Island Rock & Water LLC

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint From: Christine [mailto:[email protected]] Sent: Wednesday, October 14, 6:PM To: drteam Subject: Re: You have a New Message from Revdex.com Regarding Complaint # [redacted] I appreciate the business' willingness to offer a 30% discount but I feel that due to the fact I should never have been admitted to the hospital for "heart concerns" They did use "scare tactics" with the promise of other additional types of cardiac testing if admittedAgain the testing was not ordered nor done prior to my releaseI am willing to consider another offer where both the hospital and I are satisfied with the proposal Regards, [redacted] ***

Revdex.com: I have reviewed the? response made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint? From: Christine [mailto:[email protected]] Sent: Wednesday, October 14, 6:PM To: drteam Subject: Re: You have a New Message from Revdex.com Regarding Complaint # [redacted] ? I appreciate the business' willingness to offer a 30% discount but I feel that due to the fact I should never have been admitted to the hospital for "heart concerns"? They did use "scare tactics" with the promise of other additional types of cardiac testing if admittedAgain the testing was not ordered nor done prior to my releaseI am willing to consider another offer where both the hospital and I are satisfied with the proposal.? ? Regards,? [redacted] ***? ?

We regret that Mr***
experienced challenges in resolving his wife’s hospital account The
hospital’s financial records indicate that Business Office staff has had
substantial communication at multiple levels of leadership with Mr***
regarding his wife’s account balance for
services received on 10/1/2014.
The Business Office Director personally spoke with Mr*** at length on two
occasions in attempts to resolve his concerns
Mr***’s insurance provider
was billed and paid the claim. The patient’s responsibility
(deductible and coinsurance) on the account is $377.98. Unfortunately,
due to contractual obligations with Mr***’s insurance carrier, the
hospital is unable to offer a discount at this time. However, the
Business Office would like to offer Mr*** an affordable payment plan that
works with his home budget. To do so, please contact the Business Office
Customer Service line at (832) 912-

Thank you for making us aware of your concern in regard to your son's hospital visit in January 2016.Specialist physicians are consulted with patients based on assessments from the attending physician. The clinical reasons for the consult would have been discussed with the patient and
family at the time of service. Please refer to your son's discharge paperwork for specific information, or contact the physician's office for further explanation.Based on claim denials from your insurance company, the North Cypress Medical Center Business Office began an appeals process. The final insurance payment from *** was received on 9/30/Your claim was processed in network and your insurance company paid in the form of two payments. The first payment was paid at 90%/10% with a coinsurance of $119.10; and the second payment was also paid in network at 80%/20% with a coinsurance of $755.44. The $1,patient responsibility is comprised of both coinsurance payments, a $copay, and $applied towards your annual deductible.Total charges for the hospital claim of $44,were processed as 'in network' according to your plan with your insurance provider. If you are interested in resolving the account balance or setting up a workable payment plan, please contact the Business Office Customer Service line at 832-912-3722.Thank you again for contacting us. We hope that this helps to resolve your concern

I have spoken with Ms*** on the telephone to inform her that, after review of her accounts, the hospital business office has applied the cash rate that should have been offered to her at the time of service. Her credit card has been refunded the difference, and she should see
the credited amount when her bank processes the transaction. Ms*** was satisfied with this resolution.We apologize for this oversight and for the inconvenience to our patient. We hope that we can remain Ms***'s preferred provider of health care services

In the best judgment of your physician, your plan of care was necessary to evaluate and monitor your health in order to prevent any possible negative outcomes. Please be assured that the staff and physicians at North Cypress Medical Center would never use scare tactics on our patients for the purposes of generating business. Because we value you as a patient, the Business Office has agreed to a 30% discount of your account balance. If you would like to take advantage of the discount, please contact the Business Office Customer Service line at *** ***Thank you

[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 ***, and find that this resolution would be satisfactory to me

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this proposed action would not resolve my complaint
I would like to speak directly with the CFO or who ever has the authority to write off part o this balanceOnce again, I have spoken to *** *** *** *** *** (Insurance Carrier)) They have no such contract clause where Hospital is unable to write off their portion of their chargesSimilarly, *** *** has done so previously.Please provide solution that pertains to the actual issueI am willing to issue a one time reduced payment to resolve this issue and satisfy all sides.Otherwise please have the CFO contact me directly at 281-520-so that we can contact the insurance carrier to resolve their concerns
Regards,
*** & *** ***

In the best judgment of your physician, your plan of care was necessary to evaluate and monitor your health in order to prevent any possible negative outcomes. Please be assured that the staff and physicians at North Cypress Medical Center would never use scare tactics on our patients for the purposes of generating business. Because we value you as a patient, the Business Office has agreed to a 30% discount of your account balance. If you would like to take advantage of the discount, please contact the Business Office Customer Service line at *** ***Thank you

[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 ***, and find that this resolution would be satisfactory to me

Mr***, Thank you for bringing your concern to our attention. North Cypress Medical Center is in network with *** ***/*** *** of Texas The hospital’s Business Office staff has obtained the insurance information and filed the claim which was processed with a patient
responsibility of $163.07. Our Director of Patient Access has contacted you directly to explain why your insurance information was not obtained at the time of service, and also informed you about federal laws that all emergency departments must observe pertaining to patient finances We regret that this issue has caused you to be inconvenienced. Our staff wishes your son a full recovery, and we hope to remain your family’s preferred health care provider for any future needs

I have spoken with Ms*** on the telephone to inform her that, after review of her accounts, the hospital business office has applied the cash rate that should have been offered to her at the time of service. Her credit card has been refunded the difference, and she should see
the credited amount when her bank processes the transaction. Ms*** was satisfied with this resolution.We apologize for this oversight and for the inconvenience to our patient. We hope that we can remain Ms***'s preferred provider of health care services

Ms*** initially contacted the hospital on 4/24/with her concern. The hospital sent acknowledgment of receipt of her concern, investigated and sent follow up correspondence on 5/11/15.Ms***'s case was reviewed by a clinician from the department of Quality/Risk. Documentation
from physicians and nursing staff determined that the quality of care that she received was appropriate from her entry in the Emergency Department on the evening of 12/31/until her discharge from the hospital the following day. Tests ordered by physicians were performed and medications were offered to the patient. Ms*** was referred to a specialist physician for follow up.Ms*** sent a request by mail on 5/20/for her medical records and an itemized billing statement. A voicemail and letter were sent with instruction on the proper steps to follow to obtain her medical records. The requested itemized billing statement was sent to her address.The physician who coordinated her plan of care was acting in the best interest of the patient's health, and was not financially motivated. Clinical staff is unaware of the costs of a patient's treatment, as insurance coverage plans vary from patient to patient. We regret that Ms*** was not satisfied with the care that she received at North Cypress Medical Center. However, the amount due on her account for the disputed visit remains the patient's responsibility. Our Business Office staff will gladly arrange a workable payment plan if it is her preference to do so

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this proposed action would not resolve my complaint
I would like to speak directly with the CFO or who ever has the authority to write off part o this balanceOnce again, I have spoken to *** *** *** *** *** (Insurance Carrier)) They have no such contract clause where Hospital is unable to write off their portion of their chargesSimilarly, *** *** has done so previously.Please provide solution that pertains to the actual issueI am willing to issue a one time reduced payment to resolve this issue and satisfy all sides.Otherwise please have the CFO contact me directly at 281-520-so that we can contact the insurance carrier to resolve their concerns
Regards,
*** & *** ***

Revdex.com:
I have reviewed the? response made by the business in reference to complaint ID ***, and have determined that this proposed action would not resolve my complaint?
From: Christine [mailto:[email protected]] Sent: Wednesday, October 14, 6:PM To: drteam Subject: Re: You have a New Message from Revdex.com Regarding Complaint #***? I appreciate the business' willingness to offer a 30% discount but I feel that due to the fact I should never have been admitted to the hospital for "heart concerns"? They did use "scare tactics" with the promise of other additional types of cardiac testing if admittedAgain the testing was not ordered nor done prior to my releaseI am willing to consider another offer where both the hospital and I are satisfied with the proposal.? ? Regards,? *** ***?
?

We regret that Mr[redacted]
experienced challenges in resolving his wife’s hospital account? The
hospital’s financial records indicate that Business Office staff has had
substantial communication at multiple levels of leadership with Mr[redacted]
regarding his wife’s account balance for
services received on 10/1/2014.?
The Business Office Director personally spoke with Mr[redacted] at length on two
occasions in attempts to resolve his concerns
Mr[redacted]’s insurance provider
was billed and paid the claim.? ? The patient’s responsibility
(deductible and coinsurance) on the account is $377.98.? Unfortunately,
due to contractual obligations with Mr[redacted]’s insurance carrier, the
hospital is unable to offer a discount at this time.? However, the
Business Office would like to offer Mr[redacted] an affordable payment plan that
works with his home budget.? To do so, please contact the Business Office
Customer Service line at (832) 912-

Mr[redacted], ? Thank you for bringing your concern to our attention.? North Cypress Medical Center is in network with [redacted] of Texas? The hospital’s Business Office staff has obtained the insurance information and filed the claim which was processed with a patient
responsibility of $163.07.? ? Our Director of Patient Access has contacted you directly to explain why your insurance information was not obtained at the time of service, and also informed you about federal laws that all emergency departments must observe pertaining to patient finances? ? ? We regret that this issue has caused you to be inconvenienced.? Our staff wishes your son a full recovery, and we hope to remain your family’s preferred health care provider for any future needs

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  
From: Christine [mailto:[email protected]] Sent: Wednesday, October 14, 2015 6:13 PM To: drteam Subject: Re: You have a New Message from Revdex.com Regarding Complaint #[redacted] I appreciate the business' willingness to offer a 30% discount but I feel that due to the fact I should never have been admitted to the hospital for "heart concerns".  They did use "scare tactics" with the promise of other additional types of cardiac testing if admitted. Again the testing was not ordered nor done prior to my release. I am willing to consider another offer where both the hospital and I are satisfied with the proposal.  Regards,  [redacted]

Thank you for making us aware of your concern in regard to your son's hospital visit in January 2016.Specialist physicians are consulted with patients based on assessments from the attending physician.  The clinical reasons for the consult would have been discussed with the patient and...

family at the time of service.  Please refer to your son's discharge paperwork for specific information, or contact the physician's office for further explanation.Based on claim denials from your insurance company, the North Cypress Medical Center Business Office began an appeals process.  The final insurance payment from [redacted] was received on 9/30/16. Your claim was processed in network and your insurance company paid in the form of two payments.  The first payment was paid at 90%/10% with a coinsurance of $119.10; and the second payment was also paid in network at 80%/20% with a coinsurance of $755.44.  The $1,986.64 patient responsibility is comprised of both coinsurance payments, a $200 copay, and $755.44 applied towards your annual deductible.Total charges for the hospital claim of $44,546.00 were processed as 'in network' according to your plan with your insurance provider.  If you are interested in resolving the account balance or setting up a workable payment plan, please contact the Business Office Customer Service line at 832-912-3722.Thank you again for contacting us.  We hope that this helps to resolve your concern.

Ms. [redacted] initially contacted the hospital on 4/24/15 with her concern.  The hospital sent acknowledgment of receipt of her concern, investigated and sent follow up correspondence on 5/11/15.Ms. [redacted]'s case was reviewed by a clinician from the department of Quality/Risk.  Documentation...

from physicians and nursing staff determined that the quality of care that she received was appropriate from her entry in the Emergency Department on the evening of 12/31/14 until her discharge from the hospital the following day.  Tests ordered by physicians were performed and medications were offered to the patient.  Ms. [redacted] was referred to a specialist physician for follow up.Ms. [redacted] sent a request by mail on 5/20/15 for her medical records and an itemized billing statement.  A voicemail and letter were sent with instruction on the proper steps to follow to obtain her medical records.  The requested itemized billing statement was sent to her address.The physician who coordinated her plan of care was acting in the best interest of the patient's health, and was not financially motivated.  Clinical staff is unaware of the costs of a patient's treatment, as insurance coverage plans vary from patient to patient.  We regret that Ms. [redacted] was not satisfied with the care that she received at North Cypress Medical Center.  However, the amount due on her account for the disputed visit remains the patient's responsibility.  Our Business Office staff will gladly arrange a workable payment plan if it is her preference to do so.