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Marilynn's Reviews (3)

The following is a written statement submitted by [redacted] , co-owner of Advance Orthopedic and Sports Therapy, P.C(AOST, P.C.) in response to a complaint made to the Revdex.com (Revdex.com), related to a billing issue on (daugher) accountAt the outset of this statement I want to state that AOST PC its staff, the owners and billing company strive to make every patient’s encounter a positive experienceIt is obvious from our written complaint to the Revdex.com, you have failed to have a positive experience in dealing with AOST, P.Cand our billing companyI feel confident that all can agree that, a contested argument, between two parties always has diametrically opposing viewpointsI will explain in my written statement the correct authorizations (to the insurance carrier), communicated with the responsible party sent out appropriate billing statements to the responsible party, and advocated for the patient with the insurance company to have billed processed correctlyThe patient was seen at our office for physical therapy treatments between the dates of 5/20/and 6/19/A physical therapy authorization was filed with [redacted] (***) and bills were sent to the same for paymentOn 7/22/our billing company discovered that dates of services were denied because they were submitted with a treatment code that that required a separate authorizationInstead of paying for the approved codes [redacted] denied all the codes and failed to reimburse AOST for these dates of serviceThe denied dates of service were re-submitted on 8/5/minus the denied codesOn 9/26/the billing company followed up with [redacted] and it was discovered that the claims were never processed and the claims were resubmitted on 9/26/To summarize of the dates of service were processed correctly resulting in a balance due on the visits of $ Statements were sent out to the responsible party post office box on 7/25, 8/and 9/for a total of The two unprocessed dates of service were not included in the statement balanceOn 10/6/the billing company called the residence and left a message regarding the unpaid balanceA past due letter was also sent out on 10/6/On 10/28/a statement went out to the responsible party for a balance due of $reflecting the full charged amount billed, (not the contracted fee paid by ***) for the two dates of service still not processed correctly by ***The responsible party did not reply to any of the statements, nor the phone call and a final notice go out on 11/13/On 11/14/the responsible party called for the first time disputing the bill and requested an itemized bill which was sent out the same dayThe responsible party still never responded and the account was placed into collections on 12/5/

Revdex.com:
I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # ***Please add your rejection comments below.
I continuously tried to reach *** at the billing service and he stopped returning my calls (his current conversation log/attempts is fictitious), previously he had me contact my insurance company for EOB's which I fax'd to him in different formats to show that they indicated denied, not patient responsibility. The $is owed by me however they would not provide an accurate bill and each time I tried to pay the $they stated I owed more, sometimes it was much more than $652. Their operation is to put the burden on the consumer and wear them down, charge for items which are clearly not patient responsibility and then put into collection ruining their credit. This should not be allowed. If they do to me they are doing to others. I have referred this matter to The Attorney Generals Office and they too are looking into.?
Regards,
*** ***

The following is a written statement submitted by *** ***, co-owner of Advance Orthopedic and Sports Therapy, P.C(AOST, P.C.) in response to a complaint made to the Revdex.com (Revdex.com), related to a billing issue on (daugher) accountAt the outset of this statement I
want to state that AOST PC its staff, the owners and billing company strive to make every patient’s encounter a positive experienceIt is obvious from our written complaint to the Revdex.com, you have failed to have a positive experience in dealing with AOST, P.Cand our billing companyI feel confident that all can agree that, a contested argument, between two parties always has diametrically opposing viewpointsI will explain in my written statement the correct authorizations (to the insurance carrier), communicated with the responsible party sent out appropriate billing statements to the responsible party, and advocated for the patient with the insurance company to have billed processed correctlyThe patient was seen at our office for physical therapy treatments between the dates of 5/20/and 6/19/A physical therapy authorization was filed with *** *** *** *** (***) and bills were sent to the same for paymentOn 7/22/our billing company discovered that dates of services were denied because they were submitted with a treatment code that that required a separate authorizationInstead of paying for the approved codes *** denied all the codes and failed to reimburse AOST for these dates of serviceThe denied dates of service were re-submitted on 8/5/minus the denied codesOn 9/26/the billing company followed up with *** and it was discovered that the claims were never processed and the claims were resubmitted on 9/26/To summarize of the dates of service were processed correctly resulting in a balance due on the visits of $ Statements were sent out to the responsible party post office box on 7/25, 8/and 9/for a total of The two unprocessed dates of service were not included in the statement balanceOn 10/6/the billing company called the residence and left a message regarding the unpaid balanceA past due letter was also sent out on 10/6/On 10/28/a statement went out to the responsible party for a balance due of $reflecting the full charged amount billed, (not the contracted fee paid by ***) for the two dates of service still not processed correctly by ***The responsible party did not reply to any of the statements, nor the phone call and a final notice go out on 11/13/On 11/14/the responsible party called for the first time disputing the bill and requested an itemized bill which was sent out the same dayThe responsible party still never responded and the account was placed into collections on 12/5/

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