Pulmonary & Sleep Center of Irvine

[redacted] id="E10" Laguna Canyon Rd Irvine, CA Revdex.com Re: ID# [redacted] Our patient was seen for two sleep studies in Both were processed by [redacted] using an in network pricing companyThe in network discount using the pricing company was over $The patient liability has been applied towards the member’s deductible and patient is responsible for $for both studiesThe patient is getting billed according to the member plan specificsThe insurance industry does not provide a guarantee of benefits as to how claims will be processed and we apologize for any inconvenience this may have caused the memberUnfortunately, we are responsible for billing members according to their plan specifics which in this case the patient has a deductible that is dueWe have held off on sending the account to collections in hopes of getting a resolution to no availThe doctor has not been paid by the insurance or member for the patient’s first study performed as we are waiting for patient to pay their portionThe doctor has had to pay staff and overhead in order to perform the study, but has yet to be reimbursedWe would like to close this members account, but simply cannot perform sleep studies for free; therefore, the balance is still due from the member

*** *** **Laguna Canyon Rd 290Irvine, CA 92618 Revdex.comRe: ID# *** Our patient was seen for two sleep studies in Both were processed by *** using an in network pricing companyThe in network discount using the pricing company was over $The
patient liability has been applied towards the member’s deductible and patient is responsible for $for both studiesThe patient is getting billed according to the member plan specificsThe insurance industry does not provide a guarantee of benefits as to how claims will be processed and we apologize for any inconvenience this may have caused the memberUnfortunately, we are responsible for billing members according to their plan specifics which in this case the patient has a deductible that is dueWe have held off on sending the account to collections in hopes of getting a resolution to no availThe doctor has not been paid by the insurance or member for the patient’s first study performed as we are waiting for patient to pay their portionThe doctor has had to pay staff and overhead in order to perform the study, but has yet to be reimbursedWe would like to close this members account, but simply cannot perform sleep studies for free; therefore, the balance is still due from the member

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below
Revdex.com:I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below.The insurance has already paid this doctor $847.25, it has not been for free We should have been told about the charges We have in getting bills for over $ Only after I spent over an hour on the phone with the billing department, explaining that they had already gotten paid, did the billing department lower the bill, based on the contract with the insurance company Had they told us they were out of network we would have never done the sleep studies.We are asking the doctor to work with us in lowering the amount of the total bill $ So far the doctor has not given any discounts or lowered any bills, even though we were lied to and were brought back again for the second study We have been trying to work with this doctor with no luck.I would appreciate any assistance with this matter from the Revdex.comRegards,*** ***
Regards,
*** ***

[redacted]
id="E10" "margin: 0px; padding: 0px 0px 8pt list-style-type: none; text-align: center;">Laguna Canyon Rd Irvine, CA
Revdex.com
Re: ID# [redacted]
Our patient was seen for two sleep studies in Both were processed by [redacted] using an in network pricing companyThe in network discount using the pricing company was over $The patient liability has been applied towards the member's deductible and patient is responsible for $for both studiesThe patient is getting billed according to the member plan specificsThe insurance industry does not provide a guarantee of benefits as to how claims will be processed and we apologize for any inconvenience this may have caused the memberUnfortunately, we are responsible for billing members according to their plan specifics which in this case the patient has a deductible that is dueWe have held off on sending the account to collections in hopes of getting a resolution to no availThe doctor has not been paid by the insurance or member for the patient's first study performed as we are waiting for patient to pay their portionThe doctor has had to pay staff and overhead in order to perform the study, but has yet to be reimbursedWe would like to close this members account, but simply cannot perform sleep studies for free; therefore, the balance is still due from the member

HiThank you for taking my call today regarding above case [redacted].As I mentioned this case had been processed by his insurance as IN-NETWORK and the payment as per his insurance for deductible,and zero payment was issued for two sleep study that was performed.thanksplease let me know if any other issues.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
Revdex.com:I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.The insurance has already paid this doctor $847.25, it has not been for free.  We should have been told about the charges.   We have in getting bills for over $8000.  Only after I spent over an hour on the phone with the billing department, explaining that they had already gotten paid, did the billing department lower the bill, based on the contract with the insurance company.  Had they told us they were out of network we would have never done the sleep studies.
We are asking the doctor to work with us in lowering the amount of the total bill $1204.  So far the doctor has not given any discounts or lowered any bills, even though we were lied to and were brought back again for the second study.   We have been trying to work with this doctor with no luck.
I would appreciate any assistance with this matter from the Revdex.comRegards,[redacted] 
Regards,
[redacted]