Sign in

Physicians' Alliance, Ltd, Oyster Point Health Center

Sharing is caring! Have something to share about Physicians' Alliance, Ltd, Oyster Point Health Center? Use RevDex to write a review
Reviews Physicians' Alliance, Ltd, Oyster Point Health Center

Physicians' Alliance, Ltd, Oyster Point Health Center Reviews (4)

July 28, 2014
Dear [redacted],I am in receipt of the complaint filed by [redacted] on 7/17/14.In regards to the visit on 4/3/2014 his primary insurance [redacted] applied $114,73 to his deductible, His secondary insurance [redacted] denied as patient ineligible for this...

service, they applied a contractual adjustment which was taken resulting in a patient responsible balance of $67.73. (See attached EOB's from both insurance companies). He had a $.86 credit from invoice 108 which was transferred and applied to invoice 112, (See attached billing ledger), The remaining balance owed for his services is $66.87 which is still due. [redacted] is requesting as his desired settlement to receive a billing adjustment, but due to our contracts with these payers we are not obligated to adjust a patient responsible balance.In regards to the visit on 8/6/2013 his primary insurance [redacted] applied $85,00 to his deductible. His secondary insurance [redacted] denied as patient ineligible for this service, they applied a contractual adjustment which was taken resulting in a patient responsible balance of $51,00. (See attached EOB's from both insurance companies). He was sent to collections based on three patient statements were sent dated 12/10/2013, 1/15/2014, and 2/20/2014 with no patient response. 3/14/14 received a call from patient regarding collections and that he never received the above statements, we verified his address and all was confirmed. He must have contacted his insurance [redacted] as we received payment on 4/21/2014. His account was removed from collections minus his copay and collection fee of $24.00. Patient paid the collection agency for the full amount so his account resulted in a credit. Which was then transferred to current balances, as you can see on the attached billing ledger it shows what invoices the credits were applied to. One of the balances was for his daughter Katelyn from 8/31/2007 date of service (See attached billing ledger).Please let me know if this does not address all of the issues presented by [redacted],Sincerely,
Kathy S
Billing Director

August 8, 2014
Dear [redacted],I am in receipt of the response from [redacted] rejecting the explanation regarding his balance from date of service 4/3/2014. Per my original response dated 7/28/2014 [redacted] sent us an explanation of benefits dated 5/27/2014 denying his 4/3/2014 service with remark code [redacted] = patient ineligible for this service. This resulted in patient being responsible for the remaining balance of $66.87.I am not sure what additional information I can supply as his primary and secondary payer processed this service and we are contractually obligated to collect on the balance, I supplied the proof on my original response with the explanations of benefits received from both insurances.Please let me know if there is any additional information needed to resolve this matter.Sincerely,
Kathy S
Billing Director

- Billing adjustment to match what my insurance co-pay of $20 for an office visit.
- Not to keep coming up with more payments due for past office visits after they tell my Wife or I that nothing is due.
- To collect co-pays at the time of office visit instead of saying "we'll bill your insurances".
- To make sure my secondary insurance company receives a copy of the EOB from my primary insurance so that they know what to pay.
- Not to send bills to collections prior to both insurances making their payments.

Review: I keep receiving bills from this business for past visits that according to them have not been resolved. The most recent was from an office visit from back in 2007 which they cannot furnish any details on. My wife called the billing office a few weeks ago and they said that there were no outstanding debts. The next thing I get a collection notice. I paid the collection agency including the collection fee. Then I found out from my insurance company that they also paid the same bill. I called the billing office for a refund but they said that they applied it to outstanding overdue bills? Then they tell me that I still owe $60.14 for an office visit from back in April 3rd 2014? My insurance office visit co-pay is only $20. When I call they to discuss I get more and more confused every time.Desired Settlement: - Billing adjustment to match what my insurance co-pay of $20 for an office visit.

- Not to keep coming up with more payments due for past office visits after they tell my Wife or I that nothing is due.

- To collect co-pays at the time of office visit instead of saying "we'll bill your insurances".

- To make sure my secondary insurance company receives a copy of the EOB from my primary insurance so that they know what to pay.

- Not to send bills to collections prior to both insurances making their payments.

Business

Response:

July 28, 2014Dear [redacted],I am in receipt of the complaint filed by [redacted] on 7/17/14.In regards to the visit on 4/3/2014 his primary insurance [redacted] applied $114,73 to his deductible, His secondary insurance [redacted] denied as patient ineligible for this service, they applied a contractual adjustment which was taken resulting in a patient responsible balance of $67.73. (See attached EOB's from both insurance companies). He had a $.86 credit from invoice 108 which was transferred and applied to invoice 112, (See attached billing ledger), The remaining balance owed for his services is $66.87 which is still due. [redacted] is requesting as his desired settlement to receive a billing adjustment, but due to our contracts with these payers we are not obligated to adjust a patient responsible balance.In regards to the visit on 8/6/2013 his primary insurance [redacted] applied $85,00 to his deductible. His secondary insurance [redacted] denied as patient ineligible for this service, they applied a contractual adjustment which was taken resulting in a patient responsible balance of $51,00. (See attached EOB's from both insurance companies). He was sent to collections based on three patient statements were sent dated 12/10/2013, 1/15/2014, and 2/20/2014 with no patient response. 3/14/14 received a call from patient regarding collections and that he never received the above statements, we verified his address and all was confirmed. He must have contacted his insurance [redacted] as we received payment on 4/21/2014. His account was removed from collections minus his copay and collection fee of $24.00. Patient paid the collection agency for the full amount so his account resulted in a credit. Which was then transferred to current balances, as you can see on the attached billing ledger it shows what invoices the credits were applied to. One of the balances was for his daughter Katelyn from 8/31/2007 date of service (See attached billing ledger).Please let me know if this does not address all of the issues presented by [redacted],Sincerely, Kathy SBilling Director

Consumer

Response:

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]

Review: [redacted]

I am rejecting this response because:I spoke with a [redacted] representative on the phone today after reviewing your response to my claim. In reference to my 4/3/2014 office visit you stated that "His secondary insurance [redacted] denied as patient ineligible for this service". This is a false statement. [redacted] sent a request for EOB from my primary insurance and they never received a response from your office. They never said that I was ineligible for this service. This seems to be the norm and where most of the billing gets screwed up. You never forward my EOBs from my primary insurance to my secondary insurance.

Regards,

Business

Response:

August 8, 2014Dear [redacted],I am in receipt of the response from [redacted] rejecting the explanation regarding his balance from date of service 4/3/2014. Per my original response dated 7/28/2014 [redacted] sent us an explanation of benefits dated 5/27/2014 denying his 4/3/2014 service with remark code [redacted] = patient ineligible for this service. This resulted in patient being responsible for the remaining balance of $66.87.I am not sure what additional information I can supply as his primary and secondary payer processed this service and we are contractually obligated to collect on the balance, I supplied the proof on my original response with the explanations of benefits received from both insurances.Please let me know if there is any additional information needed to resolve this matter.Sincerely,Kathy SBilling Director

Consumer

Response:

- Billing adjustment to match what my insurance co-pay of $20 for an office visit.

- Not to keep coming up with more payments due for past office visits after they tell my Wife or I that nothing is due.

- To collect co-pays at the time of office visit instead of saying "we'll bill your insurances".

- To make sure my secondary insurance company receives a copy of the EOB from my primary insurance so that they know what to pay.

- Not to send bills to collections prior to both insurances making their payments.

Check fields!

Write a review of Physicians' Alliance, Ltd, Oyster Point Health Center

Satisfaction rating
 
 
 
 
 
Upload here Increase visibility and credibility of your review by
adding a photo
Submit your review

Physicians' Alliance, Ltd, Oyster Point Health Center Rating

Overall satisfaction rating

Description: Physicians & Surgeons - Family Practice

Address: 3045 Marietta Ave, Lancaster, Pennsylvania, United States, 17601

Phone:

Show more...

Add contact information for Physicians' Alliance, Ltd, Oyster Point Health Center

Add new contacts
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | New | Updated