I am rejecting this response because: My son was not provided the "Community Standard of Care"I'm saying this because of the below reasons - My minor son was not given immediate care in spite of the breathing problem and very low oxygen level he had which everybody at the hospital reception including the nurse who treated him was witnessingIt was a life threatening moment for my son and usThis does not meet the "Community Standard of Care" - My son was not even given a bed to lay down and get treated for his wheezingHe was made to sit in a recliner seat for more than hours while his breathing treatment was OnThis does not meet the "Community Standard of Care" - There was not even a single pediatric doctor in the hospital to treat my sonThis does not meet the "Community Standard of Care" - Hospital cannot risk any kids/person’s life to learn and improve their quality of work Considering all the above reasons, I wanted to know how it was deemed that the patient received the "Community Standard of Care", due to which bill waiver was denied? As a health insurance holder, I'm aware of the deductible, Out of pocket expenses, co-pay amounts etcMy point here is, this bill amount of $itself is irrelevant for the poor service that was provided to my son, for which the hospital has apologized in writingHence I wanted this bill to be waived off
AP Redlands Community Hospital May 31, 2017 Bertha Bejerano Revdex.com WShaw Lane Fresno, CA 923711 Dear MsBejerano: 3** *** *** *** *** *** *** ** ***###-###-#### Fax ###-###-#### I am writing this letter regarding the complaint
(ID# 12156113)Redlands Community Hospital (RCH) appreciates the opportunity to respondSpecifically, Mr*** complains that despite his son's poor care, he received a billThe minor patient was seen in our Emergency Department on March 1, 2016. Mr*** brought this concern to our attention on July 1, A letter of acknowledgement to his complaints was sent that same dayHis concerns were brought to the attention of the hospital's Leadership Team for investigationA thorough investigation of the case, along with Mr***'s request to waive his son's medical bills, was presented to the Grievance CommitteeIt was deemed that the patient received the community standard of care and therefore the request to waive the bill was deniedAnother correspondence was sent to his address on July 11, In that letter, we apologized that his expectations were not met; however, Mr*** assumed that this apology implied granting of his waiver request. Once again, Redlands Community Hospital regrets that we did not meet Mr***'s expectationsWe value the input and concerns of our patients and make every effort to resolve customer complaints and grievancesThe Hospital maintains a strong conviction to learn and improve in order to provide kind, compassionate and quality care for all our patients. Please keep in mind that the $of his medical bill is his deductibleThis is the amount that must be paid out of pocket before an insurer will pay any expensesMr*** would still be responsible for this quantity whether he utilizes our services or a different health care providerThe remaining amount is his co-pay. Should I be of further assistance, please do not hesitate to contact me. Sincerely, *** ** ***, N Patient Experience Liaison ###-###-####
Initial Business Response /* (1000, 17, 2015/07/31) */
This is Redlands Community Hospital responding:
we received a letter from our Patient during May 2015 in which the patient complained about not receiving any billing statements from our organization. We responded in writing to the patient...
on 5-14-15 disputing their claim that in fact multiple statements and an Itemized Bill where mailed to the home address provided by the patient at the time of service. In addition to our correspondence we had phone contact with the patient and his spouse advising them of the amount due and the fact that we did not have their insurance information. Additionally we assigned the account at our expense to a vendor who specializes in Medi-Cal Eligibility to see if we could help the patient qualify for Medi-Cal benefits. Ultimately we received returned mail without a forwarding address. The account was assigned to our collection agency for follow up. Almost 5 years later the patient comes forward and disputes the billing and indicates that they were approved for Medi-Cal for this service date. The patient never informed us of this fact until just recently. We verified that the patient was in fact eligible for Medi-Cal and found that they where approved for the dates of service. We are required to bill the Medi-Cal program within 1 year of the date of service and since the patient did not provide us with the information in a timely manner, the balance was still due. After reviewing the entire case the RCH made the decision to write off the balance and cancel the amount from our collection agency even though we were not required to do so. We had the patients credit report cleaned so that the issue will not show there in the future for customer service reasons.
I am rejecting this response because:
My son was not provided the "Community Standard of Care". I'm saying this because of the below reasons.
- My minor son was not given immediate care in spite of the breathing problem and very low oxygen level he had which everybody at the hospital reception including the nurse who treated him was witnessing. It was a life threatening moment for my son and us. This does not meet the "Community Standard of Care".
- My son was not even given a bed to lay down and get treated for his wheezing. He was made to sit in a recliner seat for more than 3 hours while his breathing treatment was On. This does not meet the "Community Standard of Care".
- There was not even a single pediatric doctor in the hospital to treat my son. This does not meet the "Community Standard of Care".
- Hospital cannot risk any kids/person’s life to learn and improve their quality of work.
Considering all the above reasons, I wanted to know how it was deemed that the patient received the "Community Standard of Care", due to which bill waiver was denied?
As a health insurance holder, I'm aware of the deductible, Out of pocket expenses, co-pay amounts etc. My point here is, this bill amount of $948 itself is irrelevant for the poor service that was provided to my son, for which the hospital has apologized in writing. Hence I wanted this bill to be waived off.
I am rejecting this response because: My son was not provided the "Community Standard of Care"I'm saying this because of the below reasons - My minor son was not given immediate care in spite of the breathing problem and very low oxygen level he had which everybody at the hospital reception including the nurse who treated him was witnessingIt was a life threatening moment for my son and usThis does not meet the "Community Standard of Care" - My son was not even given a bed to lay down and get treated for his wheezingHe was made to sit in a recliner seat for more than hours while his breathing treatment was OnThis does not meet the "Community Standard of Care" - There was not even a single pediatric doctor in the hospital to treat my sonThis does not meet the "Community Standard of Care" - Hospital cannot risk any kids/person’s life to learn and improve their quality of work Considering all the above reasons, I wanted to know how it was deemed that the patient received the "Community Standard of Care", due to which bill waiver was denied? As a health insurance holder, I'm aware of the deductible, Out of pocket expenses, co-pay amounts etcMy point here is, this bill amount of $itself is irrelevant for the poor service that was provided to my son, for which the hospital has apologized in writingHence I wanted this bill to be waived off
AP Redlands Community Hospital May 31, 2017 Bertha Bejerano Revdex.com WShaw Lane Fresno, CA 923711 Dear MsBejerano: 3** *** *** *** *** *** *** ** ***###-###-#### Fax ###-###-#### I am writing this letter regarding the complaint
(ID# 12156113)Redlands Community Hospital (RCH) appreciates the opportunity to respondSpecifically, Mr*** complains that despite his son's poor care, he received a billThe minor patient was seen in our Emergency Department on March 1, 2016. Mr*** brought this concern to our attention on July 1, A letter of acknowledgement to his complaints was sent that same dayHis concerns were brought to the attention of the hospital's Leadership Team for investigationA thorough investigation of the case, along with Mr***'s request to waive his son's medical bills, was presented to the Grievance CommitteeIt was deemed that the patient received the community standard of care and therefore the request to waive the bill was deniedAnother correspondence was sent to his address on July 11, In that letter, we apologized that his expectations were not met; however, Mr*** assumed that this apology implied granting of his waiver request. Once again, Redlands Community Hospital regrets that we did not meet Mr***'s expectationsWe value the input and concerns of our patients and make every effort to resolve customer complaints and grievancesThe Hospital maintains a strong conviction to learn and improve in order to provide kind, compassionate and quality care for all our patients. Please keep in mind that the $of his medical bill is his deductibleThis is the amount that must be paid out of pocket before an insurer will pay any expensesMr*** would still be responsible for this quantity whether he utilizes our services or a different health care providerThe remaining amount is his co-pay. Should I be of further assistance, please do not hesitate to contact me. Sincerely, *** ** ***, N Patient Experience Liaison ###-###-####
Initial Business Response /* (1000, 17, 2015/07/31) */
This is Redlands Community Hospital responding:
we received a letter from our Patient during May 2015 in which the patient complained about not receiving any billing statements from our organization. We responded in writing to the patient...
on 5-14-15 disputing their claim that in fact multiple statements and an Itemized Bill where mailed to the home address provided by the patient at the time of service. In addition to our correspondence we had phone contact with the patient and his spouse advising them of the amount due and the fact that we did not have their insurance information. Additionally we assigned the account at our expense to a vendor who specializes in Medi-Cal Eligibility to see if we could help the patient qualify for Medi-Cal benefits. Ultimately we received returned mail without a forwarding address. The account was assigned to our collection agency for follow up. Almost 5 years later the patient comes forward and disputes the billing and indicates that they were approved for Medi-Cal for this service date. The patient never informed us of this fact until just recently. We verified that the patient was in fact eligible for Medi-Cal and found that they where approved for the dates of service. We are required to bill the Medi-Cal program within 1 year of the date of service and since the patient did not provide us with the information in a timely manner, the balance was still due. After reviewing the entire case the RCH made the decision to write off the balance and cancel the amount from our collection agency even though we were not required to do so. We had the patients credit report cleaned so that the issue will not show there in the future for customer service reasons.
I am rejecting this response because:
My son was not provided the "Community Standard of Care". I'm saying this because of the below reasons.
- My minor son was not given immediate care in spite of the breathing problem and very low oxygen level he had which everybody at the hospital reception including the nurse who treated him was witnessing. It was a life threatening moment for my son and us. This does not meet the "Community Standard of Care".
- My son was not even given a bed to lay down and get treated for his wheezing. He was made to sit in a recliner seat for more than 3 hours while his breathing treatment was On. This does not meet the "Community Standard of Care".
- There was not even a single pediatric doctor in the hospital to treat my son. This does not meet the "Community Standard of Care".
- Hospital cannot risk any kids/person’s life to learn and improve their quality of work.
Considering all the above reasons, I wanted to know how it was deemed that the patient received the "Community Standard of Care", due to which bill waiver was denied?
As a health insurance holder, I'm aware of the deductible, Out of pocket expenses, co-pay amounts etc. My point here is, this bill amount of $948 itself is irrelevant for the poor service that was provided to my son, for which the hospital has apologized in writing. Hence I wanted this bill to be waived off.