North American Partners in Anesthesia

Revdex.com: I have reviewed the response made by the business in reference to complaint ID# [redacted] , and have determined that my complaint has NOT been resolved because: Spoke to Supervisor, who informs me that it was mistake on their part and will be sending letter/statement indicating account has been settled However I am still awaiting the arrival of the statement, so the complaint is still pending until the arrival of the letter In order for the Revdex.com to appropriately process your response, you MUST answer the question above Sincerely, Robert Darcy

Revdex.com:At this time, I have not been contacted by North American Partners in *** regarding complaint ID ***.I did submit a request to my health insurance company, *** Blue Cross Blue Shield of NJ, for a
retro-authorization. This was something NAPA should have done but refused. I will contact *** today to see what the status of this request is and update this case.Sincerely,*** ***

Hello,
*** *** was seen for Surgery which required *** on 05/*/North American Partners in *** of PA billed United Healthcare $1032.00, which is the insurance that *** *** provider the hospital with. On 7/*/North American Partners in ***
received payment from United healthcare in the amount of $ 470.56, per *** ***'s policy the allowable is $ 588.25, therefore per the explanation of benefits *** *** is responsible per his policy for $towards his co-insurance.We have received statements from *** *** requesting that we send his a itemized bill, asking what type of *** was used and what size gauge of the needle was usedWe do not send this type of information out** *** is not denying that he had surgery on 5/*/*** *** has an agreement with his Insurance policy to pay co-insurance/deductibles/copays, if the claim is processed as such
North American Partners in ***, cannot adjust this balance as we also have a contract with the insurance companyWe have tried to contact *** *** by telephone several times, and her has yet to return our call*** *** continues to send us the same letter asking for information which we cannot provideThe information he is looking for may be able to be obtained from the hospital
If you have any further questions I can be reached at ###-###-####
Thank you!
*** ***,

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

[Your Answer Here]
 Hamot Surgery Center and the surgeon's office both have referred me to your office as it is YOUR ANESTHESIOLOGIST who ordered and used this information.  According to Hamot Surgery Center, they are NOT involved in the record keeping of this information nor is the surgeon as neither of them employ your Anesthesiologist.  You have a duty to provide an itemized bill, if and when requested under law.  Thank you.
 
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

Tell us why here...
I have mailed a corrected claim with original eob stating modifier missing on 3/*/16. We are not billing the patient at this time. Allow time for insurance to respond.

Tell us why here...This issue has been addressed on 9/**/15 with the patients mother Kelly G[redacted].

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# 10756267, and have determined that my complaint has NOT been resolved because:

[Your Answer Here]
Still waiting to receive the letter, since starting the complaint moved address, have implemented mail forwarding, if it helps the business can send copy of letter via e-mail 
 
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

Revdex.com:
I have reviewed the response...

made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

When the claim has been correctly submitted and paid my complaint will be resolved.
 
 
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been...

resolved because:

Spoke to Supervisor, who informs me that it was mistake on their part and will be sending letter/statement indicating account has been settled.  However I am still awaiting the arrival of the statement, so the complaint is still pending until the arrival of the letter. 
 
 
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
Robert Darcy

Revdex.com:
At this time, I have not been contacted by North American Partners in Anesthesia regarding complaint ID [redacted].
They never answer my letters and just continue to send bills and not address the real issue in that...

they failed to submit the bill in time to the VA.
I want the bill canceled due to their miss handling of the issue in their office as it took close to a YEAR to contact me
Sincerely,
[redacted]

Hello,
 
The [redacted] that was administered was done in conjunction with the surgery that was performed on the patient. As anesthesiologist we only bill for the time component. [redacted] time is based on  base and unit calculation which is provided  by the then current ASA relative value guide. We do not bill based on the used supplies of thee requested itemized billed format , rather a medical record which is based on a unit value of 15 from the start to the stop of the time that the [redacted] was being administered (total minutes divided by 15 plus the base) The base value for each Anesthesica code we bill is given a value from the relative value guide, which correlates with the surgey that the surgeon is performing. The list of supplies used would need to come from the surgeon office, or hospital.
Again, as anesthesiologists, we are only billing for time.
 
Thank you!
 
[redacted]

Review: I had emergency surgery in Aug of 2008 at [redacted] in long island. With it being an unexpected event, I lacked proper insurance. At the time a financial office in the hospital helped me to acquire emergency medicaid. I was granted an approval. Four months thereafter, I moved to the state of Texas. In 2009, I was contacted by a representative of partners of anesthesia in reguards to the outstanding bill. I then contacted [redacted], [redacted] and partners of anesthesia to rectify the matter. I was told it was a miscommunication and the matter resolved. Since 2009 I have not been contacted about this matter. A family member at [redacted] , recently was notified of a civil judgment/garnishment of wages due to the same collection process I thought was satisfied in 2009.Desired Settlement: For partners.in anesthesia to contact medicaid.and obtain approval for payment. I've contacted [redacted] myself but was told it is the physicians office.that is to contact them for payment.

Review: A NAPA affiliated physician attended my son's surgery for repair of an umbilical hernia in March 2015. The surgery lasted 56 minutes. NAPA subsequently charged me $1016 for the attending physician and $831 for an attending nurse. No further details were offered to explain these charges. My insurance, after much debate, paid NAPA $1478.40 leaving a remaining balance of $369.60. I have contacted NAPA Customer Service multiple times to request more details on either the normal billable rate for there nurses and physicians per the agreement with Health Assurance. The first attempt was via email The second and third attempts were via phone where I spoke with Scott H and Chris Manion in their account payable department. The customer service team did not have the information requested and directed me to raise a dispute with the bill to obtain the requested information to substantiate the charges. I sent a written dispute on 8/** with a confirmed fax. To date, I've not received any further clarity on the billable rate or what exactly the two people who attended my son's surgery did to substantiate almost $2K in charges for being present for 56 minutes at my son's surgery. I did receive a note that they are sending my bill to collections. I'm pleased to pay any invoice that can be substantiated by detail on what I'm being billed for. NAPA has demonstrated that they are either unable or unwilling to provide any level of detail. I'd be grateful for any help you can offer. Please let me know me know if more information is required to help resolve.Desired Settlement: I would like a detailed explanation of both charges. If the only thing I am paying for is their physical presence at my son's surgery, I would like to understand why a very simple surgery required two people and what billable rate they have agreed with my insurance carrier, Health Assurance. If they provide this detail, I will pay the outstanding amount promptly. If they cannot provide this detail, I would like the bill adjusted to whatever amount they can substantiate with actual details. On behalf of future consumers, I'd request that they are encouraged to improve transparency in their billing and also improve responsiveness of their Customer Service.

Business

Response:

Tell us why here...This issue has been addressed on 9/**/15 with the patients mother Kelly G[redacted].

Review: On 7/*/15 I received anesthesia for a medical procedure. Although my insurance company states that it is 100% covered, I cannot get resolution. According to my insurance company, NAPA has submitted the information for payment incorrectly. The insurance company has sent written notification and left two voice mails with NAPA without response or correction. I was even told by a NAPA rep to call and get the correct coding and call NAPA back with the information. Today I spoke with a supervisor at NAPA that told me in 10 days my account would go to collections. NAPA refuses to contact the insurance company to get it straightened out. To date, I have made 5 calls to my insurance company and 6 calls to NAPA customer service. Since October, I have kept fairly detailed records of who I spoke to and when.Desired Settlement: NAPA contact the insurance company so the paperwork can be submitted correctly and do not send my account to collections.

Business

Response:

Tell us why here...

I have mailed a corrected claim with original eob stating modifier missing on 3/*/16. We are not billing the patient at this time. Allow time for insurance to respond.

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

When the claim has been correctly submitted and paid my complaint will be resolved.

In order for the Revdex.com to appropriately process your response, you MUST answer the question above.

Sincerely,

Review: on 5/** bill settled, on 7/** letter sent threatening "collection activity" Called on 8/*, spoke to representative who had a very apathetic manner. Representative stated a statement will be sent out, that the bill has been settled. Asked for it to be e-mailed, but she said no. On questioning why two months after bill settled I was being sent such letters, Rep had no answer, and became sarcastic. Re-called, spoke to a better and more sincere Representative who passed me to a Supervisor's voice mail. Waiting for Supervisor to call me back. I just need to definitely know that the bill is closed and without sarcasm.Desired Settlement: Definite Confirmation bill is closed.

Business

Response:

Tell us why here...Spoke to [redacted] this morning and this issue has been resolved.

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

Spoke to Supervisor, who informs me that it was mistake on their part and will be sending letter/statement indicating account has been settled. However I am still awaiting the arrival of the statement, so the complaint is still pending until the arrival of the letter.

In order for the Revdex.com to appropriately process your response, you MUST answer the question above.

Sincerely,

Robert Darcy

Business

Response:

Tell us why here...A statement was mailed to pt [redacted] acct#[redacted] on 8/*/15 and will mail again today.

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID# 10756267, and have determined that my complaint has NOT been resolved because:

[Your Answer Here]

Still waiting to receive the letter, since starting the complaint moved address, have implemented mail forwarding, if it helps the business can send copy of letter via e-mail

In order for the Revdex.com to appropriately process your response, you MUST answer the question above.

Sincerely,

Review: Why did it take close to a year before you attempted to contact me regarding this bill. That being said let me state a few facts that you may or may not be aware of. First and foremost at the time of service at [redacted] in [redacted] my primary insurance is provided by the [redacted] which is on record at [redacted] where the service was provided. The fact that you are stating there is “No Insurance Response” is a little strange because had you submitted the bill you would have gotten a response. Regarding the time frame in which you decided to take to process the bill becomes another issues as you need to be aware of all bills for any veteran covered by the [redacted] MUST by LAW be submitted to the VA within 90 days. If this is not done the VA and the Veteran is no longer responsible for the bill. I also assume you already have the VA information due to the fact during my investigation with the VA regarding this bill I was informed by the VA there was a prior payment for another service that was provided. This brings up my point that you already have all of my information on file. Based on these fact I am NOT paying this bill due to your issue with not submitting the bill to my “insurance” in the proper time frame/Desired Settlement: They failed to get the proper information in the time fram as outlined by VA and the law and they continue to contact me for their fault.

Stop Contacting Me

Consumer

Response:

At this time, I have not been contacted by North American Partners in Anesthesia regarding complaint ID [redacted].

They never answer my letters and just continue to send bills and not address the real issue in that they failed to submit the bill in time to the VA.

I want the bill canceled due to their miss handling of the issue in their office as it took close to a YEAR to contact me

Sincerely,

Review: ON MAY *, 2015 I HAD SURGERY ON MY RIGHT HAND. NORTH AMERICAN PARTNERS IN [redacted], PA LLP WERE THE ANESTHESIOLOGISTS USED. THE FIRST BILL I RECEIVED IN SEPTEMBER 2015 HAD THE AMOUNT LISTED FOR SERVICES AND THE AMOUNT I OWED. I PROMPTLY REPLIED ASKING FOR AN ITEMIZED BILL. THEY CLAIM THEY SENT IT, HOWEVER I NEVER RECEIVED IT. I THEN ASKED FOR ANOTHER COPY, BOTH VIA PHONE AND IN WRITING, SHOWING THE ITEMIZED CHARGES AS I ASKED FOR PRIOR. THIS WAS OCTOBER **. THEY SENT BACK A ONE PAGE FORM FROM AN ACCOUNTING LEDGER SHOWING [redacted] SERVICES FOR ARM SURGERY. I AGAIN ASKED THEM TO PROVIDE A DETAILED AND ITEMIZED STATEMENT. THEY CLAIM THEY’VE BEEN BILLING ME SINCE THE SURGERY OCCURRED. UNFORTUNATELY FOR THEM, THEY DID NOT EVEN FILE AN INSURANCE CLAIM UNTIL JUNE **. THEY WERE PAID BY THE INSURANCE COMPANY ON JULY *. THEY COULD NOT HAVE BILLED ME THE PORTION I OWED UNTIL AFTER THEN. THEY CONTINUE TO SEND ME THREATENING LETTERS, HOWEVER, THEY’VE STILL NOT SENT OR PROVIDED AN ITEMIZED STATEMENT AS REQUESTED. THE LATEST LETTERS WERE DECEMBER * AND **, 2015. I DESIRE TO HAVE AN ITEMIZED STATEMENT/BILL DETAILING WHAT THE EXPENSES WERE FOR, WHAT ITEMS WERE USED, ETC. JUST AS I DO WHEN I RECEIVE TREATMENT AT AN ER OR THROUGH A HOSPITAL. I SEEK TO KNOW WHAT IT IS I AM PAYING FOR. THE SURGEON’S BILL ITSELF WAS ONLY $1,200, THUS WHY I AM ASKING FOR THEM TO SHOW AND PROVE TO ME WITH AN ITEMIZED STATEMENT WHAT IT IS THAT I AM PAYING FOR. IN ADDITION, I DO NOT BLINDLY PAY FOR THINGS JUST BECAUSE SOMEONE TELLS ME SO.Desired Settlement: DETAILED AND ITEMIZED BILL PROVIDED.

Business

Response:

Hello, [redacted] was seen for Surgery which required [redacted] on 05/*/2015. North American Partners in [redacted] of PA billed United Healthcare $1032.00, which is the insurance that [redacted] provider the hospital with. On 7/*/2015 North American Partners in [redacted] received payment from United healthcare in the amount of $ 470.56, per [redacted]'s policy the allowable is $ 588.25, therefore per the explanation of benefits [redacted] is responsible per his policy for $117.65 towards his co-insurance.We have received statements from [redacted] requesting that we send his a itemized bill, asking what type of [redacted] was used and what size gauge of the needle was used. We do not send this type of information out. [redacted] is not denying that he had surgery on 5/*/2015. [redacted] has an agreement with his Insurance policy to pay co-insurance/deductibles/copays, if the claim is processed as such. North American Partners in [redacted], cannot adjust this balance as we also have a contract with the insurance company. We have tried to contact [redacted] by telephone several times, and her has yet to return our call. [redacted] continues to send us the same letter asking for information which we cannot provide. The information he is looking for may be able to be obtained from the hospital. If you have any further questions I can be reached at ###-###-#### Thank you! [redacted],

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

[Your Answer Here]

Hamot Surgery Center and the surgeon's office both have referred me to your office as it is YOUR ANESTHESIOLOGIST who ordered and used this information. According to Hamot Surgery Center, they are NOT involved in the record keeping of this information nor is the surgeon as neither of them employ your Anesthesiologist. You have a duty to provide an itemized bill, if and when requested under law. Thank you.

In order for the Revdex.com to appropriately process your response, you MUST answer the question above.

Sincerely,

Business

Response:

Hello, The [redacted] that was administered was done in conjunction with the surgery that was performed on the patient. As anesthesiologist we only bill for the time component. [redacted] time is based on base and unit calculation which is provided by the then current ASA relative value guide. We do not bill based on the used supplies of thee requested itemized billed format , rather a medical record which is based on a unit value of 15 from the start to the stop of the time that the [redacted] was being administered (total minutes divided by 15 plus the base) The base value for each Anesthesica code we bill is given a value from the relative value guide, which correlates with the surgey that the surgeon is performing. The list of supplies used would need to come from the surgeon office, or hospital. Again, as anesthesiologists, we are only billing for time. Thank you! [redacted]

Review: I underwent a procedure at the [redacted] on 7/*/2014 performed by [redacted] On 6/**/2014, the prescribing doctor’s office ([redacted]) contacted [redacted], spoke with [redacted], reference number [redacted], Auto Ref#: [redacted] and was told that pre-authorization was not required.

On the day of the procedure, I was asked to sign a form in the surgical center stating that if the [redacted] bill was not paid by my insurance, I would be responsible for $300. I did so, and am now being billed by North American Partners in [redacted] because their claim was denied – section from EOB issued 10/*/2014: M329 PAYMENT FOR THIS SERVICE IS REDUCED OR THE SERVICE IS NOT PAID. YOUR HEALTH BENEFIT PLAN REQUIRES AN AUTHORIZATION FOR THIS SERVICE. THERE IS NOT ONE ON FILE TO MATCH THIS SERVICE

I contacted North American Partners in [redacted] who refused to request authorization or take any corrective action other than to bill me.

I assert that NAPA engages in deceptive business practices by

1) Knowingly timing the presentation and signage of their form immediately prior to surgery. Like [redacted]'s Office, they had the opportunity to request prior authorization and/or provide me with the form ahead of time.

2) Submitting an insurance claim with full knowledge it would be denied due to improper procedure, and further refusal to comply with the policy of the insurance provider for claim submission.

I have spent hours on the phone with [redacted] over the past few months. I have also contacted [redacted] who performed the procedure who has also spent his time, and [redacted] from Millennium Health Care (admin assistant where procedure was performed) has also spent her time assisting in this matter. I have filed an appeal with [redacted] Blue Cross Blue Shield of NJ on 2/**/2015 to review the claim, [redacted].

I can provide documentation including a summary history of interactions over the past few months with various doctor's offices, NAPA, and [redacted].

Thank YouDesired Settlement: I assert that the paper I signed is invalid since it was presented to me immediately prior to surgery, and that my condition at that moment was under duress. I am willing to allow an arbitrator to review the facts of the matter and decide on a resolution.

For it's part, NAPA should modify it's business practices to cooperate with and follow insurance company policies for billing.

Consumer

Response:

At this time, I have not been contacted by North American Partners in [redacted] regarding complaint ID [redacted].I did submit a request to my health insurance company, [redacted] Blue Cross Blue Shield of NJ, for a retro-authorization. This was something NAPA should have done but refused. I will contact [redacted] today to see what the status of this request is and update this case.Sincerely,[redacted]