When presenting to any hospital or clinic a physician's first priority is good patient care not billing When the first claim for date of service November 18, was presented to Blue Cross for payment they denied services as not medically necessary and made the patient responsible for these chargesIt is ultimately a patient responsibility to know and understand what their particular insurance policy coversOn January 28,Meriter Business office submitted an appeal request which included medical records to Blue CrossBlue Cross denied our first appeal on March 24' Due to the appeal denial the balance continued to be patient responsibilityOn April 21, Ms [redacted] contacted Meriter Business Center to update Meriter that the original appeal was denied and that she would be filing an appeal herselfThe customer service representative did re-educate the patient that it is the patient responsibility to understand their insurance benefits because all policies can be different and that the insurance policy is a contract between a patient and the insurance carrier; not a contract between the provider and the insurance carrierMeriter received yet another denial letter on April 21, leaving the balance of a patient responsibility On July 30, Blue Cross Blue Shield made payment on this accountBlue Cross did not apply any copayment or deductibleThis account balance is Thank you "
[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 meThe business had passed on the complaint to Physicians Plus (my insurance provider) and determined there was an error in the coding/processing and I should have in fact been charged the lower copayWhile I still find it upsetting there was a charge at all for a preventative appointment, and they took advantage of me answering questions that were asked by the NP, I can accept the compromise of correcting the copayRegards, [redacted] ***
text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);">Thank you for your letter dated 12/31/14 regarding a patient concern (ID [redacted]). We take patient concerns seriously and strive to provide high quality care and service. We are currently investigating the patient’s concerns and the patient will be contacted. I am confident that we can resolve the issue to the patient’s satisfaction. State and federal privacy laws prevent me from disclosing further details without the patient’s consent.
Please don’t hesitate to contact me if you have any other questions or concerns.
Sincerely,
[redacted]Compliance Program Manager & Privacy Officer
Meriter-UnityPoint Health202 South Park StreetMadison, WI 53715###-###-####
Meriter.com
When presenting to any hospital or clinic a physician's first priority is good patient care not billing.
When the first claim for date of service November 18, 2013 was presented to Blue Cross for payment
they denied services as not medically necessary and made the patient responsible...
for these charges. It
is ultimately a patient responsibility to know and understand what their particular insurance policy
covers. On January 28,2014 Meriter Business office submitted an appeal request which included
medical records to Blue Cross. Blue Cross denied our first appeal on March 24' 2014. Due to the appeal
denial the balance continued to be patient responsibility. On April 21, 2014 Ms. [redacted] contacted
Meriter Business Center to update Meriter that the original appeal was denied and that she would be
filing an appeal herself. The customer service representative did re-educate the patient that it is the
patient responsibility to understand their insurance benefits because all policies can be different and
that the insurance policy is a contract between a patient and the insurance carrier; not a contract
between the provider and the insurance carrier. Meriter received yet another denial letter on April 21,
2014 leaving the balance of 1553.00 a patient responsibility.
On July 30, 2014 Blue Cross Blue Shield made payment on this account. Blue Cross did not apply any
copayment or deductible. This account balance is 0.00.
Thank you "
[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. The business had passed on the complaint to Physicians Plus (my insurance provider) and determined there was an error in the coding/processing and I should have in fact been charged the lower copay. While I still find it upsetting there was a charge at all for a preventative appointment, and they took advantage of me answering questions that were asked by the NP, I can accept the compromise of correcting the copay.
Regards,
When presenting to any hospital or clinic a physician's first priority is good patient care not billing When the first claim for date of service November 18, was presented to Blue Cross for payment they denied services as not medically necessary and made the patient responsible for these chargesIt is ultimately a patient responsibility to know and understand what their particular insurance policy coversOn January 28,Meriter Business office submitted an appeal request which included medical records to Blue CrossBlue Cross denied our first appeal on March 24' Due to the appeal denial the balance continued to be patient responsibilityOn April 21, Ms [redacted] contacted Meriter Business Center to update Meriter that the original appeal was denied and that she would be filing an appeal herselfThe customer service representative did re-educate the patient that it is the patient responsibility to understand their insurance benefits because all policies can be different and that the insurance policy is a contract between a patient and the insurance carrier; not a contract between the provider and the insurance carrierMeriter received yet another denial letter on April 21, leaving the balance of a patient responsibility On July 30, Blue Cross Blue Shield made payment on this accountBlue Cross did not apply any copayment or deductibleThis account balance is Thank you "
[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 meThe business had passed on the complaint to Physicians Plus (my insurance provider) and determined there was an error in the coding/processing and I should have in fact been charged the lower copayWhile I still find it upsetting there was a charge at all for a preventative appointment, and they took advantage of me answering questions that were asked by the NP, I can accept the compromise of correcting the copayRegards, [redacted] ***
text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);">Thank you for your letter dated 12/31/14 regarding a patient concern (ID [redacted]). We take patient concerns seriously and strive to provide high quality care and service. We are currently investigating the patient’s concerns and the patient will be contacted. I am confident that we can resolve the issue to the patient’s satisfaction. State and federal privacy laws prevent me from disclosing further details without the patient’s consent.
Please don’t hesitate to contact me if you have any other questions or concerns.
Sincerely,
[redacted]Compliance Program Manager & Privacy Officer
Meriter-UnityPoint Health202 South Park StreetMadison, WI 53715###-###-####
Meriter.com
When presenting to any hospital or clinic a physician's first priority is good patient care not billing.
When the first claim for date of service November 18, 2013 was presented to Blue Cross for payment
they denied services as not medically necessary and made the patient responsible...
for these charges. It
is ultimately a patient responsibility to know and understand what their particular insurance policy
covers. On January 28,2014 Meriter Business office submitted an appeal request which included
medical records to Blue Cross. Blue Cross denied our first appeal on March 24' 2014. Due to the appeal
denial the balance continued to be patient responsibility. On April 21, 2014 Ms. [redacted] contacted
Meriter Business Center to update Meriter that the original appeal was denied and that she would be
filing an appeal herself. The customer service representative did re-educate the patient that it is the
patient responsibility to understand their insurance benefits because all policies can be different and
that the insurance policy is a contract between a patient and the insurance carrier; not a contract
between the provider and the insurance carrier. Meriter received yet another denial letter on April 21,
2014 leaving the balance of 1553.00 a patient responsibility.
On July 30, 2014 Blue Cross Blue Shield made payment on this account. Blue Cross did not apply any
copayment or deductible. This account balance is 0.00.
Thank you "
[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. The business had passed on the complaint to Physicians Plus (my insurance provider) and determined there was an error in the coding/processing and I should have in fact been charged the lower copay. While I still find it upsetting there was a charge at all for a preventative appointment, and they took advantage of me answering questions that were asked by the NP, I can accept the compromise of correcting the copay.
Regards,
[redacted]