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 meSincerely, [redacted]
Complaint: [redacted] I am rejecting this response because: there were two different services 1-12-it was chest x-ray 2vw frontal & latl $ 7-11-it was x-ray exam knee or more $both paid by insurance company and 1-12-I also paid by me in full by credit card cashed 2/10/for $Therefore the amount of $should refund to the patientBoth insurance company payment indicated on the Explanation Of Benefit amount you may owe to Provider is zero , I do not owe Raida inc PS anything, under network discount programe, the insurance company told me(Radia incPSStatement and Insurance company Explantion of Benefits can provide on request).The disputed amount is regarding to the service 1-12-, not not 7-11- Sincerely, [redacted]
Complaint: I am rejecting this response because: I have told them at least four times, they should not bill TRICAREWEST as that is not my insurance company The VA usesTRIWEST based out of Arizona They are the ones that have already paid the bills Sincerely, Gregg [redacted]
· The patient made payment of $and was posted to date of service 01/12/ · The date of service 07/11/was recently rolled out of campaign review workfile making patient responsible for another balance of $ · The system automatically reallocated the overfunded amount of $from date of service 01/12/to open balance on date of service 07/11/ · I have reallocated $$ to correct charge, processed credit card refund and adjusted off the 07/11/charge
Revdex.com:the insurance company already paid the 7/11/service dated processd was 7/19/$copy of insurance company explanation of benefit was send to your office, the girl in your office should pay attention to the copy I send and also the girl confirm they received I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to meSincerely, [redacted]
No further bills for this exam date of service will be sent to the patientWe have received the payment EOB and we are currently looking for the paymentOnce received, it will be posted to the account
We will work with the insurance company directly about the payment we did not receive for the 7/11/servicesThe credit card refund of $was processedThe patient account balance is currently $There is nothing more that can be done at this time
Complaint: [redacted] I am rejecting this response because: a signed release is not possible The patient (my husband) is deceased Also, why would a signed release be necessary to explain why they are trying to collect on a bill from The charge should just be waived at this late date My husband passed away I have suffered enough and don't need the stress of coming up with the funds to pay this bill from two years ago.Sincerely, [redacted]
We had an opportunity to review the phone call to our call centerThe customer service representative incorrectly to the patient that a refund would be received within daysI apologize for thisIt was misleadingWe also learned that we were provided with the incorrect subscriber name and group number, which was the reason for the claim rejectionsWe have contacted the insurance carrier and obtained the correct information and refiled the claimI have confirmed that a refund check in the amount of $was mailed on 12/21/Please let me know if you have any further questions and again, I apologize for the inconvenience this caused you
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 meand I appreciate the swift response and resolutionSincerely, [redacted]
It is my understanding that our billing office customer service representative is working to correct this issueIt may take up to business daysI will follow up to ensure it has been resolved
I will respond to this complaint via letter directly to the patient at the address noted in the complaintExplanation and resolution are quite complicated and would involve the disclosure of too much personal protected information for a public forumThe letter will be put in tomorrow's mail
The payment in the amount of $for these charges was posted on 1/3/The Collection account was pulled from the agency on 1/3/as wellThe account balance is currently zero
Complaint: [redacted] I am rejecting this response because: Radia is attempting to collect $in past due payment that is not past dueThey have been paid in full by the insurance company and Radia has received the explanation on reimbursement that states "This service provider participates in a PPO network and has agreed to accept as payment in dull the reimbursement amount listed in this line for the service listed, and also has agreed not to seek any additional payment from the patientBoth myself and my insurance company have contacted Radia to clear this balanceThey were first contacted in June by the insurance companyThen again by my insurance company in JulyLastly I contacted Radia on August 11th and was told that there was zero balance on my account and that it had been clearedThis has clearly not been the case Since this has been sent to collections I need this to be cleared from my account and my credit report to stay intactIf this is not corrected and reflected in my account and my credit report I will pursue other actionsThis appears to be fraudulent billing practices as they have been contacted numerous times and received the explanation of reimbursement multiple times.Sincerely, [redacted]
The enclosed information is to inform you of the adjusting decision that has been made by USAA concerning your claim for payment of medical bills pursuant to your available coveragesPlease review the billed services noted below for accuracy of treatment receivedIf the services billed do not reflect the treatment that you received, please immediately contact your USAA claims representativeIf this form indicates that further information is requested from the provider in order to make a payment decision, please request that your provider supply that informationIf you or your provider have questions concerning the information contained on this form or any accompanying physician's letter, or do not agree with the adjusting decision of USAA, please see the last page of this form for instructions regarding the procedure for obtaining answers to questions or to formally appeal this adjusting decisionPayments reflected on this EOR are sent separately from this EOR
***DOCUMENT ATTACHED [redacted] Thank you for your recent letter regarding the complaint submitted to your organization [redacted] Zotec Partners, LLC provides medical billing management services on behalf Radia IncAs such, I am responding to your inquiry on their behalfIt is our mutual goal to provide accurate and timely billing services in a satisfying manner to the patients of Radia Inc.As a result of our findings,we have taken the following corrective actions:• We have deleted [redacted] s's address from the patient's account.• We have contacted the collection agency and they have removed [redacted] s's address from their patient account .We apologize for the inconvenience this has caused [redacted] At this time, we request you close this complaint as we have resolved it in a satisfactory manner.If you have any questions, please feel free to contact me by e-mail at [email protected]
The charge for the date of service of 04/1/has been adjusted There is no balance due on account at this time We apologize for any inconvenience this may have caused the patient
[redacted] Ms [redacted] , I'd like to apologize for your experience with Radia billingBecause our practice is not on-site where our patient's receive services we must rely on the data provided to us by our hospital partnersThe address we received for you was received with Lynnwood as the city and the Zip Code of The statements we sent in and were all returnedWe then turned your account over to our agencyWe do not report to any credit bureau'sI can assure you that your credit has not been adversely affected Again, I apologize for your experienceI have noted your account Megan C [redacted]
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 meSincerely, [redacted]
Complaint: [redacted] I am rejecting this response because: there were two different services 1-12-it was chest x-ray 2vw frontal & latl $ 7-11-it was x-ray exam knee or more $both paid by insurance company and 1-12-I also paid by me in full by credit card cashed 2/10/for $Therefore the amount of $should refund to the patientBoth insurance company payment indicated on the Explanation Of Benefit amount you may owe to Provider is zero , I do not owe Raida inc PS anything, under network discount programe, the insurance company told me(Radia incPSStatement and Insurance company Explantion of Benefits can provide on request).The disputed amount is regarding to the service 1-12-, not not 7-11- Sincerely, [redacted]
Complaint: I am rejecting this response because: I have told them at least four times, they should not bill TRICAREWEST as that is not my insurance company The VA usesTRIWEST based out of Arizona They are the ones that have already paid the bills Sincerely, Gregg [redacted]
· The patient made payment of $and was posted to date of service 01/12/ · The date of service 07/11/was recently rolled out of campaign review workfile making patient responsible for another balance of $ · The system automatically reallocated the overfunded amount of $from date of service 01/12/to open balance on date of service 07/11/ · I have reallocated $$ to correct charge, processed credit card refund and adjusted off the 07/11/charge
Revdex.com:the insurance company already paid the 7/11/service dated processd was 7/19/$copy of insurance company explanation of benefit was send to your office, the girl in your office should pay attention to the copy I send and also the girl confirm they received I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to meSincerely, [redacted]
No further bills for this exam date of service will be sent to the patientWe have received the payment EOB and we are currently looking for the paymentOnce received, it will be posted to the account
We will work with the insurance company directly about the payment we did not receive for the 7/11/servicesThe credit card refund of $was processedThe patient account balance is currently $There is nothing more that can be done at this time
Complaint: [redacted] I am rejecting this response because: a signed release is not possible The patient (my husband) is deceased Also, why would a signed release be necessary to explain why they are trying to collect on a bill from The charge should just be waived at this late date My husband passed away I have suffered enough and don't need the stress of coming up with the funds to pay this bill from two years ago.Sincerely, [redacted]
We had an opportunity to review the phone call to our call centerThe customer service representative incorrectly to the patient that a refund would be received within daysI apologize for thisIt was misleadingWe also learned that we were provided with the incorrect subscriber name and group number, which was the reason for the claim rejectionsWe have contacted the insurance carrier and obtained the correct information and refiled the claimI have confirmed that a refund check in the amount of $was mailed on 12/21/Please let me know if you have any further questions and again, I apologize for the inconvenience this caused you
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 meand I appreciate the swift response and resolutionSincerely, [redacted]
It is my understanding that our billing office customer service representative is working to correct this issueIt may take up to business daysI will follow up to ensure it has been resolved
I will respond to this complaint via letter directly to the patient at the address noted in the complaintExplanation and resolution are quite complicated and would involve the disclosure of too much personal protected information for a public forumThe letter will be put in tomorrow's mail
The payment in the amount of $for these charges was posted on 1/3/The Collection account was pulled from the agency on 1/3/as wellThe account balance is currently zero
Complaint: [redacted] I am rejecting this response because: Radia is attempting to collect $in past due payment that is not past dueThey have been paid in full by the insurance company and Radia has received the explanation on reimbursement that states "This service provider participates in a PPO network and has agreed to accept as payment in dull the reimbursement amount listed in this line for the service listed, and also has agreed not to seek any additional payment from the patientBoth myself and my insurance company have contacted Radia to clear this balanceThey were first contacted in June by the insurance companyThen again by my insurance company in JulyLastly I contacted Radia on August 11th and was told that there was zero balance on my account and that it had been clearedThis has clearly not been the case Since this has been sent to collections I need this to be cleared from my account and my credit report to stay intactIf this is not corrected and reflected in my account and my credit report I will pursue other actionsThis appears to be fraudulent billing practices as they have been contacted numerous times and received the explanation of reimbursement multiple times.Sincerely, [redacted]
The enclosed information is to inform you of the adjusting decision that has been made by USAA concerning your claim for payment of medical bills pursuant to your available coveragesPlease review the billed services noted below for accuracy of treatment receivedIf the services billed do not reflect the treatment that you received, please immediately contact your USAA claims representativeIf this form indicates that further information is requested from the provider in order to make a payment decision, please request that your provider supply that informationIf you or your provider have questions concerning the information contained on this form or any accompanying physician's letter, or do not agree with the adjusting decision of USAA, please see the last page of this form for instructions regarding the procedure for obtaining answers to questions or to formally appeal this adjusting decisionPayments reflected on this EOR are sent separately from this EOR
***DOCUMENT ATTACHED [redacted] Thank you for your recent letter regarding the complaint submitted to your organization [redacted] Zotec Partners, LLC provides medical billing management services on behalf Radia IncAs such, I am responding to your inquiry on their behalfIt is our mutual goal to provide accurate and timely billing services in a satisfying manner to the patients of Radia Inc.As a result of our findings,we have taken the following corrective actions:• We have deleted [redacted] s's address from the patient's account.• We have contacted the collection agency and they have removed [redacted] s's address from their patient account .We apologize for the inconvenience this has caused [redacted] At this time, we request you close this complaint as we have resolved it in a satisfactory manner.If you have any questions, please feel free to contact me by e-mail at [email protected]
The charge for the date of service of 04/1/has been adjusted There is no balance due on account at this time We apologize for any inconvenience this may have caused the patient
[redacted] Ms [redacted] , I'd like to apologize for your experience with Radia billingBecause our practice is not on-site where our patient's receive services we must rely on the data provided to us by our hospital partnersThe address we received for you was received with Lynnwood as the city and the Zip Code of The statements we sent in and were all returnedWe then turned your account over to our agencyWe do not report to any credit bureau'sI can assure you that your credit has not been adversely affected Again, I apologize for your experienceI have noted your account Megan C [redacted]