Business Response to a Complaint Complaint ID#: [redacted] Company Name: Jackson Purchase Medical Center Company Contact: [redacted] Company Phone: ###-###-#### Company Email: [redacted] Person Who Sent the Complaint: [redacted] Staff Member: Response: I have reviewed the account number that Ms [redacted] provided of # [redacted] Her total charges were $for the date of service 4-28-There were different laboratory test ordered by her physician that she presented to our faciliyt to have testedShe did present with two different insurance payors for paymentThe primary was [redacted] and secondary policy was [redacted] We can only provide an estimate if the insurance has not paidOnce the claim was submitted to the primary payor they left her owing $to deductible and coinsurance of $for a total of $A claim was then submitted to [redacted] for payment [redacted] applied $to her deductible denied $in charges and also indicated on their remittance patient responsibility of $The account was placed with an outside agency due to no formal payment arrangement in place or payment in full of servicesPartial payments not approved in a formal payment plan to do not prevent placement to an outside agencyAfter final processing by insurance, the patient owed $I can offer her a 50% payment if paid in full by 3-5-This payment amount would be $to allow for the $payment that we have recieved from herI do not see a $payment received recently but it is quite possible that it has been sent and just not received by our lockbox yetOf course, we can allow for that if it is receivedOnce a patient payment total of $is applied to the account, then I will adjust the remaining balance of $off to clear the account [redacted] , Patient Financial Services Director Sent on: 2/17/2:55:PM
Business Response to a Complaint
Complaint ID#:
***
Company Name:
Jackson Purchase Medical Center
Company Contact:
***
Company Phone:
###-###-####
Company Email:
***.***
Person Who Sent the
Complaint:
*** *** ***
Staff Member:
Response:
Jackson Purchase Medical Center received the complaint above and has investigated the issueThe complaint references a date of 10-1-with problem occurring on 11-21-As a hospital, we assign a different account number each day that the patient presents for serviceThis patient has had four different visitsIf a patient pays upfront within days of date of service we do offer a 50% discount on estimated patient portionI am providing a detail summary of each of those visits• Account #*** Date of Service 10-1-This was for labs not related to any procedureThe insurance remittance indicates a patient portion of $I do not see any payments posted from the patient on this accountI also do not see where we requested an estimated portion from him so his entitled to the 50% discount on this making his portion due $• Account #*** Date of Service 10-15-This account was for a scope that he pre-registered on 10-1-We did have an estimate due of $and he paid $and we applied the 50% discount of $Per the insurance remittance he did owe $The account balance is at -0-• Account #*** Date of Service 10-23-This account was a gastric emptying procedure*** *** pulled his estimated due as $and he paid $on 10-23-Per the insurance remittance he actually owed $when they finalized the claimWe have applied the additional discount due to true up the account leaving a balance due of $We do have a signed copy of the estimate from *** *** stating that it was an estimate• Account #*** Date of Service 11-24-This account is for lab workI do not see where we ran an estimate for upfrontPer his insurance remittance he owes $He is entitled to 50% discount on that balance making his amount due of $We have made attempts since the complaint was filed to contact the patient directly but have been unable to do reach him
Sent on: 12/31/10:19:AM
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me. I will wait for the business to perform this action and, if it does, will consider this complaint resolvedI have one question...do I send payment to *** *** or to *** (the collection agency I was turned over to)? Please provide correct address for me to remit paymentThank you
Regards,
*** ***
Business Response to a Complaint
Complaint ID#:
[redacted]
Company Name:
Jackson Purchase Medical Center
Company Contact:
[redacted]
Company Phone:
###-###-####
Company Email:
[redacted]
Person Who...
Sent the Complaint:
[redacted]
Staff Member:
Response:
I have reviewed the account number that Ms. [redacted] provided of #[redacted]. Her total charges were $2128.00 for the date of service 4-28-14. There were 13 different laboratory test ordered by her physician that she presented to our faciliyt to have tested. She did present with two different insurance payors for payment. The primary was [redacted] and secondary policy was [redacted]. We can only provide an estimate if the insurance has not paid. Once the claim was submitted to the primary payor they left her owing $365.00 to deductible and coinsurance of $174.45 for a total of $539.45. A claim was then submitted to [redacted] for payment. [redacted] applied $153.86 to her deductible denied $385.59 in charges and also indicated on their remittance patient responsibility of $539.45. The account was placed with an outside agency due to no formal payment arrangement in place or payment in full of services. Partial payments not approved in a formal payment plan to do not prevent placement to an outside agency. After final processing by insurance, the patient owed $539.45. I can offer her a 50% payment if paid in full by 3-5-15. This payment amount would be $229.73 to allow for the $40 payment that we have recieved from her. I do not see a $20 payment received recently but it is quite possible that it has been sent and just not received by our lockbox yet. Of course, we can allow for that if it is received. Once a patient payment total of $269.73 is applied to the account, then I will adjust the remaining balance of $269.72 off to clear the account. [redacted], Patient Financial Services Director
Sent on: 2/17/2015 2:55:29 PM
Business Response to a Complaint Complaint ID#: [redacted] Company Name: Jackson Purchase Medical Center Company Contact: [redacted] Company Phone: ###-###-#### Company Email: [redacted] Person Who Sent the Complaint: [redacted] Staff Member: Response: I have reviewed the account number that Ms [redacted] provided of # [redacted] Her total charges were $for the date of service 4-28-There were different laboratory test ordered by her physician that she presented to our faciliyt to have testedShe did present with two different insurance payors for paymentThe primary was [redacted] and secondary policy was [redacted] We can only provide an estimate if the insurance has not paidOnce the claim was submitted to the primary payor they left her owing $to deductible and coinsurance of $for a total of $A claim was then submitted to [redacted] for payment [redacted] applied $to her deductible denied $in charges and also indicated on their remittance patient responsibility of $The account was placed with an outside agency due to no formal payment arrangement in place or payment in full of servicesPartial payments not approved in a formal payment plan to do not prevent placement to an outside agencyAfter final processing by insurance, the patient owed $I can offer her a 50% payment if paid in full by 3-5-This payment amount would be $to allow for the $payment that we have recieved from herI do not see a $payment received recently but it is quite possible that it has been sent and just not received by our lockbox yetOf course, we can allow for that if it is receivedOnce a patient payment total of $is applied to the account, then I will adjust the remaining balance of $off to clear the account [redacted] , Patient Financial Services Director Sent on: 2/17/2:55:PM
Business Response to a Complaint
Complaint ID#:
***
Company Name:
Jackson Purchase Medical Center
Company Contact:
***
Company Phone:
###-###-####
Company Email:
***.***
Person Who Sent the
Complaint:
*** *** ***
Staff Member:
Response:
Jackson Purchase Medical Center received the complaint above and has investigated the issueThe complaint references a date of 10-1-with problem occurring on 11-21-As a hospital, we assign a different account number each day that the patient presents for serviceThis patient has had four different visitsIf a patient pays upfront within days of date of service we do offer a 50% discount on estimated patient portionI am providing a detail summary of each of those visits• Account #*** Date of Service 10-1-This was for labs not related to any procedureThe insurance remittance indicates a patient portion of $I do not see any payments posted from the patient on this accountI also do not see where we requested an estimated portion from him so his entitled to the 50% discount on this making his portion due $• Account #*** Date of Service 10-15-This account was for a scope that he pre-registered on 10-1-We did have an estimate due of $and he paid $and we applied the 50% discount of $Per the insurance remittance he did owe $The account balance is at -0-• Account #*** Date of Service 10-23-This account was a gastric emptying procedure*** *** pulled his estimated due as $and he paid $on 10-23-Per the insurance remittance he actually owed $when they finalized the claimWe have applied the additional discount due to true up the account leaving a balance due of $We do have a signed copy of the estimate from *** *** stating that it was an estimate• Account #*** Date of Service 11-24-This account is for lab workI do not see where we ran an estimate for upfrontPer his insurance remittance he owes $He is entitled to 50% discount on that balance making his amount due of $We have made attempts since the complaint was filed to contact the patient directly but have been unable to do reach him
Sent on: 12/31/10:19:AM
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution would be satisfactory to me. I will wait for the business to perform this action and, if it does, will consider this complaint resolvedI have one question...do I send payment to *** *** or to *** (the collection agency I was turned over to)? Please provide correct address for me to remit paymentThank you
Regards,
*** ***
Business Response to a Complaint
Complaint ID#:
[redacted]
Company Name:
Jackson Purchase Medical Center
Company Contact:
[redacted]
Company Phone:
###-###-####
Company Email:
[redacted]
Person Who...
Sent the Complaint:
[redacted]
Staff Member:
Response:
I have reviewed the account number that Ms. [redacted] provided of #[redacted]. Her total charges were $2128.00 for the date of service 4-28-14. There were 13 different laboratory test ordered by her physician that she presented to our faciliyt to have tested. She did present with two different insurance payors for payment. The primary was [redacted] and secondary policy was [redacted]. We can only provide an estimate if the insurance has not paid. Once the claim was submitted to the primary payor they left her owing $365.00 to deductible and coinsurance of $174.45 for a total of $539.45. A claim was then submitted to [redacted] for payment. [redacted] applied $153.86 to her deductible denied $385.59 in charges and also indicated on their remittance patient responsibility of $539.45. The account was placed with an outside agency due to no formal payment arrangement in place or payment in full of services. Partial payments not approved in a formal payment plan to do not prevent placement to an outside agency. After final processing by insurance, the patient owed $539.45. I can offer her a 50% payment if paid in full by 3-5-15. This payment amount would be $229.73 to allow for the $40 payment that we have recieved from her. I do not see a $20 payment received recently but it is quite possible that it has been sent and just not received by our lockbox yet. Of course, we can allow for that if it is received. Once a patient payment total of $269.73 is applied to the account, then I will adjust the remaining balance of $269.72 off to clear the account. [redacted], Patient Financial Services Director
Sent on: 2/17/2015 2:55:29 PM