Main Line Hospitals, Incorporated

December 23, 2015Dear *** ***:We have received your letters dated December and December 14, regarding the above referenced complaintHere is our response to the complaint.Thank you for bringing this matter to our attentionFirst please be assured that neither we nor our collections
representative reported you to the credit bureauTherefore, there should be no impact on your credit ratingSecond, we have corrected your address in our billing records.We have investigated your complaint and determined that human error resulted in your street address not being properly entered on the invoice or properly corrected when the invoice was returned to us stamped insufficient addressThis was compounded when our our representative was unable to reach you by phone in August and September.We appreciate that when you did finally receive an invoice from our collections contractor, you paid it promptlyPlease also note that we have discussed this matter with the Supervisor responsible for this matter and that supervisor has discussed it with the employees in that departmentWe do deeply regret the human error that caused your invoice to bear an insufficient address and to not be immediately corrected.We will reach out directly to you so that we can communicate this information to you directly, as you have requested.Sincerely,Sharon S.Senior Counsel

[A default letter is provided here which indicates your acceptance of the business's response.? If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me.?
Regards,
*** ***

March 30, 2018Dear *** ***,I am in receipt of the Revdex.com complaint letter sent on behalf of *** *** *** dated March 21, 2016.*** *** had cardiology services at *** Medical Center on November 5,Medicare paid on *** ***’s behalf, leaving a coinsurance balance due in the amount of
$135.07.*** *** was billed for this amount in January In the meantime, *** *** did complete a Financial Assistance Application in the hopes to obtain help with this balance.Based on *** ***’s reported income, she did not qualify for 100% Assistance, but rather a lesser ievei of Financial Assistance that is based on Medicare Reimbursement RatesThe Medicare Reimbursement rate for her services however, was greater than the balance owedAs part of the Main Line Health Financial Assistance policy, *** *** would not qualify for Financial Assistance based on this.In light of the patient’s situation, Main Line Health will apply 100% financial assistance to the account balance of $135,07, Any future services that result in a balance due however, witl be subjected to the same Financial Assistance policy and process.I am hopeful that this will remedy the situationPlease do not hesitate to contact me directly should there any questions.Sincerely,JScott C.Manager, Customer Service/Credit & Collections Patient Financial Services?

? I can confirm that initial mailing attempts to the *** residence resulted in return mail for two accounts? Although an updated address was not discovered, multiple phone calls were made to the residence? Each phone call attempt resulted in an operator intercept and therefore,
we were not able to speak directly to the family? These accounts were then sent to one of our collection agencies.We ere able to connect with the Sversky family on 6/3/on another account? At this time we made them aware of the mail return? We were informed of the correct address and updated our system.In order to remedy the situation, the two accounts in question will be removed from our collection agency and be brough back in house? A statement will be sent to the correct address for both accounts? The family's credi rating is not in danger as we do not report to the Credit Bureau.I am hopeful that this explanation will satisfy the complaint? We do apologize for any inconvenience? this may have caused? Please do not hesitate to contact me should there be any questions.Sincerely,JScott C***Manager, Customer Service/Credit & CollectionsPatient Financial ServicesMain Line Health?

December 23, 2015Dear [redacted]:We have received your letters dated December 2 and December 14, 2015 regarding the above referenced complaint. Here is our response to the complaint.Thank you for bringing this matter to our attention. First please be assured that neither we nor our collections...

representative reported you to the credit bureau. Therefore, there should be no impact on your credit rating. Second, we have corrected your address in our billing records.We have investigated your complaint and determined that human error resulted in your street address not being properly entered on the invoice or properly corrected when the invoice was returned to us stamped insufficient address. This was compounded when our our representative was unable to reach you by phone in August and September.We appreciate that when you did finally receive an invoice from our collections contractor, you paid it promptly. Please also note that we have discussed this matter with the Supervisor responsible for this matter and that supervisor has discussed it with the employees in that department. We do deeply regret the human error that caused your invoice to bear an insufficient address and to not be immediately corrected.We will reach out directly to you so that we can communicate this information to you directly, as you have requested.Sincerely,Sharon S.Senior Counsel

We have previously responded to this complaint and our response has not changed.  We have supplied the complainant with the requested information.  Please see the latest response dated 8/8/16.
Thank you

[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 I have...

not received the receipt saying paid in full that I was promised. I have gone through this before and do not trust them to credit my account . I need that receipt so I am not billed again for the same amount. They  always make promised and don't follow through.  I was told it would be put in the mail on July 2nd. I have given them plenty of time and today July 10 I still have not received it. I will not be satisfied till I receive the receipt I was promised.
Regards,
[redacted]

December 23, 2015
Dear [redacted]:
We have received your letters dated December 2 and December 14, 2015 regarding the above referenced complaint. Here is our response to the complaint.
Thank you for bringing this matter to our attention. First please be assured that neither...

we nor our collections representative reported you to the credit bureau. Therefore, there should be no impact on your credit rating. Second, we have corrected your address in our billing records.We have investigated your complaint and determined that human error resulted in your street address not being properly entered on the invoice or properly corrected when the invoice was returned to us stamped insufficient address. This was compounded when our our representative was unable to reach you by phone in August and September.
We appreciate that when you did finally receive an invoice from our collections contractor, you paid it promptly. Please also note that we have discussed this matter with the Supervisor responsible for this matter and that supervisor has discussed it with the employees in that department. We do deeply regret the human error that caused your invoice to bear an insufficient address and to not be immediately corrected.
We will reach out directly to you so that we can communicate this information to you directly, as you have requested.
Sincerely,
Sharon S.
Senior Counsel

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. 
Regards,
[redacted]

Review: I have received a hospital bill for service dates 5-19-13 / 5-22-13 for in the amount of $3,499.78. This is for payment by the patient after the insurance has paid what they will for these services. I contacted the billing department to inquire if I could set up a payment plan of $10.00 per month, as I have several bills from the hospital and doctors for the birth of my child. I was told that the minimum payment they could accept was $104.00 per month. If I did not pay the minimum of $104.00 per month the account would go to a collection agency. When I asked why that was the minimum I was told by [redacted](the supervisor) that this was part of their financial policy. I believe that as a paying customer I should be able to pay what I can on this account. I was not told prior that I would have to make any type of minimum payments, I am responsible for the balance due.Desired Settlement: I would like to be able to pay what I can afford on this balance, which is $10.00 per month.

Business

Response:

September 5, 2013

Dear **. [redacted],

I am in receipt of the complaint that was submitted to your organization on 8/12/2013 (ID # [redacted]).

The consumer in question currently has balances due with Main Line Health in the amount of $4,137.28. A $10 payment plan applied to this balance equates to a payment arrangement in excess of 34 years. Main Line Health does utilize payment plan guidelines, and a 34 year interest free plan is well beyond the scope of the payment schedule.

The consumer has recently made a payment of $50. Main Line Health would be agreeable to maintaining this payment amount. This would equate to a payment plan of close to 7 years in length. We feel that this figure would offer a fair and equitable compromise for both parties.

Please feel free to contact me directly, should there be additional questions or concerns.

Review: 1. [redacted] was the insurance provider and they were contacted prior to receiveing the service to confirm cost coverage (02 Oct 2012) cost coverage was verified by the insurance adgency.

2. Service was rendered in October of 2012.

3. Bill received in the amount of $210.00 recieved for services 10 - 31 Oct. 2012 associated with account number [redacted].

4. [redacted] contacted to verify; call reveils a coding error associated with the bill (rev code [redacted]). Patient billed for post-partum services before giving birth.

5. [redacted] Medical Center contacted and notified of error. (Lots of phone calls, transferred to many different departments). Message left with "assumed" point of contact.

6. POC returns call with the following information: "Only Dr. [redacted] can change codes, Patient to contact Dr. [redacted] directly to resolve issue."

7. Dr. [redacted] contacted, patient spoke with her and her staff about issue (in person, no phone record available). Dr. [redacted] shared the code that was originally entered as being the "proceedure code 97802" and "diagnosis code 64883" Dr. [redacted] unable to change "rev" code because she is unfamilar with this code.

8. Billing department POC contacted with updated information and new POC is identified (**. [redacted] at ###-###-####).

9. **. [redacted] is contacted to discuss process of getting "rev" code changed to accurately coorispond to "pregnancy" treatment in place of "post-partum" treatment. Account is placed on hold (Feb 2013). Bill is being reviewed for accuracy and "rev" code to be updated to reflect accuracy.

10. Patient receives new bill associated with account number [redacted]6 (14 Aug 2013).

11. Patient attempts to contact [redacted], multiple messages left, no return call received.

12. Billing department contacted with referenced account number [redacted]6. Conversation reveils: "Rev" code still remains the same, bill resubmitted to [redacted] insurace with no changes and was denied a second time. ([redacted] refuses to pay for post-partum treatment while patient is pregnant.)

13. Patient receives follow-up call with the following information: "Only the Office Manager is able to update the rev code and to date the billing department has not received the updated billing code." Billing adgent was unable to provide the patient with the Office Manager's contact information.

14. Patient attempted to contact **. [redacted] before submitting complaint form through Revdex.com. Patient left message, but has not received a call back.Desired Settlement: 1. Correct "post-partum" code (REV: [redacted]) to reflect "pregnancy" services received.

2. Refund all partial payments submitted between Oct 2012 and Aug 2013.

3. Stop sending billing statements to patient for services covered by insurance.

4. Do not send patient information to collection adgency (threatened on each call).

5. Written apology for the rude treatment, the avoidance, and the delayed "correction" associated with the patients attempt to resolve the business's obvious mistake.

Business

Response:

September 24, 2013

Dear **. [redacted],

We have received your letter dated September 18th regarding the above referenced complaint. The consumer states that the incorrect revenue code was used for nutrition services that were delivered to her on October 10, 2012. This charge of $210 was submitted to the consumer’s insurance and was subsequently denied as a non covered benefit.

Upon additional review, and with the assistance of the consumer, an alternative code was supplied. This code (G), is currently being added to the patient’s claim and will be rebilled to [redacted]. This is not a guarantee that [redacted] will pay the bill in full, but if they do, the monies that the patient paid will be refunded. The return on this issue will therefore be dependent on how quickly [redacted] responds to the revised billing. The patient should receive an explanation of benefits from [redacted] after they make their final determination on the claim.

Please do not hesitate to contact me should there be any questions or concerns.

Sincerely,

Review: A few months ago I received a bill for 75 dollars from a workers comp. case that happened 3 yrs ago. they say workers comp refused to pay it. I contacted workers comp and they say the hospital didnt file the bill in a timely manner. so the hospital says I must pay. the supervisor says he dont know why it was never paid or why it is now being brought up now. he also assured me it would not get sent to a collection agency, but I am getting calls from one now. they also cannot tell me what exactly the bill is for .the date is the same as the date for my comp. case I didnt go to the hospital twice on the same day.Desired Settlement: I need it taken off my credit report and an apology from them

Business

Response:

September 30, 2013

Dear [redacted],

We have received your letter dated September 25, 2013, regarding the above referenced complaint. The consumer states that [redacted] Medical Center did not submit a claim to his Worker’s Compensation carrier. The patient is now receiving a bill in the amount of $75 (a coinsurance), after his group health plan was billed).

The following summarizes the series of events that lead to the consumer receiving a bill for $76:

* The consumer presented to the [redacted] Emergency Room on 8/11/2010.

* Although the patient stated the service was work related, he was not able to supply insurance specific to the worker's compensation case.

* Calls were made to the patient's residence (9/23/2010) in an attempt to obtain the workers compensation insurance information. There was no answer.

* A call was made to the consumer’s employer in an attempt to obtain the information (9/23/2010). The employer was to return our call with the information, but never did.

* With no worker's compensation information, the patient’s group health plan was billed. The claim was processed on 11/26/10. No payment was made to [redacted], but a $75 coinsurance was applied.

* The patient received a statement on 12/6/10.

* The patient called on 12/14/10 to state that the service was work related, but he did not have the specific insurance carrier.

* The Federal Worker’s Compensation Division called on 1/18/2011 to offer billing information.

* A bill was generated on 2/4/11.

* No response was received and another bill was generated on 9/14/11. There was no response to this billing as well.

* A bill, along with records was sent to the Pennsylvania State Worker’s insurance Fund on 1/9/13, This claim was returned on 2/11/13 stating that there was no claim for this individual.

* The U.S. Department of Labor was then billed on 4/1/13.

* A rejection was received from the U.S. Department of Labor stating the claim was not work related.

• The patient was billed on 5/6/13,

• Several calls and statements were generated from May 2013 to September 2013, but no resolution was obtained regarding the true responsible party.

• The account was sent to collections on 9/3/13.

[redacted] Medical Center would be more than happy to bill the appropriate Worker’s Compensation carrier for the consumer, but obtaining that information has proven to be difficult.

Although there is no statute of limitation regarding filing a Pennsylvania Worker’s Compensation claim, [redacted] Medical Center is prepared to close the consumer's account with our Collection Agency with no balance due from the patient [redacted] has not reported this debt to any Credit Bureau as a matter of choice.

We do apologize for any inconvenience this may have caused the consumer.

We hope that this offers a solution to the consumer's issue. Please do not hesitate to contact me should there be any questions or concerns.

Sincerely,

Consumer

Response:

[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]

I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.

Regards,

thanks for helping the little guys out.