Quest Diagnostics

Our records indicate the results were reported 10/22/14, 2/9/15 and 2/10/15.  I just verified a copy of the report was printed and will be mailed to her.  She will receive it in the next 1-3 business days.

I apologize, my previous response was incorrect. I was able to find [redacted] on our list of insurance carriers and verified Ms. [redacted]'s coverage through their eligibility file.  All claims have been resubmitted properly as of 4/17/15 and we are awaiting their response.

I am in receipt of your email dated 4/16/15 regarding a [redacted]laint your office received from Ms. [redacted].With [redacted] a general estimate of patient responsibility comes up at our Patient Service Centers to provide members.  This is not available to UHC members as we are unable to determine the...

estimated responsibility.  It is the patient's responsibility to verify their benefits prior to having services performed.  Pricing is available upon request for patient's who determine their insurance will not cover their services and they will be responsible.  We do not offer settlements, however we do offer a payment plan which Ms. [redacted] has taken advantage of.  We also have a Patient Financial Assistance Program she can apply for.  Depending on qualification, her invoice may be discounted or waived.

Our records indicate we billed the balance to [redacted] on 9/12/16 & 9/29/16.  It appears in most instances [redacted] secondary insurance is billed after the primary responds, however in a few instances the secondary information didn't come through which caused a bill to release...

to [redacted] prior to the secondary being billed.  At this time we are awaiting [redacted] response. Sincerely, Maegan M[redacted]

Dear [redacted]
We have sent a letter and an invoice per [redacted] recent request.  She should receive them within the next few days.  We are closing this matter.
Sincerely,
[redacted]
Patient Advocate

[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.]
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, upon receipt of revised billing statement.

[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.]
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. I will once again contact the physician's office for the 4th time.

[redacted]Upon review, I found the physician provided one diagnosis code on the order which was V700.  This code is an ICD-9 code which became invalid on 10/1/15 according to Centers for Medicare and Medicaid Services (CMS).  Our records indicate [redacted] from Dr. [redacted] office...

contacted our office on 5/13/16 and provided two ICD-10 codes.  Ms. [redacted]' invoice was resubmitted to [redacted] for reconsideration with this updated information.  At this time we are awaiting their response.  [redacted]

Please fax the request for information to Dr Sarah M[redacted] again at the correct fax number of: [redacted] This...

is a new office. The reason she did not answer as the prior practice decided to stop accepting pediatric patients. Therefor you were contacting her at the wrong number. Complaint: [redacted]
I am rejecting this response because:
Regards,
[redacted]

Dear Ms. [redacted]:Upon receipt of your email we contacted Mr. [redacted] insurance and verified they denied test code [redacted] as benefits max was reached for the time period.  This means too many of these tests were done within a specific time period which is not covered by his insurance.  The...

reference number given by his insurance for our call is [redacted]  We had billed Mr. [redacted] insurance in April 2014 under the incorrect insurance identification number that was provided to us by the referring physician.  We obtained the correct id # in February 2015 and resubmitted the charges to [redacted] for processing and they responded in April 2015 informing us of Mr. [redacted] responsibility. Sincerely,[redacted]Patient Advocate

According to Ms. M[redacted], she was promised a refund and a transfer of your laboratory charges to your insurance carrier, Cigna on August 28, 2014 when she contacted our
Customer Service Department.  We reviewed her invoice and found neither the refund nor the transfer was...

completed.  I spoke to the Director of the Billing Department who personally made sure that her credit card was refunded today.  The tracking number assigned to her refund transaction on her Visa credit card is #[redacted], and it was processed on 10/17/2014 at 12:02 pm. 
 
In addition, she counseled the representative responsible for processing your refund.  Please forward Ms. M[redacted] our sincere apologies and assure her that we have transferred her claim to Cigna and will follow up to ensure Cigna acknowledges receipt of the claim.

I spoke to [redacted]i yesterday and faxed her copies of the documents showing her husband ordered both the BMP and the CMP.  He may have ordered one in error, however the test was ordered and performed. Sincerely,Maegan M[redacted]

Attached is the application that was mailed last week.

Our records indicate we did not receive additional payment from the insurance carrier until 9/23/14.  At that time an over payment was created on the account and a refund of $15.00 was ordered.  The refund was processed on 10/1/14 and check # [redacted] for $15.00 released to the...

patient on 10/3/14.   
We consider this matter resolved.

Dear  Ms. [redacted]: I reviewed Ms. [redacted] order and verified the physician did order the additional test we performed.  The test in dispute is a Lyme test which was marked off on the physician's order as Immunblot.  Immunblot is the methodolgy.  The staff at our Patient...

Service center contacted the physician's office and verified the testing they wanted and it was the Lyme test.  Any further questions about the testing ordered should be directed to the ordering physician.  Payment remains due. Sincerely,Maegan [redacted]

Dear [redacted]:I am in receipt of your email regarding a complaint your office received from the [redacted]'s.  Upon review, I pulled a copy of both orders and found a copy of their Anthem insurance card was attached.  Nowhere on the card does it indicate claims should be filed to [redacted]...

[redacted].  This is why we billed Anthem.  Our records indicate we received a request from Ms. [redacted] to bill both accounts to [redacted], which we did.  Both accounts reflect zero balances at this time.Sincerely,[redacted]Patient Advocate

A copy of the bill was mailed to Mr. [redacted] on 9/26/14.  I apologize the collection site was unable to provide him with a copy.

[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.]
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.

Dear [redacted]
I am in receipt of a new complaint regarding [redacted] by [redacted]
Upon review, I pulled a copy of the order we received and the only insurance information provided was [redacted]  We've updated [redacted] invoice with the correct insurance information and resubmitted the charges.  At this time we are awaiting the insurance carrier response.  We rely on the referring physician or patient to provide us with the correct insurance information.  [redacted] may want to provide [redacted] when he goes to our Patient Service Center for testing. 
Sincerely, 
[redacted] 
Patient Advocate

Dear [redacted]
Please provide me with the invoice number in question so that I can investigate. I am unable to locate a bill for [redacted] from March 2014.
Sincerely,
[redacted]
Patient Advocate