Oregon's Health Co-op

Dear Ms. [redacted], We received your letter dated August 26th. This was in reference to customer [redacted] regarding the reprocessing of claim [redacted]. This claim has been reprocessed as of 8/24/15 and I have spoken directly with the member about the resolution 8/12/15 and provided follow up regarding escalation paths for future discussions. Please close this case as resolved. In addition to faxing these documents to the number on your letter [redacted]. I have also mailed them to: Revdex.com PO Box 1000 DuPont, WA 98327 Please feel free to reach out to me directly on this matter to assure a timely resolution. [redacted] Sincerely, Jeff M[redacted] Director of Member Experience [redacted]

RE: lD [redacted] Dear Ms. [redacted], I received your letter dated June 8th.  This was in reference to the submitted complaint from May 1st 2015. I have reviewed the members account and taken the following actions. The member was contacted directly about setting up credit monitoring through ID...

experts on 6/9/15, a service offered to all members potentially impacted by the recent security incident. In addition we have reviewed the member's request for a full refund of premiums and regret that he experienced a less than satisfactory customer experience. However, health care coverage was provided for the time period the member was active with the Oregon's Health CO-OP and as such we will not issue a credit for the member's premium. While we have offered credit protection to members there is no evidence that the member's information has been compromised or his credit damaged. In fact the  services provided allow the member to assure that his credit is protected. As requested we have expedited setting up credit monitoring and terminated the members account as of 4/6/15. In addition to faxing these documents to the number on your more recent letter [redacted]. I have also mailed them to:
Revdex.com PO Box 1000
DuPont, WA 98327Please feel free to reach out to me directly on this matter to assure a timely resolution. [redacted] Sincerely,

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]

RE: ID [redacted] Dear Ms. [redacted], We received your letter dated July 30th. This was in reference to customer [redacted] regarding the reprocessing of claim [redacted]. Resolution of the request has been escalated and will be resolved before the end of this week. Once it is finalized a supervisor...

in our customer service call center will be contacting the member. In addition we have communicated directly with the member about the escalation and provided follow up regarding escalation paths for future discussions. In addition to faxing these documents to the number on your letter [redacted]  I have also mailed them to: Revdex.com PO Box 1000 DuPont, WA 98327 Please feel free to reach out to me directly on this matter to assure a timely resolution. [redacted] Sincerely, Jeff M[redacted] Director of Member Experience [redacted]

[redacted]DOCUMENT ATTACHED[redacted]
Regarding compliant [redacted] for member [redacted]. After review of the member records wehave identified two claims ([redacted]) that required reprocessing and havesubmitted those claims to be adjusted and paid. It was also verified that...

there was no gap in coverage duringthe 1/1/2015 to 8/31/15 date for [redacted] member ID [redacted].In addition to faxing these documents to the number on your letter [redacted]. I have also mailed them to:Revdex.com PO Box 1OOO DuPont,WA 98327Please feel free to reach out to me directly on this matter to assure a timely resolution.

RE; ID [redacted] Dear Ms. [redacted], We received your letter dated July 21st. This was in reference to customer [redacted] request to add two providers to our network. Our credentialing process was initiated for [redacted] on 3/13 and 2/24 for [redacted]. I have escalated the resolution...

for both providers. Both should complete within the next 30 days. Credentialing normally takes up to 120. In addition we have reviewed the member's request for a reprocessing of the two claims currently on file for Dr. [redacted]. Claim# [redacted] and [redacted]. We have requested that both be reprocessed. This can only occur once credentialing and contracting are complete. This process can take up to 30 days and the member with receive new EOBs. In addition to faxing these documents to the number on your letter 206-431-2211 , I have also mailed them to:
Revdex.com POBox 1000 DuPont, WA 98327 Please feel free to reach out to me directly on this matter to assure a timely resolution.