Mill Creek Lumber & Supply

Complaint acknowledged I have taken action to ensure that no further billing or collections calls will be made to the identified company phone number

The patient came into the ER May 27th and again on June 2nd for injuries sustained on 5/16/ At the time of original billing, we were not given his Auto insurance information As such, his health insurance was inappropriately billed Humana is NOT the primary health insurer When we received updated information, we sent a courtesy bill to USAA and then sent the patient statements for the visits: 1) $for the May 27th Date of Service and 2) $for the June 2nd Date of Service USAA adjudicated the claim and sent a check for $to the patient (attached EOB indicates 9/5/2015) and another check for (attached EOB indicates 8/10/2015)These reduced amounts were the result of a contract USAA confirmed with us on February 24th that both checks were cashed We contacted the patient on 3/2/and informed the patient of this sequence of events and that USAA paid the patient directly Since we have the two EOBs already from USAA, we will accept the amount paid by USAA to the patient as payment in full I agree that Humana has not yet pulled the money Because Humana is secondary, when we receive payment from either the patient or USAA, we are legally obligated to return any and all funds received by Humana Knowing this, when we received notice that USAA was primary, we set the money aside to ensure we are ready to refund the insurance immediately upon payment Unfortunately, the phone representative (not the provider) was new and did not understand the ledger entries We have subsequently provided the representative education Still, this does not negate the fact that the patient owes in total $ There is no error If this total amount has been paid already to the credit agency, that payment would have occurred in the last month and we have not yet been given notice (we receive monthly statements)

Complaint: ***
I am rejecting this response because:The response from the business is not accurate I was told by them, on the phone, that they billed incorrectly There was no notice, and the time delay made it impossible to use my insurance As for the service provided, that would be another complaint But just FYI, it was as bad as their billing department
Regards,
*** ***

We have reviewed this account and see that we did all that we possibly could have done. The patient was seen and properly received services from a qualified medical provider in the Emergency Room. We billed the patient's insurance as provided. At no time did we receive
updated insurance information either from the patient or the hospital. We sent several statements out as well as made several attempts to contact the patient to obtain updated insurance information or payment. The patient did not respond until several months after being sent to collections. The patient did not provide corrected insurance information even at that time. We are now well beyond contractual timely filing requirements so that even if we are provided valid insurance, we would not receive reimbursement. We offered the patient a deeply discounted rate of $and that if paid, we would remove his name from the collection agency and consider his balance paid-in-full. The patient declined this offer and countered with an unacceptable offer of $25. We will hold our offer open until 7/15/should the patient decide to accept

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]

Complaint acknowledged.  I have taken action to ensure that no further billing or collections calls will be made to the identified company phone number.

The patient came into the ER May 27th and again on June 2nd for injuries sustained on 5/16/2015.   At the time of original billing, we were not given his Auto insurance information.  As such, his health insurance was inappropriately billed.  Humana is NOT the primary...

health insurer.  When we received updated information, we sent a courtesy bill to USAA and then sent the patient statements for the visits: 1) $475.00 for the May 27th Date of Service and 2)  $375.00 for the June 2nd Date of Service.  USAA adjudicated the claim and sent a check for $451.25 to the patient (attached EOB indicates 9/5/2015) and another check for 356.25 (attached EOB indicates 8/10/2015). These reduced amounts were the result of a contract.   USAA confirmed with us on February 24th 2016 that both checks were cashed.  We contacted the patient on 3/2/2016 and informed the patient of this sequence of events and that USAA paid the patient directly.  Since we have the two EOBs already from USAA, we will accept the amount paid by USAA to the patient as payment in full.  I agree that Humana has not yet pulled the money.   Because Humana is secondary, when we receive payment from either the patient or USAA, we are legally obligated to return any and all funds received by Humana.  Knowing this, when we received notice that USAA was primary, we set the money aside to ensure we are ready to refund the insurance immediately upon payment.  Unfortunately, the phone representative (not the provider) was new and did not understand the ledger entries.  We have subsequently provided the representative education.  Still, this does not negate the fact that the patient owes in total $807.50.  There is no error.  If this total amount has been paid already to the credit agency, that payment would have occurred in the last month and we have not yet been given notice (we receive monthly statements).