Life Care Center

I had several strokes and was transferred from [redacted] Hospital to Life Care Center of Reno after some time. I was admitted 12/12/2014 and discharged 1/29/2015.Initially I needed more physical help and wanted to get more help but after a point in time I just wanted to be released I went to their Customer Service but was not allowed earlier release by Life Care.No real reason was given ...We had been making payments on the bill and on 7/8/15 our balance was $28.12 per Life Care invoice. This amount was fully paid on 8/3/15, resulting in a zero balance.Unexpectedly in late Dec 2015 we got a bill from Life Care with no details claiming we still owed over $900 (around $984, I think). I called, spoke to [redacted] of Collections, and told her we fully paid and owe nothing more. She said that's what she thought also but Senior Care is belatedly claiming that I owe that. No details were given.I called [redacted], explained the situation, and was told to send a letter of Appeal in late December 2015. I did that, enclosing Lifecare's invoice, indicating we were fully paid...and asking why we were being billed again for something that was paid.In January 2016 [redacted] of [redacted] called me and assured me I had a zero balance and need not worry.I informed [redacted] of this by email.Then in Jan 14, 2016 I got an email form [redacted] stating (again without details) that [redacted] (through a lady named [redacted]) FALSELY CLAIMED that I was contacted on 1/8/16 and told my balance had jumped to over $1400..and that they never got my appeal letter). That call never happened!!![redacted] then asked if she could bill me for the unsubstantiated amount. OF COURSE NOT!!!Please help me. Desired SettlementEliminate this false bill and return my balance to zero...and give me written confirmation of this.Business Response 01/21/2016RE: Case # [redacted]To Whom It May Concern,Our billing practice at Life Care Center of Reno is based on the benefits that we verify upon admission for each member. We bill any co-insurance due as member responsibility based on these verified benefits. Occasionally that amount can be adjusted when the insurance company pays us and it is stated on the Explanation of Benefits that is provided to us with the payment. In such cases we do provide a copy of the Explanation of Benefits with adjusted bill to the member. In this particular case this claim has been reprocessed through the insurance company a few times, each time changing the member responsibility. Each time we billed the member according to the adjusted Explanation of Benefits. We only bill based on what an insurance company states is the member responsibility, whether from the verified benefits upon admission or any changes reflected on the insurance company's Explanation of benefits. We do apologize for any miscommunications or misunderstandings. At Life Care Center of Reno we pride ourselves on customer service. Please let us know if you need any more information regarding this case or our billing practices. Thank you.Sincerely,[redacted]Business Office Manager Consumer Response After my complaint to Revdex.com about an unsubstantiated additional bill from Life Care they sent 2 attachments mailed on 1/15/16 which still do not PROVE their bill. The 1st attachment states "Balance Due Upon Receipt of Statement" with an unexplained Balance Forward of $941.88, but it does not relate this to their last invoice for $28.00 dated 7/2015 which we fully paid on 8/2015.The 2nd attachment shows a bill for $1257.23 from [redacted] titled Explanation of Payment which does not explain anything at all. It states "Reversal of Previous Payment, Provider LifeCareDBA Wedgewood Group" but does not provide any Adjustment Reason to explain this sudden bill of $1257.23.LifeCare's job is to reconcile the bills but they want ME to do the follow upwith [redacted] ([redacted]).I did that in Dec 2015 , was told by [redacted] to appeal the bill which I did via letter on 12/22/15 after which I got a call from [redacted] on 1/2016 reassuring me I have a zero balance. I emailed LifeCare about this;they ignore it and continue to bill me.Luckily yesterday I got an email and voicemail from [redacted] stating they will correct their error and reprocess the bill as a 2014 bill where I met all my deductibles and likely I will not owe anything. My bill was erroneously billed as a 2015 bill though I was admitted in 2014.This could take up to 30 days.Thanks so much Revdex.com for your prompt action which hastened the reply from [redacted] and LifeCare!!!Correct the bill to reflect the zero balance owed by us after our final payment of $28 per LifeCare's last invoice on Final Consumer Response (The consumer indicated he/she DID NOT accept the response from the business.)Lifecare has NOT addressed my concerns, why they insist themember/patient is responsible for doing Lifecarfe's job of following up w/ the insurance and resolving the billing issue.No value would be had by "meeting". What is needed is RESOLUTION of the problem - and that can only be done w/ proper documentation...Final Business Response We have addressed these concerns in our previous responses. We would be happy to meet with the member if she would like to discuss anything further. Thank you.