Midwest City Regional Hospital

Initial Business Response / [redacted] (1000, 5, 2015/11/06) */ Contact Name and Title: [redacted] Director Contact Phone: XXX-XXX-XXXX Contact Email: [redacted] @myalliancehealth.com Revdex.com Attention: Dispute Counselor - [redacted] South Dewey Oklahoma City, Ok XXXXX RE: Case # [redacted] November 4, Dear Mr [redacted] Below please find the response to the complaint concerning billing Account Sent to Litigation after a compromised settlement was madeCollection agent PASI stated that they would mail a statement indicating paid in full The price of the service was excessive The hospital billed what they wanted and then adjusted the bill for insurance Upon review of the documentation on the account the patient had not met the deductibleThe total charges for service are $The contracted negotiated rate for UHC removed $for the total charges leaving a balance of $There are several conversations documented with the patient attempting to reduce the amount owed towards his deductible to $The patient was notified on 5-21-that the offer would not be acceptedCollection for the amount due was attempted multiple times between May and OctoberThe patient paid $on 10-13-leaving a remaining balance of $The account was sent to legal on 10-02-prior to the patient making the paymentThe patient contacted PASI on 10-19-and there is clear documentation that it was communicated that the account was ready to cancel but the remaining balance was still in questionAs a sign of good faith the remaining balance of $has been removed from the accountWe appreciate your bringing this matter to our attention Sincerely, [redacted] RN, BSN, Director of Quality / Regulatory Alliance Health Midwest Initial Consumer Rebuttal / [redacted] (3000, 7, 2015/11/16) */ Final Business Response / [redacted] (4000, 11, 2015/12/02) */ ***Document Attached [redacted] December 1, Mr [redacted] XXXXX [redacted] XXXXX Dear Mr [redacted] , Thank you for the opportunity to respond to the concerns that you voiced regarding your visit to AlllianceHealth MidwestI would like to express my sincere apology for any distress you may have experienced We understand your concern to be the following: The price of the service was excessive The hospital billed what they wanted and then adjusted for the insurance Upon review of the documentation on the account you had not met the deductibleThe total charges for service are $The contract rate for United Health Care removed $from the total charges leaving a balance owed of $as negotiated with your insurerThere are several conversations documented with you attempting to reduce the amount owed towards your deductible to $You were notified on 5-21-that the offer would not be acceptedCollection for the amount due was attempted multiple times between May and OctoberYou paid $on 10-13-leaving a remaining balance owed of $The account was sent to legal on 10-02-prior to you making the paymentYou contacted PASI on 10-19-and there is clear documentation that it was communicated that the account remaining balance was still in questionAs a courtesy the remaining balance of $has been written off from the account, and the account is now paid in full We appreciate you choosing AllianceHealth Midwest in the past, and hope that you will allow us the good fortune to care for you in the future Sincerely, [redacted] CEO Alliance Health Midwest

Initial Business Response /* (1000, 5, 2015/11/06) */
Contact Name and Title: [redacted] Director
Contact Phone: XXX-XXX-XXXX
Contact Email: [redacted]@myalliancehealth.com
Revdex.com
Attention: Dispute Counselor - [redacted]
17 South Dewey
Oklahoma City, Ok...

XXXXX
RE: Case # [redacted]
November 4, 2015
Dear Mr. [redacted]
Below please find the response to the complaint concerning billing
Account Sent to Litigation after a compromised settlement was made. Collection agent PASI stated that they would mail a statement indicating paid in full.
1. The price of the service was excessive.
2. The hospital billed what they wanted and then adjusted the bill for insurance.
Upon review of the documentation on the account the patient had not met the deductible. The total charges for service are $2004.72. The contracted negotiated rate for UHC removed $725.71 for the total charges leaving a balance of $1279.01. There are several conversations documented with the patient attempting to reduce the amount owed towards his deductible to $600.00. The patient was notified on 5-21-15 that the offer would not be accepted. Collection for the amount due was attempted multiple times between May and October. The patient paid $1151.11 on 10-13-15 leaving a remaining balance of $127.90. The account was sent to legal on 10-02-15 prior to the patient making the payment. The patient contacted PASI on 10-19-15 and there is clear documentation that it was communicated that the account was ready to cancel but the remaining balance was still in question. As a sign of good faith the remaining balance of $127.90 has been removed from the account. We appreciate your bringing this matter to our attention.
Sincerely,
[redacted] RN, BSN, Director of Quality / Regulatory
Alliance Health Midwest
Initial Consumer Rebuttal /* (3000, 7, 2015/11/16) */
Final Business Response /* (4000, 11, 2015/12/02) */
[redacted]Document Attached[redacted]
December 1, 2015
Mr. [redacted]
XXXXX [redacted] XXXXX
Dear Mr. [redacted],
Thank you for the opportunity to respond to the concerns that you voiced regarding your visit to AlllianceHealth Midwest. I would like to express my sincere apology for any distress you may have experienced.
We understand your concern to be the following:
1. The price of the service was excessive
2. The hospital billed what they wanted and then adjusted for the insurance
Upon review of the documentation on the account you had not met the deductible. The total charges for service are $2004.72. The contract rate for United Health Care removed $725.71 from the total charges leaving a balance owed of $1279.01 as negotiated with your insurer. There are several conversations documented with you attempting to reduce the amount owed towards your deductible to $600.00. You were notified on 5-21-15 that the offer would not be accepted. Collection for the amount due was attempted multiple times between May and October. You paid $1151.11 on 10-13-15 leaving a remaining balance owed of $127.90. The account was sent to legal on 10-02-15 prior to you making the payment. You contacted PASI on 10-19-15 and there is clear documentation that it was communicated that the account remaining balance was still in question. As a courtesy the remaining balance of $127.90 has been written off from the account, and the account is now paid in full.
We appreciate you choosing AllianceHealth Midwest in the past, and hope that you will allow us the good fortune to care for you in the future.
Sincerely,
[redacted] CEO
Alliance Health Midwest