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Ophthalmology Associates

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Ophthalmology Associates Reviews (16)

The patient's claim was submitted with a diagnosis of "spasm of accommodation" ~ which was her diagnosisWe had no way of knowing, prior to her visit, whether it would be a medical or vision diagnosisWe submitted Hto her insurance company, they determine whether it is deemed medical or vision

Attached are the notes made by our billing department staff after speaking with Mr [redacted] on the phone on 8/4/ As in the notes from 5/4/it is for a date of service of 11/25/ The balance due is because the exam charges were applied to his deductible per his medical insurance plan After statements and many phone calls and messages left for Mr [redacted] , (please see notes from 5/4/2015) the account was sent to our collection agency Account Resolution Corporation in September of Please see notes made after 8/4/phone call with Mr [redacted] that he was aware of the account being handled by collection agency as he made a payment of $per ARC Instead of remitting the payment of $that he mentions in his complaint, he sent the check to our office in April of Mr [redacted] asked us to research and locate this check payment to correct his credit rating Our staff stated that, within reason, if he could provide us with a check number or date the check cleared it would make the process simpler and be quicker to to resolve After dedicating man hours and resources to research through many months of payments, we were able to locate the check copy # [redacted] for $deposited on April 29th, It appears that it was not properly posted by our part time staff due to the fact that it should have been sent to Account Resolution Corporation The account here was marked as a collection account with the balance write off, no balance indicated, so the staff person missed it as a patient payment The payment has been located It will be reported to ARC as paid on April 29, and they will process the amendment to the credit reporting as paid on 4/29/ It was never stated to Mr [redacted] that we would not look into his situation, it was requested that he provide us with the check number or cleared date from his account, which as stated earlier would have sped up this research and correction As of today, 8/24/it has been resolved

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 Sincerely, [redacted] ***

Complaint: [redacted] I am rejecting this response because:? I was not charged for the "refraction" until I asked for my prescription.? So, to print my prescription, I paid an additional $47.00.? I stand by my opinion that this is another way to get around having patients pay for a prescription.? Never have I been charged to get a prescription for an eye exam.? ? Obviously, this dialogue is going nowhere.? I was not able to use the piece of paper called a refraction, which is a prescription that I needed to get glasses.? My doctor told me he was glad that I had not purchased glasses with it because it was so off I would have trouble.? I did have to pay for another exam with another doctor and that doctor gave me a prescription (refraction) for contacts and glasses without me asking or charging me for it.? Thank you for your time.? I do not need a response from you.? I will take my business to someone I trust Regards, [redacted] ?

I'm sorry you had a bad experience at our officeThat is certainly not what we want for our patientsThe $per patient charge was not to print out the prescription, it was for the service of performing the refractionThis is a service that takes time for the technician/doctor to perform during
your exam.

Complaint: ***
I am rejecting this response because: The "refraction" which is my prescription should be included in the cost of the exam. The only reason I was charged the additional $each is because I asked for a copy of the "refraction" in order to get contacts for myself and glasses for my husband since they do not sell contacts or glasses in their office. Otherwise, I would not be charged the $47.00. I was charged $for each copy of the "refraction" which I needed to purchase contacts and glasses. Reason #- I was unable to use the "refraction" to purchase contacts because it was inaccurate according to the doctor that I took it to. I had to pay for another exam because my doctor said it was so inaccurate.
Regards,
*** ***

The patient's insurance was billed for a medical issue, not optical (vision)However, most insurance companies only cover eye muscle problems for people age and underThis was explained to the patient by someone in our billing office

Refractions are not included in the cost of the exam because they are only performed when a prescription is requested; therefore, it is an additional expense much like blood work, testing, etccan be at a primary care doctor's officeAlso, while the other doctor stated the prescription given here was inaccurate, we have no way of knowing that for certain and no way to compare the two prescriptionsMsKunefke even stated in her response "according to the other doctor that I took it to" it was inaccurate. I have also attached a copy of the Financial Agreemtn MsKunefke signed that states a refraction is an additional $charge.

I was told the business manager would call me back in a day or twoThat was almost weeks ago

Complaint: ***
I am rejecting this response because:? I was not charged for the "refraction" until I asked for my prescription.? So, to print my prescription, I paid an additional $47.00.? I stand by my opinion that this is another way to get around having patients pay for a prescription.? Never have I been charged to get a prescription for an eye exam.? ? Obviously, this dialogue is going nowhere.? I was not able to use the piece of paper called a refraction, which is a prescription that I needed to get glasses.? My doctor told me he was glad that I had not purchased glasses with it because it was so off I would have trouble.? I did have to pay for another exam with another doctor and that doctor gave me a prescription (refraction) for contacts and glasses without me asking or charging me for it.? Thank you for your time.? I do not need a response from you.? I will take my business to someone I trust
Regards,
*** ***?

When the refund was requested by patient, she was reminded of our return policy - see attached copy - on custom made prescription glasses.  The frames can be restocked for sale, so a refund for the retail amount paid for frames, minus a 25% restocking fee, is refunded back to the...

patient/customer.  The custom made lenses, however, are made to the individual prescription and any extras ordered by the patient.  The lens lab we order from does not accept returns.  The leaves the cost of the lens invoice the practice's expense.  On June 5th, Doctor approved the return of the frames an a credit was applied to the patient's account.  The amount credited reflected the total of the two frames, minus 25% of the total of the two frames.  On a return call to the patient's call requesting the refund, the amount was explained to her and she agreed.In a gesture of good will, the Doctor has agreed to the complainant's desired settlement of a refund check in the amount requested, $303.50.  The check and a revised billing statement will be placed in the mail today to the patient's address on file.

The patient's claim was submitted with a diagnosis of "spasm...

of accommodation" ~ which was her diagnosis. We had no way of knowing, prior to her visit, whether it would be a medical or vision diagnosis. We submitted H52.39 to her insurance company, they determine whether it is deemed medical or vision.

Complaint: [redacted]
I am rejecting this response because: The Insurance said that Opthalmology Associates needed to send over the correct diagnosis in order to bill to medical.   The symptoms that I'm having are not routine vision that is why I scheduled a opthalmology visit.  I have a routine vision physician.  When I called I spoke to the front desk regarding what I was needing to be seen for and specifically asked what my copay and amount would be before I scheduled the visit and I was told $35.00 and the reason I ask is because I am on a budget.   
Regards,
[redacted]

I've reviewed Ms. [redacted] account and medical record. I see nothing where [redacted] told her to return for a test in her EMR. In looking at the communication notes, there is no documentation that she called in on the dates listed. We will be glad to see her for a visit for her copay amount.

Attached are the notes made by our billing department staff after speaking with Mr. [redacted] on the phone on 8/4/2016.  As in the notes from 5/4/2015 it is for a date of service of 11/25/2014....

 The balance due is because the exam charges were applied to his deductible per his medical insurance plan.  After statements and many phone calls and messages left for Mr. [redacted], (please see notes from 5/4/2015) the account was sent to our collection agency Account Resolution Corporation in September of 2015. Please see notes made after 8/4/2016 phone call with Mr. [redacted] that he was aware of the account being handled by collection agency as he made a payment of $3.00 per ARC.  Instead of remitting the payment of $207.00 that he mentions in his complaint, he sent the check to our office in April of 2016.  Mr. [redacted] asked us to research and locate this check payment to correct his credit rating.  Our staff stated that, within reason, if he could provide us with a check number or date the check cleared it would make the process simpler and be quicker to to resolve.  After dedicating man hours and resources to research through many months of payments, we were able to locate the check copy #[redacted] for $207.00 deposited on April 29th, 2016.   It appears that it was not properly posted by our part time staff due to the fact that it should have been sent to Account Resolution Corporation.  The account here was marked as a collection account with the balance write off, no balance indicated, so the staff person missed it as a patient payment.  The payment has been located.  It will be reported to ARC as paid on April 29, 2016 and they will process the amendment to the credit reporting as paid on 4/29/2016.  It was never stated to Mr. [redacted] that we would not look into his situation, it was requested that he provide us with the check number or cleared date from his account, which as stated earlier would have sped up this research and correction.  As of today, 8/24/2016 it has been resolved.

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.
Sincerely,
[redacted]

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Address: 3906 E Us Highway 377 Ste 103, Granbury, Texas, United States, 76049-7609

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