LA Weight Loss Center

Hey [redacted]  Would you please reopen this Revdex.com? When I had spoken with [redacted], she said that she was pulling this account back from [redacted]. I spoke with [redacted] at UMG and paid $70 something dollars and she put me on a payment plan. Now, I just received a call from [redacted] where the rep was very rude and told me that I still owe the full amount. The rep told me that I can go on their site and see that I am still owing this amount. The rep said that UMG had not pulled this back. I can show proof that I made a payment to UMG. This is dual collections, which is an illegal practice, not to mention that I have already paid approx 20% of this debt to UMG to pull this back and [redacted] is attempting to collect the full amount. Thanks,[redacted]

[redacted], I have done some research on this account and have discovered the problem with the payment of services with [redacted].  This patients charges for the mammogram have been cleared on the GHS/PIH side.Thanks you for your assistance. Marsha D[redacted]Manager, Radiology ServicesUMG Greenville...

Radiology

Refund of [redacted] was keyed to our system today. Patient should receive refund within 7-10 days.

Below is the response to patient complaint ID# [redacted] for the patient calls to the OBGYN Center. Patient called the OBGYN Center on 3/25/16 two times and each call was returned within less than 25 minutes.  The first call came at 11:09am and returned by the nurse at 11:13 am and the...

nurse left a voicemail.  The second call came at 11:35 and the nurse returned the call at 11:56AM and again had to leave a voicemail.  It is documented that the nurse spoke to the patient at 12:15PM  on the same day. Patient called the OBGYN Center on 3/30/16 to schedule appoint to speak to a doctor regarding the Miscarriage.  Patient seen in our office on 4/5/16 and reassured and counseled to wait 3-4 months before getting pregnant again. From the documentation in the chart the nurses returned the patients phone calls in a timely manner. As previously mentioned in less than 25 minutes in each of the accounts above. Please let me know if I can be of further assistance.  KathyKathy Lum, MBAClinic ManagerOBGYN Center1120 Grove Road, Greenville, SCP:864-455-8802F: 864-455-8555

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. 
[I am rejecting this offer made by the business because I still do not have the claim forms that I requested and I still do not have a letter stating that the claim has been filed to insurance and that UMG removed me from collections and advised their collection agency to remove me from their files.
When UMG first received the electronic response as the 'policy inactive' UMG should have called me or my insurance company or better yet both of us. Contacting the parties when there is a issue is just good common sense and great customer service skills. It seems like UMG just let it sit around for months without notifying either parties. Furthermore, I personally told UMG that my newborn baby is covered under me for the first 30 days of her life. UMG should have then contacted my insurance company to verify that information and to resolve the issue. Is UMG not going to take any ownership of actions that they could have done better?
Also, what was the resolve in the conversation between UMG and [redacted] from [redacted] on 7/9/15? Is it that you two just stated the problem to each other and that was it? No action? No resolve? No solving the issue? What kind of customer service is this in today's time? This is not an issue between guarantor and insurance company. I know what my benefits are and about my own policy. How can it be my issue when I don't file my own claim with a provider????????
The bottom line is I still don't have my claim forms that I requested from UMG and I still don't have a letter from UMG stating that the claim has been filed to insurance and out of collections which I requested since 8/26/15.
I want my statement mailed to me stating that this issue has been resolved, a statement showing that I have a zero balance, and a statement stating that I am out of collections.]
Regards,
[redacted]

I had previously sent an email to have this removed from collections. Not sure why that was not done. I called [redacted] and spoke to client services they assured me it is now removed and they are mailing Ms. [redacted] a letter. Please let me know if you do not get that letter.

Re: Complaint ID# [redacted] regarding amount of time spent for ultrasound performed 6/28/17 at [redacted] Medicine.   This scan was for dating purposes, and according to her records was a thorough scan. It is documented the scan lasted 10 minutes, which is appropriate.  The complete anatomy scan, which is performed at 20-21 weeks, is scheduled for October.   Thank you,[redacted] Gloria S. T[redacted]Practice ManagerDepartment of Obstetrics & GynecologyDivisions of [redacted] Medicine &Fertility Center of the CarolinasGreenville Health System[redacted] Road, Suite 470Greenville, SC 29605Office:  864-[redacted]Fax: 864-[redacted]orgwww.ghs.org

The patient’s wife called the providers office previously and spoke at length with Dr. C[redacted]’ assistant, who explained that the x-rays done in our office were necessary because Dr. C[redacted] needed standing views of the patient’s knees.  These views were different from the images done at the...

primary care doctor’s office.  Also, the charge for the x-rays done was $130, and we did a contractual write off of $58, which left a balance of $72, which the insurance company applied to the patient’s deductible.  We are unable to adjust any additional monies from the patient’s account.  Valerie S[redacted]Director, Professional Billing Services

This is a UMG complaint. I am not sure who your contact is there.I understand that the patient was offered a discount and the patient did not agree to the offer. Please let me know if you do not have a contact for UMG

This refund was keyed to our system on 09/15/15. Once the refund is keyed, typically we receive the check from accounting acouple days later, once we confirm all checks have been received that we requested we then place thm in our ootgoing mail bin. The mail is picked up by a courier and sent to our...

downtown location to be stamped and mailed out. These checks received were completed by our business office on 9/22/15, we are estimating they were sent to be mailed 9/23/15. Patient shoudl be getting this week if not already. Thank-You

We will immediately investigate this complaint directly with any persons authorized to access this information.Thank you.

In regards to complaint ID [redacted] from [redacted]The payments she mentioned were located but due to her not having account # in the account # field they posted to oldest invoice 1st instead of where she wanted them to post.  The office manager agreed to write off the no show fee and I had...

collection agency remove date of service 10//21/14 from collections.  Mother was mailed an itemized bill and has since paid the $25 balance.Reason for the misapplied checks is due to the way the mother is paying her bills through online banking and not putting account number in correct location.  I advised mother if she is wanting to pay a very specific date of service to call customer service and do it over the phone, otherwise checks mailed in will post to oldest invoices first, by a computer not a human being.  This is to protect the patients account from unnecessarily going to collections by clearing out oldest balances.

The Card that Mr. [redacted] provided was a company called [redacted] PPO CONNECT. Both claims for 03/15/16 and 03/30/16 were filed to this company in a timely manner (see attached copies of claims from our system). Also both claims were denied by this Insurance because they needed information...

from the patient. See EOB I have circled the denial. They mailed the patient what is called a Coordination of Benefits letter, meaning they were questioning if this patient had other insurance primary to them. When Insurance companies do this they will refuse to pay any claims until that paper is either returned to them completed or unless the patient calls. The provider is not allowed to update this information for the patient. If the patient had updated his coordination of benefits it’s possible that these claims could have been paid. But again that is out of our hands.  Thank-You,Amy S[redacted]

According to the desired outcome of the original response, all outcomes seem to have been met at this time, please read below and advise if satisfiactory.1. Claim to be filed-Claim was filed electronically submitted on 8/17/152. Has my insurance company take care of the bill?- All 3 claims were paid & money was posted to account on 09/02/15, all three claims have a zero balance.3. For GHS to permanentaly remove remove me from collection agency's file- email was sent to [redacted] on 8/31/15 @3:42pm, and they responded to confirm this was done 8/31/15 @ 5:58pm4. For GHS to remove the negative information from my file-These debt's were never reported to your creditIssues addressed in last message:1. Last response states letter stating she is out of collections was not recived from UMG- This letter was just mailed on 8/31/15 after our mail had already been picked up by courier. Our mail gets sent to our downtown GHS location to be stamped and mailed out, so mail from our office can take up to 7-10 days, depending on quantity. But the letter has been sent.2. Mother requested bill showing she has a zero balance:  Insurance just paid the claims yesterday so a zero balance itemized bill is being placed in mail bin today3. Mother states she told us that baby was covered:  We can not go by what a patient tells us, we have to go by eligibility and by what an Insurance company tells us.4. Mother states we should have contacted her when we received response that policy not active:  Our way of contacting patients is by sending them a statement to let them know that Insurance has not paid or has not been filed. There would not be enough people to call evey patient that we get an ineligible response from.5. Mother states we should have communicated with the insurance company: I pulled the recorded call, when the Insurance rep [redacted] called she told us the child had coverage, and the rep verified the subscriber and the ID#, we ran the eligibility with exactly what the [redacted] rep gave us and it still came back that the child was inactive. We are only able to be as effiecient as the information we recieve. When we told the insurance rep this she was confused and didn't know why it was showing that and said she would call us back when she found out why it was saying that. We get our eligibility repsonses straight from [redacted] web service.6. What was the resolve in the conversation between UMG and [redacted] on 07/09/15?: [redacted] stated "let me go back to this members home plan and advise them we are having troble and see if an update is needed" My rep even asked [redacted] to call her back and gave her her direct phone # which we do not typically do but my rep was doing her best to help resolve this. The fact that she didn't not want her to have to call back and hold in que or have to explain situation to another rep indicated good customer service to me.I apoligize if you feel you were not given good customer service and that is not what we strive for, we always want everyones issue to be resolved, but also understand that we have policies and procedures we have to follow and one of the policies is to not file claims to Insurances that are getting an inactive response.  I apoligize that your insurance company was sending us bad information. I know this has been frustrating but the claims are now paid.Please let me know if there is anything else I can do to help resolve this situation. [redacted]

Refunds on accounts are typically processed witin 45 day, but the 45 days starts not the day you pay but the day the Insurance paid because it's not technically a credit until Insurance pays.  In this case Insurance paid on 10/28/15. This credit is just now at 45 days and will be processed very...

soon.  Even though I'm sure it's already on theri worklist "to do" since it just hit 45 days, I have emailed our posting department to review credit to have a refund check issued. Once they post to our system it takes about 10 business days.   Thanks,[redacted]

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 given that I receive my updated statements stating a zero balance in a timely manner. I did just receive the letter stating that the claims have been filed to insurance and that I am out of collections and I do appreciate that. 
Regards,
[redacted]

Thank you. We will investigate.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. 
Regards,
[redacted]