] already addressed his request directly to our Personal Choice PPO Member Appeals Department, on August 7, 2015, please be advised that I have forwarded your inquiry to the apporpriate liaison to ensure their receipt.  As part of its processes, upon receipt of [redacted]'s appeal request, the Member Appeals Department will send  him an acknowledgment letter. That letter will  confirm our receipt, and will inform him when his appeal is scheduled to be heard, as well as any other pertinent information regarding his daughter's appeal.   
[redacted], thank you for your patience while we resolve [redacted]'s concerns. In the interim, I will look to receive the completed authorization form. Should we finalize the appeal before the completed document is received, we will be required to correspond our findings directly to [redacted].  
Sincerely,
Yvonne P[redacted], Specialist
Executive Inquiries
attachment

Dear [redacted]:
On March 14, 2014, we issued a response to the complaint directly to [redacted] and the outcome was favorable.
thank you,
[redacted], Specialist
Executive Inquiries

[redacted] Billing ###-###-####
[redacted] Appeals ###-###-####
[redacted] customer service  ###-###-####
Marketplace ###-###-####

March 19, 2015Dear [redacted]:Our Manager of the Executive Inquiries Department, Detra D[redacted], has requested that I respond to your recent correspondence regarding [redacted]. The purpose of this letter is to confirm that the complaint has been closed due to [redacted] received the refund which she had requested.
The federal Health Insurance Portability and Accountability Act, known as the HIPAA Privacy rule requires that we obtain an individual’s written approval before using or disclosing his/her protected health information (PHI) for any purpose not permitted or required by the HIPAA Privacy Rule or other applicable law. The written approval, called an “authorization”, must contain certain required elements for us to consider it valid under the HIPAA Privacy rule.Our records reflect that we did not receive an authorization form from [redacted], naming you and your office as an authorized recipient of her PHI. However, we are aware that [redacted] closed her compliant with your office as she had received the refund in the amount of $2,007.16 and redeemed the check on March 9, 2015.
[redacted], should you have any additional questions, regarding this matter, please contact me at ###-###-####. I will be glad to assist you.
Sincerely,
Raphael D., Specialist Executive Inquiries

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]
 Complaint: [redacted]
I am rejecting this response because: 
This is the second Revdex.com complaint I've processed for this company, I previously canceled with them (which they could produce no record of) I went through the Revdex.com to resolve the matter. To which they canceled my service, advised me that I should have canceled thorough a 3rd party (healthcare market place) and left it at that. I followed these steps to cancel, and surprise surprise I was signed up again for their service again, I received new medical cards and now am being emailed again that I have a past due balance and that my insurance will be terminated if I don't pay them. I did not at any time sign back up for this service, I've been insured since august through my work. What ever balance they deem owed is not going to be paid as I have fought this for months. I have an email and a letter for the previous case being resolved, and the past due email as well.
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Desired Settlement / Outcome
Desired Settlement:
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Desired Outcome:
I will not pay anything to them I want to be removed from their system completely never to be added again.
Regards,
[redacted]

Roman','serif'; FONT-SIZE: 12pt">Re:            [redacted]
File No:    [redacted]
Dear [redacted]:
I am writing to acknowledge and reply to your March 11, 2015, correspondence to [redacted], Supervisor of the Executive Inquiries Department. Your inquiry is written on behalf of [redacted], who contacted your office regarding his efforts to obtain precertification approval of the device used in conjunction with a Bronchial Thermoplasty procedure.
[redacted] is an associate of the Independence Blue Cross Family of Companies. As such, I have forwarded your inquiry to our Human Resources Division for review and response.
We welcome the opportunity to be of assistance and thank you for bringing this matter to our attention [redacted].
Sincerely,
Yvonne P[redacted], Specialist
Executive Inquiries

I am writing in response to the May 2, 2016, letter to Detra Davidson-Stewart on behalf of Mr. [redacted]. Your complaint was received in our office on May 9, 2016, and concerns his enrollment and billing activity for the January, February, and March 2016 coverage periods.As you...

are aware, the federal Health Insurance Portability and Accountability Act, known as the HIPAA Privacy rule requires that we obtain an individual’s written approval before using or disclosing his/her protected health information or PHI. While our records indicate that there is no authorization for you to receive this member's PHI, we want you to know that we have reviewed Mr. [redacted]'s March 18, 2016, complaint to your office. It was identified that we previously resolved this matter on March 22, 2016, and currently consider it closed.Ms. [redacted], we appreciate your bringing Mr. [redacted]'s matter to our attention. If you have any additional questions, please do not hesitate to contact me at ###-###-####. I will be glad to assist you.Sincerely,Tedra F[redacted] Lead Client Services Representative Executive Inquiries

dear **. [redacted]:
As a result of your inquiry, we have cancelled the policy for **. [redacted] as never effective. This was completed on January 30, 2014.
We apologize for any inconvenience suffered by **. [redacted]. He can disregard the invoice that he received.
If you have any...

questions, please contact me at ###-###-####. Iw ill be glad to assist you.
sincerely,
[redacted], Specialist
Executive Inquiries

Re:      [redacted]
                                      
 
            Dear **. [redacted]:
 
I am writing to acknowledge our receipt of your March 17, 2014,  correspondence to [redacted], Manager of the Executive Inquiries Department. We appreciate your writing to alert us to **. [redacted]’s concern(s).
 
In order to fully address the concerns your inquiry presents, additional research is necessary. I have forwarded your correspondence regarding to the appropriate liaison for further review. 
 
However, as you may be aware, the federal Health Insurance Portability and Accountability Act, known as the HIPAA Privacy rule requires that we obtain an individual’s written approval before using or disclosing his/her protected health information or PHI for any purpose not permitted or required by the HIPAA Privacy Rule or other applicable law. The written approval, called an “authorization”, must contain certain required elements for us to consider it valid under the HIPAA Privacy rule.
 
Our records indicate that there is no authorization for you to receive this member’s PHI. As a result, we cannot disclose any information regarding our member. We ask that you have **. [redacted] complete the attached Authorization to Release Information form. In order for the form to be considered valid, all sections of the document must be completed. Should **. [redacted] require assistance, instructions for the completion of the form are located on the back of the document. Please return the completed document to us via email as a PDF.
 
 
**. [redacted], should we complete our review before the completed form is received, we will be required to correspond our findings directly to **. [redacted].  Thank you for bringing this matter to our attention and for the opportunity to address his concerns.
 
Sincerely,
 
 
[redacted], Specialist
Executive Inquiries
 
Attachment