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Reviews Optometry, Optometrist Master Eye Associates

Master Eye Associates Reviews (5)

Re: Case# [redacted] (Complaint submitted 7/27/10:20:PM To Whom It May Concern: Patient (ID [redacted] ) called and scheduled for Sunday, 7/26/1:55PM examination at our clinic on Saturday, 7/25/at 2:PMThe patient in question presented on 07/26/2015; was told before the examination took place that since it was a Sunday, we had limited resources to verify her insurance coverage (weekend insurance verifications are complicated by the fact that most insurance companies are not open on weekends for phone verification, websites not being updated and/or being down for maintenance)Our office was only able to verify the medical portion of her insurance online and would be unable to verify the vision portion of her insurance until the insurance company reopened on MondayShe was advised that she could reschedule her appointment for a later date and time so our office could verify her vision benefits; or proceed by going with the information on hand based on her verified medical benefitsThe patient decided that she did not want to wait and wanted to be seen right awayBased on the information we received from her medical benefits, the office collected the appropriate co-pays and overages that the insurance was likely not to pay forThis information was given to the patient ahead of time and she signed the paperwork giving her consent for treatmentOn average, it takes two to four weeks for an insurance company to process submitted claimsBased on the patient's insurance coverage, the insurance company makes the determination as to how much they are going to pay the physician's office, how much will be written off and how much would be the patient's responsibilityAfter our office receives a response from the insurance company, we will either refund the patient any money that is due or bill her for any additional amounts that the insurance company deems is patient responsibilityThe insurance company makes this decision, not the physician's officeThere are some facts about this case that needs to be pointed out1) The patient is stating that we are billing the medical insurance and not her vision insuranceThe patient is covered by the same insurance company for both her medical and vision insuranceOur office will only submit a claim based on the findings of the examinationThe insurance company will determine under which insurance plan to process the claim and how much they will allow for payment2) The patient called our office the very next day to start making demands on how she wanted her claim to be submittedShe was told that the claim would be submitted based on the findings of the physician during the examinationThe insurance company would make their payment decisions based on this informationThe patient is demanding that we only submit the claim in a way that would result in her paying the least amount out of pocket and not by the actual findingsThis is illegal and not something we are willing to do3) As stated earlier, it takes several weeks for an insurance company to process a claimThe letter of complaint to the Revdex.com is dated 07/29/and she was only seen on 07/26/She waited only a day or two to file a complaintShe has also called our office multiple times during the last two weeks threatening our office with legal action, calling our staff derogatory names and using inappropriate language on the telephoneAll our patients are well informed of their options before signing consent and receiving any consented servicesWe have several forms in our possession that document thisShe immediately started the next day to engage in intimidation tacticsWe have already submitted our claim to the insurance company and will patiently wait for an answer before taking any further stepsSincerely, Greg R [redacted] Administrator

Complaint: ***I am rejecting this response because: This letter is untruthful and inaccurate.I walked in to this business not called, to verify that they were an in networkprovider on Saturday 7/I began to leave and the gentleman behind the deskasked if I wanted to schedule an appointmentHe said he could get me in thenext dayHe then photocopied my insurance card saying it would speed up theprocess for the next dayThe gentleman NEVER said anything, about notbeing able to verify my benefits because it was the weekendI arrived the nextday on time for my appointment and proceeded to fill out more paperworkOne ofwhich being a consent for pictures of my eyesI crossed through a line on thepaper and wrote that I only wanted the pictures if they were going to becovered by my insuranceThe woman behind the desk handed back the form,stating that it was covered by my insurance and that I would need to redo theformI wasn't allowed to write on it for legal purposes she saidAgainhearing that she knew it would be covered made me think my benefits had beenverifiedThen I was asked to pay $before I ever saw a provider or hadany testingI thought it odd that they what to charge before I had been seen?The small debit receipt given was the only receipt I received for this entiretransaction. I asked the woman behind the desk, even after my insurance it’sstill $80? She mumbled off about vision, medical, copay portions but neverreally answering the questionIn the moment I didn't understand her an thoughtmaybe I had misheard my insurance company, when I had called to verify mybenefits priorAfter the visit ended I returned to the desk to have her explainto me why I had paid that day because my understanding was that a basic visionexam was covered on my vision insuranceIt was then for the FIRST time that Iwas told by the two women behind the desk, that it was Sunday and they couldn'tverify my benefitsThat they would just bill it under medical since theycouldn't verify my vision benefitsI told the woman behind the desk that whycouldn't they wait until Monday to verify my vision benefits and process myclaim then? She replied because we do same day billing it’s finalHad I knownthis I would have rescheduled my appointmentI am more than happy to pay forthe services I received, however I have spoken to insurance company and even ifbilled under medical they said it should have been a $copayI left theoffice that day feeling mislead and concernedI called that evening and left amessage asking for the office manager or billing manager to contact me, that Ihad an issue that needed resolvedTowards the end of the next business day, Ihadn't heard back so I phoned the office(I have had interactions with onlytwo employees via telephone Kylie and Bradly to whom which I have NEVER usedfoul or derogatory language towards.) I spoke to Kylie and stated I had left amessage the day before and needed to speak with a billing or office manager.Kylie informed me they had no office manager and that I couldn't speak withbilling officeI asked if they were offsite and she said no they were onsitebut she wasn't sure who they were or when they workedThat she could take amessage and billing would call me in 7-days. I have made calls totalto this business leaving messages for someone to contact meThis office hasyet to contact meOne interaction I had with Bradly on 7/he told me hewasn't allowed to give out the billing company number or name because higherups told him not to, due to past "issues"After My visit to thisoffice and being concerned about how untruthful and shady my interaction felt,I looked online for reviewsI found horrible reviews almost all for the samething being charged more than anticipated or toldHaving trouble with ortrying to contact the billing officeMany people saying the same thing I wastold, that their medical insurance was being charged and they would need to payout of pocketA story from one person who made multiple attempts to contactthe office about a billing question and the office said they were harassingthemThe Revdex.com has I think billing claims against this businessThat is why Iplaced my concern so quicklyI spoke to my insurance company and a billing/coderand re accounted my interaction and every person agreed it sounded offTheonly thing I have demanded is that someone contacts me and that I get anditemized receipt from this business showing what I was actually charged for andthe CPT and DX billed.There are some facts I would like to point out!All I am asking for is a receipt for services and a phone call explaining how Iwas billedIt has been days as of today and I have yet to get any of those.The fact that a company with a history like this and that you stooped to lyingfor a Revdex.com claim just proves what an unethical business this is.Sincerely,*** ***

Complaint: [redacted]I am rejecting this response because:
WOW! What a response!
1) Greg R[redacted] is the Chief Financial Officer (CFO) of Master Eye Associates. I started getting yearly eye exams at their office in May 2010. I paid in full by credit card a total of $110 for a COMPREHENSIVE EYE EXAM. I did this every year until May 2014. During that time Dr. Shajida [redacted] said that my insurance company could be billed because of her diagnosis last year of having cataracts.  I said I didn't think so since my insurance company won't pay for yearly eye exams. I gave permission to try thinking I would my out of pocket cost would be less than the $110 I usually paid. It wasn't. My out of pocket cost was $275 after they billed my insurance company over $650.
They might try to explain that the billed amount to the insurance company was a "Comprehensive Medical Evaluation" versus a "Basic eyeglass/vision exam. However all of my receipts since 2010 show "Comprehensive Eye Examination". They might try to justify it because the Dr. said I had cataracts which is a medical eye condition, however how can they justify also billing my insurance company over $650 for my wife's basic eyeglasses/vision exam.  She has never had problems with her eyes and simply needed a stronger pair of reading glasses.  I will be writing my insurance company with these issues.
2)All Explanation of Benefits from all previous medical doctors over the years always show that on their statement.
3)I NEVER SAID I IGNORED SEVERAL BILLING STATEMENTS OVER THE COURSE OF THE YEAR. I received a Final Notice that on November 11, 2015 saying that if I did not pay by Sunday November 15, 2015 that I would be charged attorney's fees, additional penalties and sent to debt collection. I was very upset. My credit rating is 808 because I always
 
pay my bills on time as soon as I receive them. I HAVE NEVER IGNORED A 30,60 OR 90 DAY NOTICE. 
4) Greg R[redacted] called me from his home in [redacted]s Pass, Oregon from his home/cell phone on November 16, 2015 and we talked for 18 minutes and 45 seconds. I have the call logs to prove it.  First off he apologized for sending that "FINAL NOTICE' 120 days past due notice threatening legal action. He said I should never have received that letter because my wife and I were his best customers "the good guys that always paid there bills in full" He explained that it is called a "BLUFF LETTER' to scare some of this deadbeat clients into paying past bills. He said he wrote hand written notes that I was paid in full but that the person that sent it was an it. He told me he had been in small claims court over a dozen times trying to collect payment. I said I was sorry but that wasn't my problem.
He said he would A)refund the $67 payment I made under duress on Saturday November 14, 2015. B)Have my wife and I sign a release for our records so we could go to a reputable eye pr 
 
 
 
 
 
Sincerely,f[redacted]

Dr Shajida [redacted] & Associates, PCMaster Eye Associates[redacted]Medford, Oregon 97527
12/03/2015Revdex.comPO Box 1000DuPont, W A 98327Tel: 206.431.2222To Whom It May Concern:
Re: [redacted]
Complaint ID: [redacted] ( [redacted])
Received 12/03/2015Mr....

[redacted] stated in his letter that he was concerned about having insurance billed when he wasusually only paying a smaller price when he came to the office for other visits. I would like toexplain/clarify some additional details of this situation.
Mr. [redacted] received basic eyeglass/vision exams on visits where he paid himself. On the day inquestion, he received a comprehensive Medical evaluation with findings indicating the need forfurther procedures. He was informed of the findings at the time of the exam, gave his consentand signed for the medical procedures to be performed. All of this was billed to his insurancecompany. The insurance company adjudicated and paid on all the procedures assigning a smallportion as patient responsibility. Mr. [redacted] would have received an Explanation of Benefits fromthe insurance company explaining all of this in detail He was also explained this information byour office personnel.
Mr. [redacted] verbally confirmed that he ignored several billing statements over the course of a year.He finally responded to our office when he received a final notice with an additional alert that hewould soon be sent to collections for non-payment. He came to the office and was told that ourbilling department was going to be out of the office for an extended period oftime and wouldreturn his call when they returned that following Monday (there was a death in the family). Whatis of most concern/alann is Mr. [redacted]'s behavior through the entire query process.
[redacted] decided that instead of waiting a few days until we could call him back, that he wouldmake daily trips to the office to raise his voice in protest and cause a scene. We called him toaddress his concerns. The conversation was basically Mr. [redacted] telling us how great of a personhe is and how terrible our staff is. The day after we talked to him on the telephone, he thought itwas necessary to return to the office to tell the staff that he had talked to their boss and they wereall going to be fired. In addition to the staff expressing their safety concerns about Mr. [redacted]'sbehavior, we have also received multiple complaints from other patients regarding hisunprofessional behavior and disruption to office flow/other patients' care.
In light of his behavior and considering our staff and patients' safety, it is best at this time toencourage Mr. [redacted] to seek vision function and medical care elsewhere. We will gladly forwardhis records to the new provider of his choice.
Sincerely,
Greg R[redacted]

Re: Case# [redacted] (Complaint submitted 7/27/2015 10:20:37 PM To Whom It May Concern: Patient (ID [redacted]) called and scheduled for Sunday, 7/26/2015 1:55PM examination at our clinic on Saturday, 7/25/2015 at 2:00 PM. The patient in question presented on 07/26/2015; was told before the examination...

took place that since it was a Sunday, we had limited resources to verify her insurance coverage (weekend insurance verifications are complicated by the fact that most insurance companies are not open on weekends for phone verification, websites not being updated and/or being down for maintenance). Our office was only able to verify the medical portion of her insurance online and would be unable to verify the vision portion of her insurance until the insurance company reopened on Monday. She was advised that she could reschedule her appointment for a later date and time so our office could verify her vision benefits; or proceed by going with the information on hand based on her verified medical benefits. The patient decided that she did not want to wait and wanted to be seen right away. Based on the information we received from her medical benefits, the office collected the appropriate co-pays and overages that the insurance was likely not to pay for. This information was given to the patient ahead of time and she signed the paperwork giving her consent for treatment. On average, it takes two to four weeks for an insurance company to process submitted claims. Based on the patient's insurance coverage, the insurance company makes the determination as to how much they are going to pay the physician's office, how much will be written off and how much would be the patient's responsibility. After our office receives a response from the insurance company, we will either refund the patient any money that is due or bill her for any additional amounts that the insurance company deems is patient responsibility. The insurance company makes this decision, not the physician's office. There are some facts about this case that needs to be pointed out. 1) The patient is stating that we are billing the medical insurance and not her vision insurance. The patient is covered by the same insurance company for both her medical and vision insurance. Our office will only submit a claim based on the findings of the examination. The insurance company will determine under which insurance plan to process the claim and how much they will allow for payment. 2) The patient called our office the very next day to start making demands on how she wanted her claim to be submitted. She was told that the claim would be submitted based on the findings of the physician during the examination. The insurance company would make their payment decisions based on this information.. The patient is demanding that we only submit the claim in a way that would result in her paying the least amount out of pocket and not by the actual findings. This is illegal and not something we are willing to do. 3) As stated earlier, it takes several weeks for an insurance company to process a claim. The letter of complaint to the Revdex.com is dated 07/29/2015 and she was only seen on 07/26/2015. She waited only a day or two to file a complaint. She has also called our office multiple times during the last two weeks threatening our office with legal action, calling our staff derogatory names and using inappropriate language on the telephone. All our patients are well informed of their options before signing consent and receiving any consented services. We have several forms in our possession that document this. She immediately started the next day to engage in intimidation tactics. We have already submitted our claim to the insurance company and will patiently wait for an answer before taking any further steps. Sincerely, Greg R[redacted] Administrator

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Address: 9600 S Ih 35 Ste 225A, Austin, Texas, United States, 78748-3887

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