Papastavros' Associates Medical Imaging

Tell us why hereA phone call was made to the patient and the issue at hand was reslovedThe payment in question ($40.70) is now posted to the patinet's accountAs a result, the balance due from the patient is zeroIt was explained to the patient that an error was made resulting in the payment of $not being posted to the accountAs stated, this was corrected and a statement was mailed to the patient stating as suchThe patient was well satisfied with the outcome

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 Regards,

Patient *** *** was advised that our Papastavros locations were PAR with UHC Empire Plan so she continue with having her services performed at this location. RadNet billed the members Medicare as primary, Medicare processed and sent the claim directly on to the Empire Plan where they
processed the claim out of network. Although PAMI is par with UHC and Empire is administered under UHC it is considered a separate carve out product which would require an additional contract.In this instance the patient was misinformed and should not be held liable for any out of network costRadNet attempted to contact the patient on 12/13/to advise that they can disregard the bill pertaining to her 1/6/date of service. There was no answer, so a voicemail was left for the patient to return a call to the billing department.The patients account will be resolved to a zero balance per her request

Dear Ms***,
We have adjusted off the charge of $for the Tomosynthesis that was performed on April 14, 2016. Your account balance is zero. I will send a statement to you for your records
I am sorry for any misinformation that was given to you during your Mammogram
appointmentThe information that was provided to us at the time of your service from Highmark Blue Cross Blue Shield was that they paid for the Breast Tomosynthesis studiesUpon further investigation we uncovered that Highmark BCBS is paying or not paying on an employer basis
Again, I would like to apologize for any inconveniences this has caused. Please feel free to contact me at any time by phone *** ** *** *** if you have any future issues
Thank you,
*** * *** *** ***

We stand by our original response and determination. Again, we are willing to offer a discount on the amount owed. We are not willing to accept $for the services that were renderedThank you

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me.
Regards,
*** ***

Tell us why hereA phone call was made to the patient and the issue at hand was resloved. The payment in question ($40.70) is now posted to the patinet's accountAs a result, the balance due from the patient is zeroIt was explained to the patient that an error was made
resulting in the payment of $not being posted to the accountAs stated, this was corrected and a statement was mailed to the patient stating as suchThe patient was well satisfied with the outcome

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me.
Regards,

Our response is within the attachments. Thank you

Tell us why hereA phone call was made to the patient and the issue at hand was resloved. The payment in question ($40.70) is now posted to the patinet's accountAs a result, the balance due from the patient is zeroIt was explained to the patient that an error was made resulting
in the payment of $not being posted to the accountAs stated, this was corrected and a statement was mailed to the patient stating as suchThe patient was well satisfied with the outcome

we responded directly to the patient and worked this out with him

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID 12602467, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear
below
*** ***
Hello this information is incorrect I never called to set up the appointment my wife called and setup the appointment and gave the rep all the infirnationMy wife call because she works for Aetna and knew that if an authoration wasn't done this would be a problemI don't understand why they are lieing about thisMy wife makes sure she call because she sees this happen to a lot of peopleAlso they call and told us everything was approved before I wentThey never told me my workers comp deniedThey said everthing was approvedI have several test done at paps and they have contacted my Aetna in the past because they told my wife every time she calls they will use Aetna as a backup if workers comp deniesThey forget to do it and is now holding me responsible for their mistake I wouldnt never had this MRI done knowing it was not approvedThis is unfair

Patient *** *** was advised that our Papastavros locations were PAR with UHC Empire Plan so she continue with having her services performed at this location. RadNet billed the members Medicare as primary, Medicare processed and sent the claim directly on to the Empire Plan where they
processed the claim out of network. Although PAMI is par with UHC and Empire is administered under UHC it is considered a separate carve out product which would require an additional contract.In this instance the patient was misinformed and should not be held liable for any out of network costRadNet attempted to contact the patient on 12/13/to advise that they can disregard the bill pertaining to her 1/6/date of service. There was no answer, so a voicemail was left for the patient to return a call to the billing departmentThe patients account will be resolved to a zero balance per her request