Kodiak Island Ambulatory Care Clinic Inc.

Attached is a copy of the statement ledger for [redacted] (DOB [redacted]) and [redacted] A [redacted](DOB [redacted]) the guarantor of the account. The accounts total owing balance is $437.75. Mr. [redacted]insurance changed several times from 2008 to 2014. Often the charges were applied to his...

insurancedeductible which would then become his responsibility for payment. Mr. [redacted] has made severalpayments on his account which were applied to co-pays and deductibles. There are no unappliedpayments on the account.
For services rendered on 8/13/2012 and 6/02/2014, both charges went to the guarantor'sdeductible. The guarantor, Mr. [redacted]. [redacted], would have received the same notification about this asdid our billing department. Aetna confirmed they sent him Explanation of Benefits statements whichexplains what they pay or not, and why. We defer him to his insurance policy or call his insurance directlyas to why they did not pay, but they indicated to us the charges went to his annual deductible. At thetime of service, Medicaid indicated on their EFS system that he was not eligible for secondary Medicaid.The billing department billed Medicaid anyway and payment was denied. He since received statementsfrom us through Precision Billing Co.
The front reception was very courteous and responsive to Mr. [redacted] and had him fill out a BillingConcern Form which is sent to the Billing office. It is NOT the responsibility of the front office/receptionto know or explain the procedures of his insurance, since all insurances have different policies. Weprovide billing as a courtesy to the patient because of the complexity involved in sending claims. Mr.[redacted] has been encouraged to go through proper channels and contact his insurance if he does notunderstand the EOB sent to him.
We changed billing companies in late 2014 and as a result in the roll over, older past owing accountssuch as Mr. [redacted]'s, had statements temporarily held so as not to drop them into collections. The billingphone number was also changed. Once the new billing system was in place, statements were sentmonthly. New with this system, a nominal interest rate is applied and collection action starts on anyaccount over 90 days past due without a payment arrangement. The billing company has held Mr. [redacted]account (now over 3 years past due) from collections as a courtesy so he can resolve his concerns with hisinsurance company.
KIACC Inc. has been in business since 2001. The clinic has received several accommodations andpatient service awards within that time. In 2014, KIACC Inc. was voted by the Kodiak community as theBest Medical Clinic. KIACC Inc. has never received a complaint from the Revdex.com in its 15 years of service.
The process of billing and getting claims paid is arduous and frustrating, insurances profit by not paying.We take this burden off the patient as a courtesy and bill claims for them. But when insurances do notpay, we encourage their beneficiaries to call them and have their questions answered. Ultimately, thebeneficiary and guarantor are still responsible for their bills even if they do not agree with theirinsurances policies or non-payment. We afford every opportunity to patients to get their bills paid. Wewill extend another 30 day grace period for Mr. [redacted] to resolve his billing issues with his insurance butthereafter this account will fall into collections if remains unpaid or a payment agreement is notestablished.
If there are any further questions of information we can provide, do not hesitate to contact us.KIACC IncBilling Department. (907) 486-6188

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. Sincerely, [redacted]