Response from compalint placed by [redacted]. After reviewing the patients record, we found that total owed from him was $111.00 per his insurance [redacted]. They denied claim for dos 9/22/2015 for routine comprehensive eye exam. When patient came in for the visit, he stated he had [redacted]. We went on...
website to get authorization but he has one of the few plans that we do not take and he was informed of this at the time of service. He wanted us to bill [redacted] to see if they would cover one routine exam per year, which we did. We did not receive payment/denial from [redacted] until Dec 2015. He was sent only one bill, but he chose not call and discuss with the Billing Manager his concerns. After reviewing his account we did find a mistake on our part and have adjusted the claim. His new balance per [redacted] is $26.00, patient did pay $85 copay at time of service. Dr F[redacted] has decided to waive the $26 that the patient owes, this was a misunderstanding of insurance which unfortunately happens every day with patients not understanding their personal policies. Since patient has requested that we do not contact him, please let him know our decision .Thank You,Kim B[redacted]Office Manager
[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. If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply. Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.]
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]
Response from compalint placed by [redacted]. After reviewing the patients record, we found that total owed from him was $111.00 per his insurance [redacted]. They denied claim for dos 9/22/2015 for routine comprehensive eye exam. When patient came in for the visit, he stated he had [redacted]. We went on...
website to get authorization but he has one of the few plans that we do not take and he was informed of this at the time of service. He wanted us to bill [redacted] to see if they would cover one routine exam per year, which we did. We did not receive payment/denial from [redacted] until Dec 2015. He was sent only one bill, but he chose not call and discuss with the Billing Manager his concerns. After reviewing his account we did find a mistake on our part and have adjusted the claim. His new balance per [redacted] is $26.00, patient did pay $85 copay at time of service. Dr F[redacted] has decided to waive the $26 that the patient owes, this was a misunderstanding of insurance which unfortunately happens every day with patients not understanding their personal policies. Since patient has requested that we do not contact him, please let him know our decision .Thank You,Kim B[redacted]Office Manager
[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. If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply. Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.]
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]