Los Robles Hospital and Medical Center

My yrold son was injured back in July-2014,and needed to have a few stitches above his eyebrow, when we arrived my son and I were the only ones in the ER, we were told by the nurse practitioner we would be taken care of promptly, since we had no one else ahead of us, and that she would likely be doing the stitchesAfter repeatedly giving the staff my insurance and personal information I was left to wait almost 1/hoursThe procedure was done by her assistant, and he preformed the minute operationIt took another hour to get the release papers Then I get a bill for almost $2100! They charged me over $just for my son to sit on one of beds for minutes! They were inadequately prepared to preform the operation, and had to find supplies and in my opinion completely unorganized Then shortly after getting the bill and requesting the billing department review the charges, I was told they were correctI arranged to make monthly payments with Los Robles, and after making my first payment, they sent my bill to collectionsI get a letter a week after my payment was cashed and my wife makes arrangements to pay the balance to Medicredit, which was reduced from $to $if we paid within daysI called Medicredit to confirm, and they did confirm so I paid the $in full within weeks, only to be told I still need to pay $more! I argued, and they said to call my insurance company, I did, they called Los Robles on a way call, after an hour and a half we straightened the billing error of $that Los Robles had already collected from the insurance companyIt is clear to me that Los Robles is a FOR PROFIT organization and I was told by my AETNA representative that Los Robles Hospital could have charge up to $for stitches, and one has to ask why our medical industry is so screwed up! To make matters worse Los Robles has issued another collections agency to pay for the physicians fee for which we already paid a month after getting the billIts no wonder they're not part of the Revdex.com!

Complaint: I am rejecting this response because: I do not accept the full explanation by [redacted] as parts of her response are correct, that in Mid-July, I did acknowledge that the account had been satisfied, and yes, they did call me personally to make sure that all was completed, but from April 25th or so, after numerous calls, emails, and discussions with not only the billing office in GA, and with the executive office in Thousand Oaks, they were finally able to resolve their problem [redacted] even did not return emails or phone calls, so her taking the high road seems kind of humorousShe had promised to resolve the matter personally, and then fails to return calls and email requests THIS WHOLE ISSUE BEGAN DUE TO THEIR INTERNAL BILLING ERRORS GOING BACK TO JULY 2013, AND FINALLY, ONE YEAR LATER, THEY FINISHED CLEANING UP THE PROBLEM THANKS Regards, [redacted]

we have faxed a letter and sent it to your number ### ### #### successful send at 2:53pm total of pages

My 7 yr. old son was injured back in July-2014,and needed to have a few stitches above his eyebrow, when we arrived my son and I were the only ones in the ER, we were told by the nurse practitioner we would be taken care of promptly, since we had no one else ahead of us, and that she would likely be doing the stitches. After repeatedly giving the staff my insurance and personal information I was left to wait almost 2 1/2 hours. The procedure was done by her assistant, and he preformed the 10 minute operation. It took another hour to get the release papers.
Then I get a bill for almost $2100! They charged me over $500 just for my son to sit on one of 3 beds for 15 minutes! They were inadequately prepared to preform the operation, and had to find supplies and in my opinion completely unorganized.
Then shortly after getting the bill and requesting the billing department review the charges, I was told they were correct. I arranged to make monthly payments with Los Robles, and after making my first payment, they sent my bill to collections. I get a letter a week after my payment was cashed and my wife makes arrangements to pay the balance to Medicredit, which was reduced from $975 to $372. if we paid within 30 days. I called Medicredit to confirm, and they did confirm so I paid the $372.00 in full within 2 weeks, only to be told I still need to pay $400. more! I argued, and they said to call my insurance company, I did, they called Los Robles on a 3 way call, after an hour and a half we straightened the billing error of $400 that Los Robles had already collected from the insurance company. It is clear to me that Los Robles is a FOR PROFIT organization and I was told by my AETNA representative that Los Robles Hospital could have charge up to $11000 for 4 stitches, and one has to ask why our medical industry is so screwed up! To make matters worse Los Robles has issued another collections agency to pay for the physicians fee for which we already paid a month after getting the bill. Its no wonder they're not part of the Revdex.com!

we have faxed a letter and sent it to your number ### ### #### successful send at 2:53pm  total of 4 pages

Complaint: 10125698
I am rejecting this response because:
I do not accept the full explanation by [redacted] as parts of her response are correct, that in Mid-July,...

I did acknowledge that the account had been satisfied, and yes, they did call me personally to make sure that all was completed, but from April 25th or so, after numerous calls, emails, and discussions with not only the billing office in GA, and with the executive office in Thousand Oaks, they were finally able to resolve their problem.
[redacted] even did not return emails or phone calls, so her taking the high road seems kind of humorous. She had promised to resolve the matter personally, and then fails to return calls and email requests.
THIS WHOLE ISSUE BEGAN DUE TO THEIR INTERNAL BILLING ERRORS GOING BACK TO JULY 2013, AND FINALLY, ONE YEAR LATER, THEY FINISHED CLEANING UP THE PROBLEM.
THANKS.
Regards,
[redacted]

My 7 yr. old son was injured back in July-2014,and needed to have a few stitches above his eyebrow, when we arrived my son and I were the only ones in the ER, we were told by the nurse practitioner we would be taken care of promptly, since we had no one else ahead of us, and that she would likely be doing the stitches. After repeatedly giving the staff my insurance and personal information I was left to wait almost 2 1/2 hours. The procedure was done by her assistant, and he preformed the 10 minute operation. It took another hour to get the release papers.

Then I get a bill for almost $2100! They charged me over $500 just for my son to sit on one of 3 beds for 15 minutes! They were inadequately prepared to preform the operation, and had to find supplies and in my opinion completely unorganized.

Then shortly after getting the bill and requesting the billing department review the charges, I was told they were correct. I arranged to make monthly payments with Los Robles, and after making my first payment, they sent my bill to collections. I get a letter a week after my payment was cashed and my wife makes arrangements to pay the balance to Medicredit, which was reduced from $975 to $372. if we paid within 30 days. I called Medicredit to confirm, and they did confirm so I paid the $372.00 in full within 2 weeks, only to be told I still need to pay $400. more! I argued, and they said to call my insurance company, I did, they called Los Robles on a 3 way call, after an hour and a half we straightened the billing error of $400 that Los Robles had already collected from the insurance company. It is clear to me that Los Robles is a FOR PROFIT organization and I was told by my AETNA representative that Los Robles Hospital could have charge up to $11000 for 4 stitches, and one has to ask why our medical industry is so screwed up! To make matters worse Los Robles has issued another collections agency to pay for the physicians fee for which we already paid a month after getting the bill. Its no wonder they're not part of the Revdex.com!

Review: I was in ER of Los Robles in 7/2013. They asked for my insurance card at that time. I showed it to them before the doctor saw me. I got a bill stating I owed $65. I paid. The bill didn't state my insurance was billed. Then I got another bill in 6/2014, asking for $936.98 more and stated that I was uninsured. My daughter called them immediately. They said I had to call them to authorize them to speak with my daughter. I did so. Then, they explained to my daughter that they didn't know I had insurance. She faxed them my Medicare card the next day, on 6/25/2014. My daughter called again 2 days later. The billing representative told her that insurance had been filed in 12/2013 and nobody from insurance company had replied. My daughter asked why the billing department didn't follow up with insurance. The representative called the insurance and found out that insurance had a different DOB for me than the one the hospital had on the claim. My daughter then faxed a letter from Social Security Office, mandating all my healthcare providers to use the DOB in Social Security Office's system. She faxed the letter twice and has reports that the faxes went through. The billing department sent me a bill again a few days ago, charging me $213.34, and also stating that the claim was sent to my insurance on 9/18/2014, one day before they sent me a bill. My daughter asked me to send them a letter to find out why they waited between 6/30/2014 and 9/18/2014 to send a claim to my insurance company. The service was provided in 7/2013, but the first claim was sent to my Medicare in 12/2013. The billing department didn't follow up and kept billing me as uninsured. Now, they've waited until 9/2014 to send a 'clean claim' to my Medicare after 14 months.Desired Settlement: The billing department's mistakes may lead to insurance denying to reimburse them. It's not my fault that the billing department didn't file the claim on a timely basis and didn't follow up on the unpaid claim. My Medicare card says that I'm responsible for $65 when I go to the ER. I've paid the $65 a month after I was seen at the ER. The billing department should not charge me anymore.

Review: In july, 2013, my mother in law was transferred from a skilled nursing home facility for care at Los Robles. In August 2013, Los Robles billed patient [redacted] I [redacted] for the charges. [redacted] has had other medical issues since then, and in Late March, I had assisted her with financial concerns. We sent a request to Los Robles in Mid April with numerous attachments requesting review of bill as several Explanation of Benefits that we had showed that we were not responsible for the bill.Followed up and was denied information as they could not find our 10 page packet. Spoke to one person who keep insisting that we owed the $4800+ since Medicare declined a billing for $657??. Another person told me that Medicare declined to pay due to reason 190, which after she sent me a copy of that decline, it showed that decline was due to Skilled Nursing benefits...!.I then realized that maybe the Skilled Nursing Center may have to bill, but that call to them advised me that Los Robles was supposed to bill them, and never did. I advised the Skilled Nursing Center to contact Los Robles and to attempt to straighten Los Robles out. They did.I contacted Los Robles, and spoke to a Melissa Fisher, who was brand new to Los Robles, and she promised that she would followup and keep me current. Never did hear much from her. Tried to contact her several times, but later found out that her voicemail was broken. Tried to contract again over a several day period, her voicemail now went to someone else...Spoke to the head of admitting, [redacted], who also promised to get into the matter, and have not heard back from her in more than 2 weeks. I advised Danielle by email that I found out the billing had been paid and posted to [redacted] account and showed 0. I still have not heard back in over 2 weeks if they were, or are working on the other issues.Desired Settlement: 1. We have requested a formal letter showing that account cleared.2. We requested that Los Robles contact Financial Corp of Americ., who was assigned collection matter, that FCA also provide a clearance letter.3. We requested that Los Robles also obtain an FCA letter advising us if any credit reporting bureaus had been contracted of collection, and if so, then to provide documentation that a reversal process be implemented and confirmed back to us.No of this has been confirmed as in process.

Business

Response:

we have faxed a letter and sent it to your number ### ### #### successful send at 2:53pm total of 4 pages

Consumer

Response:

Review: 10125698

I am rejecting this response because:

I do not accept the full explanation by [redacted] as parts of her response are correct, that in Mid-July, I did acknowledge that the account had been satisfied, and yes, they did call me personally to make sure that all was completed, but from April 25th or so, after numerous calls, emails, and discussions with not only the billing office in GA, and with the executive office in Thousand Oaks, they were finally able to resolve their problem.

[redacted] even did not return emails or phone calls, so her taking the high road seems kind of humorous. She had promised to resolve the matter personally, and then fails to return calls and email requests.

THIS WHOLE ISSUE BEGAN DUE TO THEIR INTERNAL BILLING ERRORS GOING BACK TO JULY 2013, AND FINALLY, ONE YEAR LATER, THEY FINISHED CLEANING UP THE PROBLEM.

THANKS.

Regards,