Newport Harbor Radiology

Dear [redacted] ,I recently received your follletter regarding a complaint filed by [redacted] (Revdex.com ID # [redacted] ).As stated previously, the patient was seen at various [redacted] Hospital facilities for multipleradiology related procedures between 9/22/- 9/26/ [redacted] has/had insurancecoverage through Anthem Blue Cross ExchangeNewport Harbor Radiology AssociatesMedical Group, Inc("NHRA") is contracted with most private Blue Cross insurance plans, butit is not contracted with any Blue Cross ExchangeproductOur outside billing company supportteam called and spoke with [redacted] after my initial Revdex.com response and then sent her afollemail explaining all details listed· belowIn summary, she hacertain services in theER that her insurance company was willing to pay for but the payment was never received byNHRA billing group is currently tracing that payment (and for now those charges havebeen placed "on hold" pending confirmation that payment was made) [redacted] had twoother services (one on 9/22/and the other on 9/26/14) that were not covered by her insurance.Thus, the amount she owes for current and open charges is $Our billing groupoffered [redacted] a discount if she paid on these services within seven days (the discount offer ·expires on 2/10/15)[redacted] can send an email to [email protected] or call [redacted] andleave a message with her·name and account number for callback if she needs further information.Please feel free to contact me if there are any other questionsI can be reached at [redacted] or [redacted] Hopefully, this response clarifies the issues for this patient.Sincerely, [redacted] Chief Operating Officer

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID***, and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below.I have contacted them and they said they had the wrong account number and they would fix it BUT they have not.And I reject their answer because they must have had the right account number because my insurance company said they were paid IN FULL.I sent them what my insurance company sent me and they have NOT fixed it. And they are lying when they said this has not happened before.I ***ED them and they have several complaints about insurance companies paying the bill to Newport Harbor Radiology IN FULLand Newport Harbor Radiology then billing the customers again. I have insurance and they were paid.I sent them proof they were paid and the hospital were paid. It says right on the insurance receipts thatNewport Harbor Radiology was paid in full and *** hospital PAID IN FULL and DOCTOR PAID IN FULL.They can contact me again and I can provide this person the receipts from my insurance company saying they and the hospital and doctor and others were PAID IN FULL. It says right on the receipts the same daysand amounts and company name: Newport Harbor Radiology PAID IN FULL
Regards,
*** ***

Dear [redacted],I recently received your follow-up letter regarding a complaint filed by [redacted](Revdex.com ID #[redacted]).As stated previously, the patient was seen at various [redacted] Hospital facilities for multipleradiology related procedures between 9/22/14 - 9/26/14. [redacted] has/had insurancecoverage through Anthem Blue Cross Exchange. Newport Harbor Radiology AssociatesMedical Group, Inc. ("NHRA") is contracted with most private Blue Cross insurance plans, butit is not contracted with any Blue Cross Exchange. product. Our outside billing company supportteam called and spoke with [redacted] after my initial Revdex.com response and then sent her afollow-up email explaining all details listed· below. In summary, she ha4 certain services in theER that her insurance company was willing to pay for but the payment was never received byNHRA billing group is currently tracing that payment (and for now those charges havebeen placed "on hold" pending confirmation that payment was made). [redacted] had twoother services (one on 9/22/14 and the other on 9/26/14) that were not covered by her insurance.Thus, the amount she owes for current and open charges is $163.00. Our billing group. offered[redacted] a discount if she paid on these services within seven days (the discount offer ·expires on 2/10/15).[redacted] can send an email to [email protected] or call [redacted] andleave a message with her·name and account number for callback if she needs further information.Please feel free to contact me if there are any other questions. I can be reached at [redacted] or[redacted]. Hopefully, this response clarifies the issues for this patient.Sincerely,[redacted]Chief Operating Officer

Revdex.com4747 Viewridge Ave, #200San Diego, CA 921231688Attn: Hannah NaylorComplaint ID: [redacted]Dear [redacted],February 3, 2015I recently received your letter regarding a complaint filed by [redacted] (Revdex.com ID#[redacted]). Since I was not previously contacted by [redacted]...

[redacted], I was unaware of thisissue until receipt of your correspondence.After investigation, I can provide you with this summary:rat 002/003The patient was seen at various [redacted] Hospital facilities for multiple radiology related proceduresbetween 9/22/14- 9/26/14. Newport Harbor Radiology Associates Medical Group, Inc.(''NHRA") is contracted to provide professional radiology services at all [redacted] facilities (i.e. weprovide professional interpretation/reading services on all patient related images, finalize a .written report for each radiology exam and bill separately for our services). In this specificinstance, I believe the patient does not realize she was to be billed by both [redacted] Hospital (for thetechnical component of her services) and NHRA (for the professional component other services)even though that. is clearly detailed in the [redacted] registration paperwork. If her insurrancecompany paid. [redacted] Hospital for their ''technical services" it has nothing to do with our bills thatare separately sent for '~rofessional services". In addition, Ms. [redacted] has/had insurance ·coverage through An~em Blue Cross Exchange. While NHRA is contracted with most privateBlue Cross insurance plans, it is not contracted with any Blue Cross Exchange product. Insummary, her NHRA bill has not been paid and she is now responsible for payment. I haveasked our outside billing company support team to call [redacted] and personally explainthe details above. If she wants to contact them, she can send an email [email protected] or call [redacted] and leave a message with her name andaccount number. ln either case she .should hear back from someone within 24- 48 hours.There were no "deceitful business practices" performed by NHRA in this situation. It appearsthe patient is simply not aware she was to receive two separate bills for her services and we havenot been paid as of this date .I should also point out that NHRA treats approximately 1,500 patients per day at the various[redacted] locations and this type of error is very rare (during my 1 0+ years with the company wehave had only 1 - 2 other Revdex.com inquiries even though millions of patients have been treatedduring that time frame).Please feel free to contact me if there are any other questions. I can be reached at [redacted]or [redacted]. Hopefully, this response clarifies the issues for [redacted]. Sincerely,[redacted]Chief Operating Officer

Review: Newport Harbor Radiology Associates Medical group has sent me another bill for radiology. I provided my insurance to them and my insurance company has paid but they continue to bill me. This is fully covered by my insurance and I should not have to pay for it. They ignore my mail and phone calls. I gave to them the information in person and mailed it to them. Now they are threatening to send it to collections which they seem to do all the time. If you [redacted] their company they take the insurance payment in full then bill you for the rest and then report you to the collections agency. Very deceitful.Desired Settlement: I need them to mark this bill paid in full. My insurance company has paid it.

Business

Response:

Revdex.com4747 Viewridge Ave, #200San Diego, CA 921231688Attn: Hannah NaylorComplaint ID: [redacted]Dear [redacted],February 3, 2015I recently received your letter regarding a complaint filed by [redacted] (Revdex.com ID#[redacted]). Since I was not previously contacted by [redacted], I was unaware of thisissue until receipt of your correspondence.After investigation, I can provide you with this summary:rat 002/003The patient was seen at various [redacted] Hospital facilities for multiple radiology related proceduresbetween 9/22/14- 9/26/14. Newport Harbor Radiology Associates Medical Group, Inc.(''NHRA") is contracted to provide professional radiology services at all [redacted] facilities (i.e. weprovide professional interpretation/reading services on all patient related images, finalize a .written report for each radiology exam and bill separately for our services). In this specificinstance, I believe the patient does not realize she was to be billed by both [redacted] Hospital (for thetechnical component of her services) and NHRA (for the professional component other services)even though that. is clearly detailed in the [redacted] registration paperwork. If her insurrancecompany paid. [redacted] Hospital for their ''technical services" it has nothing to do with our bills thatare separately sent for '~rofessional services". In addition, Ms. [redacted] has/had insurance ·coverage through An~em Blue Cross Exchange. While NHRA is contracted with most privateBlue Cross insurance plans, it is not contracted with any Blue Cross Exchange product. Insummary, her NHRA bill has not been paid and she is now responsible for payment. I haveasked our outside billing company support team to call [redacted] and personally explainthe details above. If she wants to contact them, she can send an email [email protected] or call [redacted] and leave a message with her name andaccount number. ln either case she .should hear back from someone within 24- 48 hours.There were no "deceitful business practices" performed by NHRA in this situation. It appearsthe patient is simply not aware she was to receive two separate bills for her services and we havenot been paid as of this date .I should also point out that NHRA treats approximately 1,500 patients per day at the various[redacted] locations and this type of error is very rare (during my 1 0+ years with the company wehave had only 1 - 2 other Revdex.com inquiries even though millions of patients have been treatedduring that time frame).Please feel free to contact me if there are any other questions. I can be reached at [redacted]or [redacted]. Hopefully, this response clarifies the issues for [redacted]. Sincerely,[redacted]Chief Operating Officer

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID[redacted], and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below.I have contacted them and they said they had the wrong account number and they would fix it BUT they have not.And I reject their answer because they must have had the right account number because my insurance company said they were paid IN FULL.I sent them what my insurance company sent me and they have NOT fixed it. And they are lying when they said this has not happened before.I [redacted]ED them and they have several complaints about insurance companies paying the bill to Newport Harbor Radiology IN FULLand Newport Harbor Radiology then billing the customers again. I have insurance and they were paid.I sent them proof they were paid and the hospital were paid. It says right on the insurance receipts thatNewport Harbor Radiology was paid in full and [redacted] hospital PAID IN FULL and DOCTOR PAID IN FULL.They can contact me again and I can provide this person the receipts from my insurance company saying they and the hospital and doctor and others were PAID IN FULL. It says right on the receipts the same daysand amounts and company name: Newport Harbor Radiology PAID IN FULL.

Regards,

Business

Response:

Dear [redacted],I recently received your follow-up letter regarding a complaint filed by [redacted](Revdex.com ID #[redacted]).As stated previously, the patient was seen at various [redacted] Hospital facilities for multipleradiology related procedures between 9/22/14 - 9/26/14. [redacted] has/had insurancecoverage through Anthem Blue Cross Exchange. Newport Harbor Radiology AssociatesMedical Group, Inc. ("NHRA") is contracted with most private Blue Cross insurance plans, butit is not contracted with any Blue Cross Exchange. product. Our outside billing company supportteam called and spoke with [redacted] after my initial Revdex.com response and then sent her afollow-up email explaining all details listed· below. In summary, she ha4 certain services in theER that her insurance company was willing to pay for but the payment was never received byNHRA billing group is currently tracing that payment (and for now those charges havebeen placed "on hold" pending confirmation that payment was made). [redacted] had twoother services (one on 9/22/14 and the other on 9/26/14) that were not covered by her insurance.Thus, the amount she owes for current and open charges is $163.00. Our billing group. offered[redacted] a discount if she paid on these services within seven days (the discount offer ·expires on 2/10/15).[redacted] can send an email to [email protected] or call [redacted] andleave a message with her·name and account number for callback if she needs further information.Please feel free to contact me if there are any other questions. I can be reached at [redacted] or[redacted]. Hopefully, this response clarifies the issues for this patient.Sincerely,[redacted]Chief Operating Officer

Review: On Feb 28th, 2014, I was notified by my credit reporting service, Credit [redacted] by [redacted], that negative information was posted to my report. The information was posted by a collection agency, [redacted]. I called them today, March 3, 2014 and I was informed the collection amounts (197.58)were from services rendered at [redacted] in July 2013. I then informed the credit agency that I had never received a bill nor a phone call advising me of the past due balance leftover from my health insurance. After reviewing my home address with me, she realized the city information they had for me was [redacted] vs. my actual home address of [redacted]. Regardless of the address on error made by Newport Harbor Radiology, I never once received a phone call advising me of a balance due nor have I received any bills through email or mail. Going on [redacted], I noticed that I am not the only person complaining of the same exact issue. I tried calling them directly and was given a separate phone number of the person handling billing. That person, Tyler, did not answer the phone.Desired Settlement: The small amount left unpaid by insurance that was due to Newport Harbor Radiology is tiny in comparison with the damage it has done to my credit. They should refund me the money ($197.58) for the hassle and negligent business practices they are performing. If they really wanted to collect unpaid balances, they should use the phone, email, and get patient's addresses right rather than immediately reporting negative information on people's credit reports.

Business

Response:

Revdex.com

4747 Viewridge Ave, #200

San Diego, CA 92123-1688

attn: [redacted]

Complaint ID [redacted]

Dear Sir or Madam,

I recently received your letter regarding a complaint filed by Mr. [redacted] (Revdex.com

ID #[redacted]). Since I was not previously contacted by Mr. [redacted], I was unaware of this issue

until receipt of your correspondence.

After investigation, I can provide you with this summary:

The patient was seen in the [redacted] Irvine ER ("[redacted]") on 7/21/13. At that time he

provided his personal demographic and insurance information to the staff at that [redacted] facility.

Newport Harbor Radiology Associates Medical Group, Inc. (''NHRA") is contracted to provide

professional radiology services at all [redacted] facilities (we provide professional interpretation

services on all patient related images and finalize a written report for each radiology exam).

Further, NHRA is separately contracted with [redacted] ("[redacted]") to provide all billing and

collection activities for NHRA professional services. [redacted] receives every patients billing

information (on behalf ofNHRA) from [redacted] through an electronic transfer/download each

evening. In this specific instance, the patient information was incorrectly entered at [redacted] and

then sent to [redacted] for billing purposes. Patient bills were then sent to Mr. [redacted] at the wrong

address and were not received back as return mail. The patient account was then sent to

collection (thru a separate company called [redacted]) on 12/16/13- this equates to 148 days after

our services were delivered. I personally contacted [redacted] radiology staff on 3/11/14 and was told

that the address provided by Mr. [redacted] on 7/21/13 was still in their system (i.e. the wrong -

address).

There. were no "negligent business practices~' performed by NHRA or [redacted] in this situation.

There was simply an error when entering an address by a [redacted] staff member at the time of

service, that incorrect address was then sent to [redacted] and bills from NHRA were sent to the

wrong location. In answer to Mr. [redacted]'s request, NHRA will not refund any monies related to

professional services that were performed last July. However, NHRA will contact [redacted] and

·request they clear this credit reporting issue (it is my understanding this can take 30-60 days to

get fully resolved).

Finally, there is no Tyler at [redacted] as stated in the complaint. There is a executive named [redacted]

that works for [redacted] in Irvine and based on Mr. [redacted]'s correspondence it appears he did not

leave a message or a return contact number (he simply stated that [redacted], did not answer the

phone" in his complaint). If Mr. [redacted] had left a message for [redacted] this situation could have

been resolved in a reasonable timeframe and less complicated manner.' I should also point out

that NHRA treats approximately 1 ,500 patients per day at the various [redacted] locations and this

type of error is very rare (during my nearly 10 years with the company we have has only 1-2

other Revdex.com inquiries even though millions of patients have been treated during that timeframe ).

Please feel free to contact me if there are any other questions. I can be reached at ###-###-####

or [redacted]. Hopefully, our plan to clear the credit reporting issue for

Mr. [redacted] resolves his concern.

Sincerely,

Chief Operating Officer