ProScan Imaging

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID *** and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below
The company has not responded to my email and I have not been notified as to if this was submitted, without due cause, to the collections agency. This could greatly affect my good credit and I am very upset because 1.) they never sent the bill at anytime whatsoever during the said mentioned four month period of August, September, October, or November and 2.) if they believed that this bill was outstanding and that I was unable to be reached by phone why did they not call or email me? They have access to this informationand 3.) they never responded to the letter but was quick to receive payment, never answering if this was truly an outstanding bill (I never received a bill from ProScan for these services). They have threatened to send to the collection agency my good name, good rating, and good reputation for services to which I never received a bill during ANY time during the abovementioned three month period and never answered as to if they unjustly submitted my name without due cause and that they would reverse it due to the fact that it was their administrative and managerial error.
Regards,
*** ***

After a thorough review of Mr. [redacted]’s account, the following is the summary of our findings:   5/6/2016 – Anthem Insurance verified, effective 1/1/2016, 0.00 Co-Pay, 20% Co-Insurance equal 89.76, Allowable 448.81, deductible 200.00 at time of eligibility verification check before...

insurance adjudicates claim.   5/11/2016 – Services were rendered to Mr. [redacted].  During Mr. [redacted]’s appointment, registration paperwork was provided to for his review and signature; these documents explain that these are estimates based on information from patient’s health insurance provder. Co-payment was collected at time of service; a receipt for the payment of $89.76 was provided.   6/21/2016 – After receiving a statement for the balance due on his account, Mr. [redacted] called into Customer Service and spoke with a Customer Service Rep. regarding the balance due on his account; he stated he paid at the time of service. The Customer Service Rep explained the remaining balance of $159.98 is the amount his insurance applied towards his deductible after they adjudicated the claim. Mr. [redacted] stated no deductible due was mentioned at the time of his visit.   6/24/2016 – Mr. [redacted] called back into Customer Service and spoke with a Customer Service Rep. regarding the balance on his account and again stated that he paid at time of service.  At that time he requested to speak to the Manager. The call was then transferred to the Collections Manager.     [redacted] July 6, 2016 Page Two     6/24/2016 – The Collection Manager spoke with Mr. [redacted] regarding the remaining balance on his account.  Mr. [redacted] stated he thinks the balance associated with the deductible should be adjusted off, since no one told him he had a deductible on top of the $89.76 he paid at the time of service.   Please note that standard practice by the insurance company is to provide an Explanation of Benefits statement to the patient at the time the claim is processed.  The Explanation of Benefits that ProScan received reflects the balance due by patient was applied to the patient’s deductible; until the patient’s deductible is met, that amount becomes due and payable by the patient.  We cannot routinely waive Co-Insurance and/or deductibles as that is part of the terms of our agreement with Mr. [redacted]’s insurance provider. Documents provided to Mr. [redacted] at the time of his appointment explained that he is responsible for any additional amounts owed related to the deductible.   Based on the circumstances we will split the balance owed of $159.98 with him. Therefore if he sends a check for $80.00 we will write of the remaining balance.   We apologize for any inconvenience that Mr. Tim [redacted] may have experienced.  ProScan is committed to provide all of our patients with the highest standards of service.   If you have any questions, please let me know.                                           ...⇄ Regards,                                           ...⇄ PROSCAN IMAGING                                         ...⇄                                     [redacted]                                         ...⇄ Chief Operating Officer

This is afollow up to our initial response submitted to the Revdex.com on 12/22/2014 to furtheraddress your concerns that our initial reply did not satisfy you regarding theabove-referenced Revdex.com Complaint.1)                 [redacted] Billing Manager, ProScan Imaging,tried contacting you three times, beginning on 12/23/2014 until 1/6/2015; eachtime she left her name and a brief message on your voice mail.Ms. [redacted] has thoroughly reviewed your account and has confirmed that itdid not go to a collection agency at any time. Therefore there is no impact onyour good credit.2)                 On 9/26/2014 we attempted to call you at[redacted] which appeared as an invalid number, therefore we were unable toreach you. We discovered the correct telephone number when we received yourcomplaint at which time we updated your account.3)                 On 12/23/2014 when we were unsuccessful atreaching you, we printed and mailed a statement that reflected your “check”payment had been received and posted to your account on 12/9/2014, whichbrought your account to paid in full with a zero balanceAgain we apologize for any confusion and/orinconvenience you may have experienced and would like to assure you that yourgood name, good credit and good reputation are intact.If you have any otherquestions, please feel free to contact [redacted] at [redacted]. ProScan iscommitted to provide all patients with the highest standards of service.Regards,PROSCANIMAGING

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.  If you and the business have reached an agreement and compliance is set for a future date, we trust the business will comply.  Please contact us after that time if the matter is not resolved as agreed and we will review the complaint and proceed accordingly.]
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.  The payment of $80 should be received by 7/14/16
Regards,
[redacted]