Business Response to a Complaint cellSpacing=cellPadding=0> Complaint ID#: [redacted] Company Name: Ophthalmological Services, IncCompany Contact: [redacted] Company Phone: ###-###-#### Company Email: [redacted] Person Who Sent the Complaint: [redacted] Staff Member: Response: The patient was prescribed a Fresnel prism to aid in visual field awarenessThis treatment option was discussed in detail but the cost of the prism and insurance coverage was not explicitly discussed with the patient by me, the prescribing doctorThe patient was provided with a written statement at chethat advised him of the following: "Medical insurance does not typically cover the cost of a low vision refraction, low vision devices, or eyeglassesWe accept most major credit cards and some individuals may be eligible for financial assistanceFees for services not covered by Medicare or other insurance plans are due at the time of service." The patient signed and dated the form acknowledging the following statement: "I have read and understand the above information and agree to the terms sent forth in this agreementI also acknowledge that I have had all of my questions answered." Not all services are covered by all insurance contractsIt is a patient's responsibility to understand their benefits and the patient can be held personally responsible for payment of charges not covered by their planIt was determined by our billing office that this charge would not be covered under the patient's insurance plan, and thus was billed to the patientWe are happy to submit these charges to the patient's primary and secondary insurances, but they will likely be deniedThis patient made no attempt to contact our office regarding questions about his services or these chargesHe also no-showed this week to a follappointment with our Occupational Therapist whom he was referred to for additional treatment Sent on: 6/
I keep getting bills in the mail from Ophthalmological Services, Incstating that I have an account balance of $and a statement balance of $but does not indicate what the charges are forAccount number on the bill is [redacted] I had an appointment with a Dr [redacted] at the address stated on the bill on May 27, and as I always do, I submitted my insurance information which at that time was Medicare and Wellcare of KentuckyDr***'s office did bill Medicare for $of which Medicare approved $and paid $The remaining amount should be billed to Wellcare of KentuckyDr [redacted] added something to one lens of my glasses and said it should help my visual field lossDr [redacted] told me to wear it home and see if it helped meDr [redacted] told me if it helped me I could keep it and if it didn't help me I could return itI returned the item within a week because it did not help me Desired Settlement: Your browser does not support inline frames or is currently configured not to display inline frames-- Select your Desired Settlement -- A Letter A Phone Call Accept Refund Merchandise An Email Apology Billing Adjustment Change the Store Policy Complimentary Service Delivery of Order Exchange Explanation of Charges Finish the Job No settlement requested - for Revdex.com information only Not applicable Other (requires explanation) Refund Refund-Cash Refund-Check Refund-Credit Card Credit Refund-Gift Card/Store Credit Repair Replacement Stop Contacting Me Desired Outcome: If the money I am suppose to owe is due to the office visit, Wellcare of Kentucky should be billed after MedicareIf the money I am suppose to owe is due to what Dr [redacted] added to the lens of my glasses, I wore the item home and tried it out as I was told to do by Dr [redacted] then I returned the item to Dr [redacted] and should not be billed
Business Response to a Complaint cellSpacing=cellPadding=0> Complaint ID#: [redacted] Company Name: Ophthalmological Services, IncCompany Contact: [redacted] Company Phone: ###-###-#### Company Email: [redacted] Person Who Sent the Complaint: [redacted] Staff Member: Response: The patient was prescribed a Fresnel prism to aid in visual field awarenessThis treatment option was discussed in detail but the cost of the prism and insurance coverage was not explicitly discussed with the patient by me, the prescribing doctorThe patient was provided with a written statement at chethat advised him of the following: "Medical insurance does not typically cover the cost of a low vision refraction, low vision devices, or eyeglassesWe accept most major credit cards and some individuals may be eligible for financial assistanceFees for services not covered by Medicare or other insurance plans are due at the time of service." The patient signed and dated the form acknowledging the following statement: "I have read and understand the above information and agree to the terms sent forth in this agreementI also acknowledge that I have had all of my questions answered." Not all services are covered by all insurance contractsIt is a patient's responsibility to understand their benefits and the patient can be held personally responsible for payment of charges not covered by their planIt was determined by our billing office that this charge would not be covered under the patient's insurance plan, and thus was billed to the patientWe are happy to submit these charges to the patient's primary and secondary insurances, but they will likely be deniedThis patient made no attempt to contact our office regarding questions about his services or these chargesHe also no-showed this week to a follappointment with our Occupational Therapist whom he was referred to for additional treatment Sent on: 6/
I keep getting bills in the mail from Ophthalmological Services, Incstating that I have an account balance of $and a statement balance of $but does not indicate what the charges are forAccount number on the bill is [redacted] I had an appointment with a Dr [redacted] at the address stated on the bill on May 27, and as I always do, I submitted my insurance information which at that time was Medicare and Wellcare of KentuckyDr***'s office did bill Medicare for $of which Medicare approved $and paid $The remaining amount should be billed to Wellcare of KentuckyDr [redacted] added something to one lens of my glasses and said it should help my visual field lossDr [redacted] told me to wear it home and see if it helped meDr [redacted] told me if it helped me I could keep it and if it didn't help me I could return itI returned the item within a week because it did not help me Desired Settlement: Your browser does not support inline frames or is currently configured not to display inline frames-- Select your Desired Settlement -- A Letter A Phone Call Accept Refund Merchandise An Email Apology Billing Adjustment Change the Store Policy Complimentary Service Delivery of Order Exchange Explanation of Charges Finish the Job No settlement requested - for Revdex.com information only Not applicable Other (requires explanation) Refund Refund-Cash Refund-Check Refund-Credit Card Credit Refund-Gift Card/Store Credit Repair Replacement Stop Contacting Me Desired Outcome: If the money I am suppose to owe is due to the office visit, Wellcare of Kentucky should be billed after MedicareIf the money I am suppose to owe is due to what Dr [redacted] added to the lens of my glasses, I wore the item home and tried it out as I was told to do by Dr [redacted] then I returned the item to Dr [redacted] and should not be billed