Regal Medical Group

I have a doctor and hospital that specialize in patients with renal failure that Regal said was our of network. They wanted to sent me from San Diego to Murrieta to a hospital and doctor that I am not familiar with to have my gangrenous leg amputated. I have decided to go with plain Medicare to stay with the doctor and hospital that are in San Diego. I can't believe Regal doesn't have hospital or doctor that is in network within the entre county of San Diego that can care for me without me feeling as if they are sending me to s chop shop.

Re at Lakeside MedicalGroup, INC Community Healthcare-September 27, Revdex.com WShaw Lane Fresno, CA Re: Response to Customer Complaint - ID Dear Ms [redacted] : This letter is in response to the complaint referenced abovePlease know that we take these matters very seriously and we sincerely regret any frustration the consumer experienced with our Customer Service DepartmentAs the consumer is a valued member of our medical group, we always strive to provide the highest quality of care and service when it comes to their health and wellnessIn compliance with industry standards and internal policies and procedures, all incoming and outbound customer service calls are documentedOur records do not indicate any contact with our customer service representatives on 5/1/or 5/15/as indicated on the complaintOur records do show that the member spoke with one of our customer service representatives on 9/12/regarding an authorizationHowever, the member became upset and disconnected the callNo further actions were required as the authorization for a second opinion was approved and the case was closedIn addition, according to our documentation on 6/2/17, the member spoke with Customer Service about a second opinion for a physician visit, which was approvedWe also have documentation of two separate subsequent attempts that were made by our OB Courtesy Outreach Team to talk to the member about postpartum care and programsMessages were left on 6/9/and 6/14/To date, the member has not responded to these calls regarding services available to herWe understand the member's frustration about getting her obstetrician visits authorizedHowever, she, or her primary physician, initially requested an obstetrician that was not part of our network and later, it was discovered he had retiredSubsequently, she was referred to another contracted obstetrician for her maternity careOur dedicated Customer Service Department is always available to resolve all issues received from our membersThey are trained to treat our members with 5-Star Customer Service with the goal of meeting our members' needs to the fullestThe health and well-being of every member is important to usWe are passionate about doing all we can to make sure that we provide the best care possible, especially for pregnant mothers so that they may have a positive maternity experience and deliver happy and healthy babiesIf you have any questions, please call [redacted] , Sr, Director at ###-###-####, extSincerely, Regal Medical Group and Lakeside Community Healthcare Balboa Boulevard, Suite 150, Northridge, CA ###-###-#### j regalmed.com t lakesfdemed.com

3/9/15RE: Revdex.com Complaint ID#10466525 To Whom It May Concern:On 3/2/15, Regal Medical Group received a letter from the Revdex.com in regards to Ms*** billing matterI have attempted to contact Ms*** by telephone on 3/2/15, 3/3/15, 3/4/15, and 3/5/
and have left messages on a voicemail for her to call the office to discuss her billing issueThe Senior VP of Clinical Operations for Regal Medical Group, along with our Customer Service Director both have also attempted to contact Ms*** by phone, but without successI also emailed Ms*** on 3/5/in hopes of reaching her but have not received a responseI have researched with our billing department and claims department to see if Ms*** billing issue could be resolved, however, both departments do not show any outstanding billing issuesI also contacted Simi Valley Hospital because in the letter it stated patient was seen at the hospitalThe hospital did not find any outstanding billing for the patient or any communication they may have had with the patient in regards to a billWe need further clarification from Ms*** as we do not have any records that match what she has indicatedWe would like to resolve this billing issue for Ms***Sincerly,*** ***Senior Office ManagerRegal Medical Group###-###-####

Review: I received a bill for a patient that had been seen at the simi hospital. I called and explained that I did not know this person and didn't understand why I was being charged. They told me they would remove it and bill the correct person. A month later I received a letter where it was now in claims!! I called again and the lady told me it was tbuer mistake in billing me. They then said the would contact the claims company and have it closed. A month later I received another notice from claims. I called and had it "resolved" with promises that it wouldn't show on my credit report. It had been a month and guess what showed up on my credit report today? They still have not closed this report in claims and now it is affecting my credit. I'm pretty sure it's illegal to charge me and take me to claims for a complete stranger's bill.Desired Settlement: I would like to see this whole thing closed and all traced of this horrible experience removed from my credit report. I would like in writing that it was an error on their behalf and proof of them removing it from my credit history.

Business

Response:

3/9/15RE: Revdex.com Complaint ID#10466525 To Whom It May Concern:On 3/2/15, Regal Medical Group received a letter from the Revdex.com in regards to Ms. [redacted] billing matter. I have attempted to contact Ms. [redacted] by telephone on 3/2/15, 3/3/15, 3/4/15, and 3/5/15 and have left messages on a voicemail for her to call the office to discuss her billing issue. The Senior VP of Clinical Operations for Regal Medical Group, along with our Customer Service Director both have also attempted to contact Ms. [redacted] by phone, but without success. I also emailed Ms. [redacted] on 3/5/15 in hopes of reaching her but have not received a response. I have researched with our billing department and claims department to see if Ms. [redacted] billing issue could be resolved, however, both departments do not show any outstanding billing issues. I also contacted Simi Valley Hospital because in the letter it stated patient was seen at the hospital. The hospital did not find any outstanding billing for the patient or any communication they may have had with the patient in regards to a bill. We need further clarification from Ms. [redacted] as we do not have any records that match what she has indicated. We would like to resolve this billing issue for Ms. [redacted]. Sincerly,[redacted]Senior Office ManagerRegal Medical Group###-###-#### ...