As a provider, we do not always know if an exam is going to be applied to a patient's deductible prior to services being rendered The benefits of an insurance policy are determined by the agreement between the patient and their insurance carrier If a patient requests assistance in determining their out-of-pocket amount prior to an exam, we make our best effort to assist them I will speak with our customer service staff to remind them we do not provide pricing estimates to patients unless reqested and they need to be clear about this when talking with patients.We will adjust this exam as a one-time courtesy Thank you for the opportunity to review your concern
Dear Ms [redacted] ,As a one-time courtesy we will adjust the $amount your insurance company has deemed your responsibility to pay Please understand we will be unable to do so for any future services Thank you,Jennifer
Dear Mr***,Thank you for the opportunity to respond to your concerns Your account was never turned to a collection agency, it was with our internal collections department We've contacted Aetna with regards to these two claims and they've agreed the claims were denied in error and will be reprocessed The reference number for our conversation with Aetna is # [redacted] Aetna has requested we allow up to days for reprocessing We will refund the amount of $184.90, however please be aware Aetna may apply some or all of this amount to the patient responsibilty when they reprocess the claims Please let us know if there is anything further we can do to assist youSincerely,Jennifer
Dear Ms [redacted] ,Thank you for allowing us the opportunity to respond to your concerns The $balance owed on this account is the amount your insurance company, United Healthcare, says you are responsible for paying Once a patient requests we file their claim to their insurance company we are obligated to uphold the contract held with United Healthcare, which stipulates the provider collects the patient responsibility amount from their member We are unable to waive the amount your insurance company says you are responsible for paying.If we can be of further assistance, please let us know.Sincerely,Jennifer
Good Afternoon, My concern has nothing to do with your agreement with [redacted] (***)My concern stems from the fact that if I were a “cash” paying customer, you would have accepted a quarter of the amount you’ve already received from ***Your [redacted] agreement says you must charge $for the serviceIf I were a cash paying customer, you would have discounted that by $and accepted $from meHowever, the charge of $remained the same, no discount was applied, you received $from ***, which is nearly times the amount you would have accepted from me as a cash paying customerKeep in mind, I have a bill from your company that states you would have accepted $but you ended up with $450! I’m simply looking for your company to do what’s right for the customerIn this case, I’m asking for you to accept the $from [redacted] as full payment for the $serviceBy waiving the $for me, you still end up with far more than you would have ended up with had I been a cash paying customerPlease reconsider these facts and waive the small amount of $Thanks!
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint For your reference, details of the offer I reviewed appear below [redacted] with Southwest Diagnostic called me and though her response to Revdex.com was they were processing the check and we would receive funds shortly, that was not what she advised in conversation She stated they called the Medical Collection company they forwarded my husbands records to on another claim and found that I had paid They should receive that check at the end of the month and then at THAT TIME would be issuing a refund, HOWEVER, they have found that the new invoice on a procedure my husband had done in August owed approximately $and the amount would be deducted before check went outThis was in my original complaint and this is still an issue One, why hold the check that I sent to you because it was stale dated until end of the month, you already have verbal that account was paid? Second how is it legal to take funds from a refund mailed July for a bill owed August 2015, that they did not even send to my insurance company until September The July was for [redacted] and August is SW Diag If it is not illegal it is definitely unethical The check has nothing to do with a procedure that was just done and they should not have the right to deduct anything from a check they are re-issuing The check was mailed to them because it was lost and then found but had stale dated The check should have just been re-issued without being held Regards, [redacted] ***
[redacted] [redacted] Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] and find that this resolution would be satisfactory to me I will wait until for the business to perform this action and, if it does, will consider this complaint resolved Regards, [redacted]
As a provider, we do not always know if an exam is going to be applied to a patient's deductible prior to services being rendered The benefits of an insurance policy are determined by the agreement between the patient and their insurance carrier If a patient requests assistance in determining their out-of-pocket amount prior to an exam, we make our best effort to assist them I will speak with our customer service staff to remind them we do not provide pricing estimates to patients unless reqested and they need to be clear about this when talking with patients.We will adjust this exam as a one-time courtesy Thank you for the opportunity to review your concern
Dear Ms [redacted] ,As a one-time courtesy we will adjust the $amount your insurance company has deemed your responsibility to pay Please understand we will be unable to do so for any future services Thank you,Jennifer
Dear Mr***,Thank you for the opportunity to respond to your concerns Your account was never turned to a collection agency, it was with our internal collections department We've contacted Aetna with regards to these two claims and they've agreed the claims were denied in error and will be reprocessed The reference number for our conversation with Aetna is # [redacted] Aetna has requested we allow up to days for reprocessing We will refund the amount of $184.90, however please be aware Aetna may apply some or all of this amount to the patient responsibilty when they reprocess the claims Please let us know if there is anything further we can do to assist youSincerely,Jennifer
Dear Ms [redacted] ,Thank you for allowing us the opportunity to respond to your concerns The $balance owed on this account is the amount your insurance company, United Healthcare, says you are responsible for paying Once a patient requests we file their claim to their insurance company we are obligated to uphold the contract held with United Healthcare, which stipulates the provider collects the patient responsibility amount from their member We are unable to waive the amount your insurance company says you are responsible for paying.If we can be of further assistance, please let us know.Sincerely,Jennifer
Good Afternoon, My concern has nothing to do with your agreement with [redacted] (***)My concern stems from the fact that if I were a “cash” paying customer, you would have accepted a quarter of the amount you’ve already received from ***Your [redacted] agreement says you must charge $for the serviceIf I were a cash paying customer, you would have discounted that by $and accepted $from meHowever, the charge of $remained the same, no discount was applied, you received $from ***, which is nearly times the amount you would have accepted from me as a cash paying customerKeep in mind, I have a bill from your company that states you would have accepted $but you ended up with $450! I’m simply looking for your company to do what’s right for the customerIn this case, I’m asking for you to accept the $from [redacted] as full payment for the $serviceBy waiving the $for me, you still end up with far more than you would have ended up with had I been a cash paying customerPlease reconsider these facts and waive the small amount of $Thanks!
Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and have determined that this proposed action would not resolve my complaint For your reference, details of the offer I reviewed appear below [redacted] with Southwest Diagnostic called me and though her response to Revdex.com was they were processing the check and we would receive funds shortly, that was not what she advised in conversation She stated they called the Medical Collection company they forwarded my husbands records to on another claim and found that I had paid They should receive that check at the end of the month and then at THAT TIME would be issuing a refund, HOWEVER, they have found that the new invoice on a procedure my husband had done in August owed approximately $and the amount would be deducted before check went outThis was in my original complaint and this is still an issue One, why hold the check that I sent to you because it was stale dated until end of the month, you already have verbal that account was paid? Second how is it legal to take funds from a refund mailed July for a bill owed August 2015, that they did not even send to my insurance company until September The July was for [redacted] and August is SW Diag If it is not illegal it is definitely unethical The check has nothing to do with a procedure that was just done and they should not have the right to deduct anything from a check they are re-issuing The check was mailed to them because it was lost and then found but had stale dated The check should have just been re-issued without being held Regards, [redacted] ***
[redacted] [redacted] Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] and find that this resolution would be satisfactory to me I will wait until for the business to perform this action and, if it does, will consider this complaint resolved Regards, [redacted]