LMG Family Practice

December 20, 2016Dear [redacted] ,In response to the patient’s rejection, I would like to clear up a few thingsFirst, there are not dates of service for the one office visitThe patient had two office visitsHer first visit to the practice was on 9/27/which has been paid in fullHer second visit was on 5/2/and has not been paidThe two visits are unrelated to each otherThe patient never sent an EOB from the insurance company to us for date of service 5/2/showing paid because it wasn't paidAlso, we feel that we communicated very well to the patient to let her know that this claim was outstandingShe was sent statements for date of service 5/2/on 6/17/15, 7/15/15, 8/12/15, 9/10/15, 10/8/We also sent a past due warning letter to the patient on 10/8/We spoke to the patient on 8/20/after her $payment that she mailed in on 6/30/informing her the claim was not paid by her insurance companyWe called and left more messages for the patient on 9/18/and 10/22/We did not receive a response from the patient so the account was turned over to our collection agency on 3/10/Our collection agency made several attempts to reach out to the patientWe did not hear from the patient until 1/29/16.In order to resolve this issue the patient should pay $outstanding balanceIf the patient resolves this issue with her insurance company and they pay this claim we will immediately reimburse the patient.Sincerely,Irene BBilling Manager

December 6, Dear [redacted] ,LMG Family Practice received a letter from the Revdex.com stating they received a complaintFirst, I would like to explain that we are not [redacted] *** [redacted] is a practice that went bankrupt in We are LMG Family Practice and have a different tax idWe are not affiliated with [redacted] ***.The patient came to our office on 5/2/and incurred charges totaling $We billed the insurance company that the patient provided to us on 5/8/(Copy of the card enclosed) On 5/27/15, LMG received a letter from the patients insurance which stated they needed additional information(Copy of the letter enclosed) We then sent a statement to the patient on 6/17/stating that her insurance needed information from herThe patient sent a check payment of $to us on 6/30/leaving a balance of $LMG sent additional statements to the patient on 7/15/15, 8/12/15, 9/10/15, and 10/8/15.On 8/20/15, the patient called us and we explained to the patient that her insurance needs information from her and she should call themOn 9/18/and 10/22/15, we called the patient to get status of her claim and left message on her answering machineWe did not receive a response from the patient so on 3/10/her account was turned over to our collection agencyThe patient called LMG on 1/29/and said she thought her insurance company paid this billWe informed her that it had not been paidWe recommended she call her insuranceThe patient called us back stating she just called her insurance and they have no record of the claimWe told her they do have the claim because we received a letter from them regarding the claimThe patient asked us to rebill the insurance.We agreed to bill the insurance again, but told the patient she needs to pay the bill and try to resolve the issue with her insurance companyIf we receive payment from them we would reimburse her any money dueI have enclosed a copy of the claim submission report from our clearinghouse, [redacted] You will see the claim was accepted by the payer on 5/9/We feel that the customer service that we provided to the patient was excellentSincerely,Irene BLMG Family Practice Billing Manager

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Answered]
 Complaint: [redacted]
I am rejecting this response because:I have been in communication with this provider regarding this claim. I thought that this issue was resolved when I submitted a copy of an EOB last year showing the claim was paid, when I also submitted the $20 payment, the only amount I thought was owed. When I most recently spoke with LMG they told me that there are 2 dates of service for the one office visit, and that the EOB I submitted last year was not for the date in question here. I thought this was resolved last year, and now that I have learned it was not I have been in contact with both LMG and the insurance company trying to figure it out. I have also been in communication with the insurance provider, trying to get this issue resolved. I spoke with them again today and expect to have a response from them in a few days, as they are researching the claim. While this claim is being investigated, I am asking LMG to remove the negative remarks and collections accounts from my credit report. It is quite possible that LMG is correct that this was an error on the part of the insurance company, and that they have misplaced the claim. The insurance company told me that they transferred records from one office to another in mid-2015 (around the time of this claim) and that it is quite possible that something got lost in the transfer and that is why they are having trouble locating records. They are investigating it now. However, in the interim, the negative remarks on my credit report are causing a number of problems for me and I am simply requesting that they be removed from all 3 credit reports until the issue is resolved. If it turns out that these visits were not covered by insurance I will pay the amount owed in full.
Regards,
[redacted]

December 20, 2016Dear [redacted],In response to the patient’s rejection, I would like to clear up a few things. First, there are not 2 dates of service for the one office visit. The patient had two office visits. Her first visit to the practice was on 9/27/14 which has been paid in full. Her second visit was on 5/2/15 and has not been paid. The two visits are unrelated to each other. The patient never sent an EOB from the insurance company to us for date of service 5/2/15 showing paid because it wasn't paid. Also, we feel that we communicated very well to the patient to let her know that this claim was outstanding. She was sent statements for date of service 5/2/15 on 6/17/15, 7/15/15, 8/12/15, 9/10/15, 10/8/15. We also sent a past due warning letter to the patient on 10/8/15. We spoke to the patient on 8/20/15 after her $20 payment that she mailed in on 6/30/15 informing her the claim was not paid by her insurance company. We called and left 2 more messages for the patient on 9/18/15 and 10/22/15. We did not receive a response from the patient so the account was turned over to our collection agency on 3/10/16. Our collection agency made several attempts to reach out to the patient. We did not hear from the patient until 1 1/29/16.In order to resolve this issue the patient should pay $246 outstanding balance. If the patient resolves this issue with her insurance company and they pay this claim we will immediately reimburse the patient.Sincerely,Irene B. Billing Manager

December 6, 2016 Dear [redacted],LMG Family Practice received a letter from the Revdex.com stating they received a complaint. First, I would like to explain that we are not [redacted]. [redacted] is a practice that went bankrupt in 2002. We are LMG Family Practice and have a different...

tax id. We are not affiliated with [redacted].The patient came to our office on 5/2/15 and incurred charges totaling $266. We billed the insurance company that the patient provided to us on 5/8/15. (Copy of the card enclosed) On 5/27/15, LMG received a letter from the patients insurance which stated they needed additional information. (Copy of the letter enclosed) We then sent a statement to the patient on 6/17/15 stating that her insurance needed information from her. The patient sent a check payment of $20 to us on 6/30/15 leaving a balance of $246. LMG sent additional statements to the patient on 7/15/15, 8/12/15, 9/10/15, and 10/8/15.On 8/20/15, the patient called us and we explained to the patient that her insurance needs information from her and she should call them. On 9/18/15 and 10/22/15, we called the patient to get status of her claim and left message on her answering machine. We did not receive a response from the patient so on 3/10/16 her account was turned over to our collection agency. The patient called LMG on 1 1/29/16 and said she thought her insurance company paid this bill. We informed her that it had not been paid. We recommended she call her insurance. The patient called us back stating she just called her insurance and they have no record of the claim. We told her they do have the claim because we received a letter from them regarding the claim. The patient asked us to rebill the insurance.We agreed to bill the insurance again, but told the patient she needs to pay the bill and try to resolve the issue with her insurance company. If we receive payment from them we would reimburse her any money due. I have enclosed a copy of the claim submission report from our clearinghouse, [redacted]. You will see the claim was accepted by the payer on 5/9/15. We feel that the customer service that we provided to the patient was excellentSincerely,Irene B. LMG Family Practice Billing Manager