Lori J Maciulla M.D.

June 11, To whom it may concern:I write in response to *** *** additional concerns regarding complaint ID*** filed April 10, I have sent the documentation to Revdex.com regarding the collection feeIt is highlighted on the Financial Policy which was enclosed and is enclosed again in today's mailing*** signed this form on August 26, This is not just one feeIt is a variable based on the collection fees which are determined by the collection agency and dependent on the outstanding balanceWe have changed the responsible party with the collection agency from *** *** to*** ***Two visits to which *** alludes in his third paragraph were paid by *** ***There was a processing delay but this would not have altered the outstanding balance billed to them as that was monies which were to be sent to *** directly, not to us as we were already paidThe only outstanding balance was that of the surgeryAgain, you can see this on the Account Inquiry enclosed and is enclosed again*** is not telling the truth about my telling them I would only bill them insurance onlyIf this were true, I would have had them sign a formAlso if this were true, I risked doing the surgery for free if it had all gone to his deductibleIn addition, neither of my staff members heard this conversationI have enclosed all the documentation necessaryAs far as I am concerned, this matter is closedSincerely,

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the responseIf no reason is received your complaint will be closed Administratively Resolved]
Complaint: ***
I am rejecting this response because: the business has not provided any documentation that we have agreed to a collection agency fee. The business has stated it has been enclosed and signed by ***, however it is not present.
Policy holders are policy holders, however they are nothing more than that. I am the policy holder, however *** is the patient and the person who allegedly signed the form. How can I be legally responsible for a collection agency fee when I personally have never signed anything consenting to it. This is the equivalent of a parents daughter getting a speeding ticket and the police coming after the parent for money. It is one of the most ludicrous things I have ever heard.
The matter of a balance was raised by the office staff at the very end of February to ***, however there was still un-submitted information to the insurance company for previous claims by the business. Due to this, there was no accurate balance since un-submitted claims still existed and therefor we could not pay the balance as an accurate balance was not available. This is an error on the doctors office and not us. Why should we have to pay extra because her office cannot submit accurate paperwork? The office was made aware of our concern and said okay, yet still sent the account to collections. Curiously enough the office has never spoken any words to us asking for payment. They just send a bill and even when questions are asked they have never asked for partial paymentWe were and still are well aware that the doctor does not accept ***. That is why when the surgery was raised I immediately said I did not know that we would use her as we could not afford to pay for it. The doctor stated she has known us for a while and other family members see her as well so she would be willing to accept what insurance pays and we would not need to pay anything. These words that she said to both of us is the only reason we went ahead with the surgery using her. It is clear she is now not getting paid what she initially thought she would. We legitimately do feel somewhat sorry about that. Since the doctor did discount the bill it is clear we were all under the impression this could be worked out and we were valued customers. Had a simple phone call or letter be sent asking if we could help pay some of it due to a deductible not being met we would have worked it out. Now the business is not being honest.
This dispute can end as soon as the business does the right thing by honoring the verbal commitment they made with us
Regards,
*** ***

[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 Administratively Resolved]
 Complaint: [redacted]
I am rejecting this response because:The physician is dishonest, immoral, and unethical. She is not only lying about our verbal agreement, however she is lying about is receiving money from the insurance company. The doctor personally stated that we will receive these checks in the mail, yet all of them have been sent to her and cashed by her office. Once again, what is the true balance?  It is also ironic that every letter the doctor sends states that we are not telling the truth, yet every letter there is a concession or admission of help offered. 
Why would we have initially paid when there was confirmation from her office that all claims were not submitted?  She states she doesn't help the patients, yet she admits to giving us a credit. She also states I am personally responsible for the debt, yet she then did the right thing by taking my name off the collection account. 
I maintain that we were told this would be done for whatever insurance paid. This could have been resolved, however the doctor has chosen to be money hungry and pursue these actions. We have and will continue to dispute the collection account. In the spirit if making this go away our offer is to have you pull the account out of collections, get us an accurate and updated balance including find the missing money for reimbursement, and we will pay the remainder.  
Once again, had your office not been so fast to file this and exercise proper due diligence this would never have happened. Clearly you had some compassion about us at one point, yet a simple phone call from you or anyone else in your office did not occur.  Ultimately whether or not this continues is now in your hands. 
Regards,
[redacted]

June 3, 2014
To whom it may concern:| write in response to a complaint, ID [redacted], filed by [redacted] 04/10/2014. Enclosed you will find a copy of my financial policy signed by his wife [redacted] on 08/26/2013, a copy of [redacted]s financial account being disputed, a copy of when...

the bills were sent to [redacted] by my billing company and a copy of the explanation of benefits (EOB) sent to [redacted] by his insurance company, [redacted].As stated by [redacted], I performed a minor outpatient surgery on [redacted]wife [redacted] on 10/29/2013. He accompanied his wife to my office on 10/12013 to discuss the surgery for which he and his wife both consented. They were aware at that time that I do not participate with their insurance company, [redacted], and agreed to proceed with the surgery anyway because of the long term relationship I had with [redacted]. Never at that visit did we discuss this would be insurance only and no fee would be sent to them. We did, however, discuss how reputable [redacted] is and that I have never in 25 years had trouble with [redacted] paying for operative procedures,You will see from the EOB the amount billed was $1,500.00, $358.03 was paid and $1021.97 was owed, From the account inquiry you will see I deducted $478.03 from the amount owed as good faith and as a courtesy to the [redacted] which I do not extend to other patients. The $653.94 outstanding balance was applied to their deductible which on page 2 you will see they contractually owe before [redacted] will begin to pay, Because [redacted] paid $69.00 towards [redacted]s postoperative visit, the billing company applied that to their outstanding balance, reducing it to $594.94.I would have had no idea on 10/01/2013 that by 12/2013 when [redacted] paid the claim whether or not their deductible would be met. This is why I could never have told the [redacted] I would accept insurance only. The entire $1,500.00 fee could have gone to their deductible or none of it could have gone to it, The deductible amount is usually determined by the employee when he signs up for the insurance and something only the employee could keep track of when the EOBs are sent to him. The [redacted] have a legal responsibility to meet this deductible before [redacted] pays, which [redacted] did do, assuming the deductible was met.The summary of billing statements enclosed shows the [redacted] were billed on 01/06/2014, 02/10/2014 and 03/19/2014,It was brought to [redacted]s attention by both the billing company and my staff in February and March, 2014 that some form of payment ought to be made or the account will be turned over to a collection agency and fees for that would be applied. After some time, no fees were paid and the account was sentto collections.The outstanding balance increased from $594.94 to $892.41 because it includes the collection fee of $297.47 which the collection agency charges me to collect the amount owed, This fee is made clear on my financial policy which is enclosed and which [redacted] agreed to when she signed it on 08/26/2013.Lastly, [redacted] was sent to the collection agency as he is the policy holder and guarantor on [redacted]s account. Note the EOB from [redacted] was sent to him, not [redacted].I cannot reduce the account to zero as [redacted] requests as he is legally bound by his contract with [redacted] to pay this. In fact helped the [redacted] the best could by reducing my fee by $478.03 which had no obligation to do. No error was made.If you have any further questions, please feel free to contact me. I hope the enclosed data clarifies this.Sincerely,

Review: Lori Maciulla is a gynecologist that my wife has seen. Dr. Maciulla does not take our insurance, however her office has submitted the paperwork for reimbursement on our behalf. Dr. Maciulla has always said we should get almost 100% reimbursed. With over 4 visits since the end of last year, we have yet to see any reimbursement and insurance says the paperwork was not submitted. Recently my wife needed minor surgery and Dr. Maciulla offered to help as my wife has been a patient for many years. Dr. Maciulla offered her services at whatever insurance reimbursed us for. She said she would write off the rest and we would have no expense out of pocket. We received a bill in early January and called the office. They told us to wait for insurance. We then receive another bill for $594.94 dated 3/25/14. Upon calling the office they said that is what we owe and that we have to pay it. We them receive a letter on 4/10/14 from [redacted] seeking a debt of $892.41 for Dr. Maciulla. How is the balance now $300 larger than it was 2 weeks ago? Perhaps one of the biggest insults is that it is addressed to me personally and not my wife. I have never personally seen Dr. Maciulla in any capacity. How is it the debt is now in my name? I am requesting this balance be set to $0.00 per the initial agreement that Dr. Maciulla stated to us and that this item be completely removed from my credit.Desired Settlement: Balance on account reduced to zero as previously agreed, items removed from my credit, and a letter stating this was placed in error.

Business

Response:

June 3, 2014To whom it may concern:| write in response to a complaint, ID [redacted], filed by [redacted] 04/10/2014. Enclosed you will find a copy of my financial policy signed by his wife [redacted] on 08/26/2013, a copy of [redacted]s financial account being disputed, a copy of when the bills were sent to [redacted] by my billing company and a copy of the explanation of benefits (EOB) sent to [redacted] by his insurance company, [redacted].As stated by [redacted], I performed a minor outpatient surgery on [redacted]wife [redacted] on 10/29/2013. He accompanied his wife to my office on 10/12013 to discuss the surgery for which he and his wife both consented. They were aware at that time that I do not participate with their insurance company, [redacted], and agreed to proceed with the surgery anyway because of the long term relationship I had with [redacted]. Never at that visit did we discuss this would be insurance only and no fee would be sent to them. We did, however, discuss how reputable [redacted] is and that I have never in 25 years had trouble with [redacted] paying for operative procedures,You will see from the EOB the amount billed was $1,500.00, $358.03 was paid and $1021.97 was owed, From the account inquiry you will see I deducted $478.03 from the amount owed as good faith and as a courtesy to the [redacted] which I do not extend to other patients. The $653.94 outstanding balance was applied to their deductible which on page 2 you will see they contractually owe before [redacted] will begin to pay, Because [redacted] paid $69.00 towards [redacted]s postoperative visit, the billing company applied that to their outstanding balance, reducing it to $594.94.I would have had no idea on 10/01/2013 that by 12/2013 when [redacted] paid the claim whether or not their deductible would be met. This is why I could never have told the [redacted] I would accept insurance only. The entire $1,500.00 fee could have gone to their deductible or none of it could have gone to it, The deductible amount is usually determined by the employee when he signs up for the insurance and something only the employee could keep track of when the EOBs are sent to him. The [redacted] have a legal responsibility to meet this deductible before [redacted] pays, which [redacted] did do, assuming the deductible was met.The summary of billing statements enclosed shows the [redacted] were billed on 01/06/2014, 02/10/2014 and 03/19/2014,It was brought to [redacted]s attention by both the billing company and my staff in February and March, 2014 that some form of payment ought to be made or the account will be turned over to a collection agency and fees for that would be applied. After some time, no fees were paid and the account was sentto collections.The outstanding balance increased from $594.94 to $892.41 because it includes the collection fee of $297.47 which the collection agency charges me to collect the amount owed, This fee is made clear on my financial policy which is enclosed and which [redacted] agreed to when she signed it on 08/26/2013.Lastly, [redacted] was sent to the collection agency as he is the policy holder and guarantor on [redacted]s account. Note the EOB from [redacted] was sent to him, not [redacted].I cannot reduce the account to zero as [redacted] requests as he is legally bound by his contract with [redacted] to pay this. In fact helped the [redacted] the best could by reducing my fee by $478.03 which had no obligation to do. No error was made.If you have any further questions, please feel free to contact me. I hope the enclosed data clarifies this.Sincerely,

Consumer

Response:

[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 Administratively Resolved]

Review: [redacted]

I am rejecting this response because: the business has not provided any documentation that we have agreed to a collection agency fee. The business has stated it has been enclosed and signed by [redacted], however it is not present. Policy holders are policy holders, however they are nothing more than that. I am the policy holder, however [redacted] is the patient and the person who allegedly signed the form. How can I be legally responsible for a collection agency fee when I personally have never signed anything consenting to it. This is the equivalent of a parents daughter getting a speeding ticket and the police coming after the parent for money. It is one of the most ludicrous things I have ever heard. The matter of a balance was raised by the office staff at the very end of February to [redacted], however there was still un-submitted information to the insurance company for previous claims by the business. Due to this, there was no accurate balance since un-submitted claims still existed and therefor we could not pay the balance as an accurate balance was not available. This is an error on the doctors office and not us. Why should we have to pay extra because her office cannot submit accurate paperwork? The office was made aware of our concern and said okay, yet still sent the account to collections. Curiously enough the office has never spoken any words to us asking for payment. They just send a bill and even when questions are asked they have never asked for partial payment.We were and still are well aware that the doctor does not accept [redacted]. That is why when the surgery was raised I immediately said I did not know that we would use her as we could not afford to pay for it. The doctor stated she has known us for a while and other family members see her as well so she would be willing to accept what insurance pays and we would not need to pay anything. These words that she said to both of us is the only reason we went ahead with the surgery using her. It is clear she is now not getting paid what she initially thought she would. We legitimately do feel somewhat sorry about that. Since the doctor did discount the bill it is clear we were all under the impression this could be worked out and we were valued customers. Had a simple phone call or letter be sent asking if we could help pay some of it due to a deductible not being met we would have worked it out. Now the business is not being honest. This dispute can end as soon as the business does the right thing by honoring the verbal commitment they made with us.

Regards,

Business

Response:

June 11, 2014To whom it may concern:I write in response to [redacted] additional concerns regarding complaint ID[redacted] filed April 10, 2014. I have sent the documentation to Revdex.com regarding the collection fee. It is highlighted on the Financial Policy which was enclosed and is enclosed again in today's mailing. [redacted] signed this form on August 26, 2013. This is not just one fee. It is a variable based on the collection fees which are determined by the collection agency and dependent on the outstanding balance.We have changed the responsible party with the collection agency from [redacted] to[redacted].Two visits to which [redacted] alludes in his third paragraph were paid by [redacted]. There was a processing delay but this would not have altered the outstanding balance billed to them as that was monies which were to be sent to [redacted] directly, not to us as we were already paid. The only outstanding balance was that of the surgery. Again, you can see this on the Account Inquiry enclosed and is enclosed again.[redacted] is not telling the truth about my telling them I would only bill them insurance only. If this were true, I would have had them sign a form. Also if this were true, I risked doing the surgery for free if it had all gone to his deductible. In addition, neither of my staff members heard this conversation.I have enclosed all the documentation necessary. As far as I am concerned, this matter is closed.Sincerely,

Consumer

Response:

[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 Administratively Resolved]

Review: [redacted]

I am rejecting this response because:

The physician is dishonest, immoral, and unethical. She is not only lying about our verbal agreement, however she is lying about is receiving money from the insurance company. The doctor personally stated that we will receive these checks in the mail, yet all of them have been sent to her and cashed by her office. Once again, what is the true balance? It is also ironic that every letter the doctor sends states that we are not telling the truth, yet every letter there is a concession or admission of help offered.