Good morning,Please have Ms [redacted] contact me directly at [redacted] , I am unable to locate any outstanding bills in her name.Thank you, [redacted]
Dear Dispute Resolution Consultant,Thank you for sharing concerns expressed by Mr [redacted] ***, we have reviewed Mr***s concerns and tbund thefollowing.Mr [redacted] presented to McKee Medical Center's Emergency Department twice on 7/1/ The first account the charge for$was billed to [redacted] as non-covered and the charge was adjusted and not billed to Mr***sOn the second ED visit, the charge for $was billed to [redacted] and was denied; we aqjusted this amount and was not billed to Mr***s or affect his coinsurance as this was appljed to the ED Level charge onlyWe are sending Mr***s a copy of his itemized bills with these adjustments reflected.I r yo or Mr ***s has any further questions or conecrns please do not hesitate to call me directlyIf I am not available,you n ay call [redacted] t )f further assistant e
Dear Sir or Madam:We are in receipt of the Revdex.com Complaint by filed [redacted] *** The complaint relates to account number with a date of service of May 12, 2015.On May 19, a claim was prepared and sent to United Healthcare, Mr***'s insurance On June 4, 2015, BannerHealth received a denial from United Healthcare for lack of information "requested from the patient/insured/responsible party." On June 18, a payment from UnitedHealth care was received in the amount of $26, I with an explanation of benefits which reflected a coinsurance/copay of $2,Banner Health made repeated appeals of a request from United Healthcare On September 15, 2016, United Healthcare recouped $23, of the previously made payment At that time, Banner Health pulled the account from patient responsibility until the patient portion could be verified On November 4, 2016, United Healthcare issued a second payment to Banner Health with an explanation of benefits which showed a patient responsibility of$1, Mr [redacted] made payments to Banner Health on this account in the total amount of $2, On January 13,2017, Banner Health issued a refund to Mr [redacted] in the amount of$ representing the over payment of his patient responsibility.Thank you for your consideration in this matter Please feel free to contact us with any questions or concerns
Good afternoon, In regards to the complaint filed by Bonnie [redacted] I, please find the Banner Health response below: No statement was mailed to Ms [redacted] I for dates of service April 9-10, Ms [redacted] I was discharged on April 11, from [redacted] Medical Center without having provided worker’s compensation information Her primary medical insurance, [redacted] , was loaded as the billing insurance On April 14, 2016, Ms [redacted] I provided the workers’ compensation information and it was billed at that time On April 19, 2016, Ms [redacted] I contacted Banner Health and requested an itemized billing statement which was provided to her On April22, 2016, [redacted] , the primary medical insurance, paid the claim and $remained as a patient portion On May 16, 2016, the workers’ compensation was contacted as there appeared to be an error and the claim was sent for review On May 20, 2016, payment was received from workers’ compensation On June 2, the process to refund [redacted] was initiated and [redacted] was refunded on June 6, On June 3, 2016, Ms [redacted] I contacted Banner Health and requested a ICD-claim form which was provided to her This account has a zero balancePlease let us know if you need any further informationDonene O [redacted] PFS-Senior Representative
Dear Sir or Madam:Thank you for your patience and opportunity to rectify matterswith respect to the concernsof Ms [redacted] After a thorough review of the accounts, we have determined the followinginformation regarding the four accounts referenced above[redacted] ; Patient: [redacted] , [redacted] , DOS: [redacted] : Pursuant to the insurance card provided on the date of serviceby Ms [redacted] , the care provided on the date of service was covered by Ms [redacted] 's primary insurance, AETNA Ms [redacted] paid $ on this account on the date of servicewhich was copay pursuant to her insurance AETNA paid their contracted rate on this account and Banner Health made the contractual adjustment The patient, [redacted] [redacted] was not eligible with AHCCCS on the date of service[redacted] ; Patient: [redacted] , Tammy, DOS: [redacted] : Ms [redacted] 's primary insurance, AETNA,made a payment of $ on this account,leaving a capay/coinsurance of$Ms [redacted] made two paymentson this account,one in the amount of $and one in the amount of$ The total amount of$constituted an overpayment on the account On July 16,2013, $350.00of the total amount paid was transferred to account [redacted] with a date of service of June 3, (AETNA had made payment on this accountof$with a capay/coinsurance in the amount of$to patient)Also on July 16,2014, $of the total amount paid was transferred to account [redacted] with a date of serviceof May 31, (AETNAhad made paymenton the account of$leaving a capay/coinsurance in the amount of$to patient) AHCCCS (APIPA)was billed on account [redacted] and made paymentAccordingly, the $transferred to this accountwas refunded to Ms [redacted] on November 21, 2013.Banner Health has made a thorough coverage verification and found that Ms [redacted] received retro coverage for the Monday of May and June ofwhen approved for AHCCCS in June Accordingly, the following refunds have been processedby Banner Health:Account No [redacted] : $which represents patient's capay/coinsuranceAccount No [redacted] : $which represents patient's capay/coinsuranceWe hope that this resolves this matter to [redacted] 's satisfaction Please feel free to contact us with any further questions at [redacted]
Dear Sir or Madam:We are in receipt of the Revdex.com Complaint by filed [redacted] The complaint relates to treatment received by his daughters at Banner Medical Group East under account numbers [redacted] and [redacted] with a date of service of June 19, 2017.Thank you for submitting your concernsWe have reviewed the accounts in question and find that Mr[redacted] would have been provided an estimate of services at the time of schedulingWithout knowing the full services that are to be provided the true cost cannot be given prior to services being rendered so any amount given at the time of an appointment can only be an estimateBoth children were seen as new patients and given numerous immunizations which increased the cost and extent of both examsNotes indicate that at the time of service, Mr [redacted] was informed that his insurance was contacted and an estimated patient balance was given of $per child, which was paid at that timeOne of the accounts is still processing with insurance and has not paidWe will have coding review the level of charges as a courtesy, but at this time we do not feel refunds are warranted.We apologize for any frustration experienced by Mr [redacted] Thank you for your consideration in this matterPlease feel free to contact us with any questions or concerns Sincerely,BANNER HEALTH
Dear Sir or Madam: We are in receipt of the Revdex.com Complaint by filed [redacted] The complaint relates to treatment received at Banner Behavioral Health Center under account number [redacted] with a date of service of May 22, I We apologize for the delay in responding to Mr [redacted] 's concerns when he initially contacted Banner Health on May 25, I and in early June Mr [redacted] 's concerns are being reviewed and responded to by Banner Health Patient RelationsMr [redacted] has communicated with Patient Relations team members and continues to work with them to resolve his questions and concerns We apologize for any frustration experienced by Mr [redacted] We hope that his communication with the Patient Relations team will alleviate his concernsThank you for your consideration in this matter Please feel free to contact us with any questions or concerns
Dear Sir or Madam:We are in receipt of the Revdex.com Complaint by filed [redacted] The complaint relates to three (3) accounts for treatment received at Banner Del Webb Medical Center Account number [redacted] has a date of service of July 14, Account number [redacted] has dates of service of July - 20, Account number [redacted] (for a minor child) has dates of service of July 17-28, 2016.On August 26, 2016, a statement, relating to account numbers [redacted] and [redacted] , was mailed to patient at the address of [redacted] *** Mail was returned on September 17,to Banner Health On November 23, an attempt was made to contact the patient regarding these accounts On December 6, 2016, after failed attempts to contact the patient by phone and mail, the account was placed in collections On December 16, 2016, Ms [redacted] contacted Banner and stated that she had never received a statements and it was confirmed that the address on file was incorrect At that time a request was submitted to recall the account out of collections On December 27, 2016, the request was approved and on December 28, 2016, account numbers [redacted] and [redacted] were recalled from the collection agency On January 13, 2017, a statement was generated and mailed to the correct address provided by Ms [redacted] .On November 4, the statement for account number [redacted] was returned to Banner Health On November 23,and December 6, attempts were made to contact the patient regarding the account On December 28,2016, after failed attempts to contact the patient, the account was referred to the collection agency On January 5, 2017, Ms [redacted] contacted Banner Health regarding the status of the recall of the accounts from the agencyOn that same day account number [redacted] was recalled from the agency and on January 13, a statement for this account was mailed to the correct address provided by Ms [redacted] .A this time all three accounts have been recalled from the collection agencyand statements mailed to Ms [redacted] T ank you for your consideration in !his matter Please feel free to contact us with any questions or concerns
To whom it may concern,I was not given a written estimateI was told when I made the appointments that the cost would be each for a first time office visit for the kids, after check out is when I received the price totalI had asked if the price difference was because of the shots the kids received and they said NO, that, that would be an added charge later!!
Thank you for bringing this matter to our attention I have printed itemized bills as requested for Mr [redacted] 's spouse and daughter and will be sending to the address on file I was unable to find any facility bills for Mr [redacted] Mr [redacted] can contact me directly at ###-###-#### or by email at [redacted] @ [redacted] .***.Thank you, [redacted]
We have forwarded the concern to our Physician's Billing Office Please contact Kim B [redacted] at ###-###-#### for further information regarding the physician's billing concerns.Sincerely Leonard Cisneros, SrRepresentativeBanner Health / Patient Financial Services
Dear Sir or Madam: We are in receipt of the Revdex.com Complaint by filed *** *** The complaint relates to treatment received at Banner Thunderbird Medical Center under account number *** with a date of service of February 28, through March I, There are total charges on this account in the amount of $11,817.00. The patient's insurance, BlueCross BlueShield was billed on March 8, 2016. Initially, insurance denied the claim citing the absence of precertification/authorization and medical necessity Banner Health filed an appeal On April 21, Banner Health received a remit from BlueCross Blue Shield with a payment in the amount of $7.084.66. The Explanation of Benefits included $1,as deductible and $2, as copay for a total patient portion of$4,On April 26, 2016, Ms*** contacted Banner Health and stated that the Explanation of Benefits that she had received from BlueCross BlueShield did not match the billing statement received from Banner. Banner Health reviewed their account and concluded that the billing was correct On May 16, 2016, the patient again contacted Banner Health regarding the discrepancy in explanations of benefits. BlueCross BlueShield confirmed with Banner Health that they were seeing two different explanations of benefit in their systemThe claim would be reviewed and a corrected explanation of benefit would be provided On June 20, 2016, Ms *** contacted Banner Health regarding the balance stating that she had spoken with BlueCross BlueShield and had been told that the facility needs to request a corrected explanation of benefits She was told at that time that a request had already been made The patient at that time states that she wanted to speak with a supervisor regarding the account and a message was left for the patient to be called Banner personnel also spoke with BlueCross BlueShield on that same date and were informed that Ms *** owed $1,deductible, $coinsurance/copay, but that she had maxed out her benefits and was also responsible for $2, but there was not a column on their form for that amount. On June 21, 2016, Banner Health informed Ms *** that BlueCross BlueShield had confirmed the payment and provided the BlueCross BlueShield explanation. At that time, Ms*** stated that she intended to contact BlueCross BlueShieldBlueCross BlueShield provided further verification that the claim was partially denied because they believe the care could have been provided as outpatient treatment. Banner Health filed a second level appeal On February 7, 2017, Ms*** contacted Banner Health and stated that she had a corrected explanation of benefits and was asked to provide a copy for review with BlueCross BlueShield She stated that she would only provide that to Banner Health if they agreed to adjust the account The patient's explanation of benefits was provided and Banner Health communicated with BlueCross BlueShield for verification and assistancePursuant to information received from BlueCross BlueShield, the claim has been processed to make an additional payment of$,390,45, The patient responsibility on the claim will be $1,applied to patient deductible and $applied to patient copay for a total patient responsibility of $2,366.82. Ms*** was contacted regarding the most current BlueCross BlueShield decision and has agreed to accept the patient responsibility and will make payment upon receipt of corrected statement.Thank you for your consideration in this matter Please feel free to contact us with any questions or concerns
Dear Sir or Madam: We are in receipt of the Revdex.com Complaint by filed *** *** The complaint relates to treatment received at Banner Thunderbird Medical Center under account number *** with a date of service of February 28, through March I,
There are total charges on this account in the amount of $11,817.00. The patient's insurance, BlueCross BlueShield was billed on March 8, 2016. Initially, insurance denied the claim citing the absence of precertification/authorization and medical necessity Banner Health filed an appeal On April 21, Banner Health received a remit from BlueCross Blue Shield with a payment in the amount of $7.084.66. The Explanation of Benefits included $1,as deductible and $2, as copay for a total patient portion of$4,On April 26, 2016, Ms*** contacted Banner Health and stated that the Explanation of Benefits that she had received from BlueCross BlueShield did not match the billing statement received from Banner. Banner Health reviewed their account and concluded that the billing was correct On May 16, 2016, the patient again contacted Banner Health regarding the discrepancy in explanations of benefits. BlueCross BlueShield confirmed with Banner Health that they were seeing two different explanations of benefit in their systemThe claim would be reviewed and a corrected explanation of benefit would be provided On June 20, 2016, Ms *** contacted Banner Health regarding the balance stating that she had spoken with BlueCross BlueShield and had been told that the facility needs to request a corrected explanation of benefits She was told at that time that a request had already been made The patient at that time states that she wanted to speak with a supervisor regarding the account and a message was left for the patient to be called Banner personnel also spoke with BlueCross BlueShield on that same date and were informed that Ms *** owed $1,deductible, $coinsurance/copay, but that she had maxed out her benefits and was also responsible for $2, but there was not a column on their form for that amount. On June 21, 2016, Banner Health informed Ms *** that BlueCross BlueShield had confirmed the payment and provided the BlueCross BlueShield explanation. At that time, Ms*** stated that she intended to contact BlueCross BlueShieldBlueCross BlueShield provided further verification that the claim was partially denied because they believe the care could have been provided as outpatient treatment. Banner Health filed a second level appeal On February 7, 2017, Ms*** contacted Banner Health and stated that she had a corrected explanation of benefits and was asked to provide a copy for review with BlueCross BlueShield She stated that she would only provide that to Banner Health if they agreed to adjust the account The patient's explanation of benefits was provided and Banner Health communicated with BlueCross BlueShield for verification and assistancePursuant to information received from BlueCross BlueShield, the claim has been processed to make an additional payment of$,390,45, The patient responsibility on the claim will be $1,applied to patient deductible and $applied to patient copay for a total patient responsibility of $2,366.82. Ms*** was contacted regarding the most current BlueCross BlueShield decision and has agreed to accept the patient responsibility and will make payment upon receipt of corrected statement.Thank you for your consideration in this matter Please feel free to contact us with any questions or concerns
Good morning, We have researched the issues in Complaint No *** by Ms*** We cannot locate the dates of service referenced by Ms*** in the system Also, Ms*** makes reference to a facility for those dates of service that is not a Banner facility. Thank
you. Donene O***
[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 ***, and find that this resolution would be satisfactory to me. I will wait until for the business to perform this action and, if it does, will consider this complaint resolved
Regards,
*** ***
Good afternoon,
Thank you for bringing this issue to our attention, I have sent this for investigation and will submit an official response when complete
Thank you,
Regina LE***
###-###-####
Dear Sir or Madam: We are in receipt of the Revdex.com Complaint by filed *** *** on behalf of her minor son, *** ***The complaint relates to treatment received at Banner Del Webb Medical Center under account number *** with a date of service of September 23,
On September 23, 2016, Kevin Tran was brought to Banner Del Webb Medical Center after a fall from his skateboardAt that time, x-rays were taken and it was noted that there were fractures in the wrist. He was given a conscious sedation and the fracture was reduced and splintedAt that time, Ms*** was given information for an orthopedic follow up with The CORE Institute. It was also suggested that she follow up with her primary care physicianOn November 23, 2016, *** ***s, who is authorized to speak on behalf of Ms*** visited the Banner Corporate Mesa and spoke with Leonard C***, a patient relations representative. Her concerns were noted and turned over the patient relations department. Lorraine ***, a patient relations representative spoke with Ms*** regarding the visit to Banner Del Webb Medical Center. Ms*** informed Ms*** that she would prefer any response in writing DrWilliam M*** reviewed the medical records related to this accountUpon his review, DrM*** concluded that the follow up radiology report documents improved alignment and that the patient was provided information for an orthopedic follow up. Ultimately, DrM*** concluded that treatment was appropriate. As per Ms***'s request, a Jetter was sent on January 20, regarding DrM***'s conclusions. The letter also indicated that as the treatment was appropriate the charges were due. The account was placed on hold while patient relations conducted their investigation and audit. Upon completion of the audit, as no arrangements were made to make the payment for this account, the account was sent to collections on February 3, Thank you for your consideration in this matter. Please feel free to contact us with any questions or concerns
Good morning,Please have Ms [redacted] contact me directly at [redacted] , I am unable to locate any outstanding bills in her name.Thank you, [redacted]
Dear Dispute Resolution Consultant,Thank you for sharing concerns expressed by Mr [redacted] ***, we have reviewed Mr***s concerns and tbund thefollowing.Mr [redacted] presented to McKee Medical Center's Emergency Department twice on 7/1/ The first account the charge for$was billed to [redacted] as non-covered and the charge was adjusted and not billed to Mr***sOn the second ED visit, the charge for $was billed to [redacted] and was denied; we aqjusted this amount and was not billed to Mr***s or affect his coinsurance as this was appljed to the ED Level charge onlyWe are sending Mr***s a copy of his itemized bills with these adjustments reflected.I r yo or Mr ***s has any further questions or conecrns please do not hesitate to call me directlyIf I am not available,you n ay call [redacted] t )f further assistant e
Dear Sir or Madam:We are in receipt of the Revdex.com Complaint by filed [redacted] *** The complaint relates to account number with a date of service of May 12, 2015.On May 19, a claim was prepared and sent to United Healthcare, Mr***'s insurance On June 4, 2015, BannerHealth received a denial from United Healthcare for lack of information "requested from the patient/insured/responsible party." On June 18, a payment from UnitedHealth care was received in the amount of $26, I with an explanation of benefits which reflected a coinsurance/copay of $2,Banner Health made repeated appeals of a request from United Healthcare On September 15, 2016, United Healthcare recouped $23, of the previously made payment At that time, Banner Health pulled the account from patient responsibility until the patient portion could be verified On November 4, 2016, United Healthcare issued a second payment to Banner Health with an explanation of benefits which showed a patient responsibility of$1, Mr [redacted] made payments to Banner Health on this account in the total amount of $2, On January 13,2017, Banner Health issued a refund to Mr [redacted] in the amount of$ representing the over payment of his patient responsibility.Thank you for your consideration in this matter Please feel free to contact us with any questions or concerns
Good afternoon, In regards to the complaint filed by Bonnie [redacted] I, please find the Banner Health response below: No statement was mailed to Ms [redacted] I for dates of service April 9-10, Ms [redacted] I was discharged on April 11, from [redacted] Medical Center without having provided worker’s compensation information Her primary medical insurance, [redacted] , was loaded as the billing insurance On April 14, 2016, Ms [redacted] I provided the workers’ compensation information and it was billed at that time On April 19, 2016, Ms [redacted] I contacted Banner Health and requested an itemized billing statement which was provided to her On April22, 2016, [redacted] , the primary medical insurance, paid the claim and $remained as a patient portion On May 16, 2016, the workers’ compensation was contacted as there appeared to be an error and the claim was sent for review On May 20, 2016, payment was received from workers’ compensation On June 2, the process to refund [redacted] was initiated and [redacted] was refunded on June 6, On June 3, 2016, Ms [redacted] I contacted Banner Health and requested a ICD-claim form which was provided to her This account has a zero balancePlease let us know if you need any further informationDonene O [redacted] PFS-Senior Representative
Forwarding this complaint to the Banner central billing office for further review
Dear Sir or Madam:Thank you for your patience and opportunity to rectify matterswith respect to the concernsof Ms [redacted] After a thorough review of the accounts, we have determined the followinginformation regarding the four accounts referenced above[redacted] ; Patient: [redacted] , [redacted] , DOS: [redacted] : Pursuant to the insurance card provided on the date of serviceby Ms [redacted] , the care provided on the date of service was covered by Ms [redacted] 's primary insurance, AETNA Ms [redacted] paid $ on this account on the date of servicewhich was copay pursuant to her insurance AETNA paid their contracted rate on this account and Banner Health made the contractual adjustment The patient, [redacted] [redacted] was not eligible with AHCCCS on the date of service[redacted] ; Patient: [redacted] , Tammy, DOS: [redacted] : Ms [redacted] 's primary insurance, AETNA,made a payment of $ on this account,leaving a capay/coinsurance of$Ms [redacted] made two paymentson this account,one in the amount of $and one in the amount of$ The total amount of$constituted an overpayment on the account On July 16,2013, $350.00of the total amount paid was transferred to account [redacted] with a date of service of June 3, (AETNA had made payment on this accountof$with a capay/coinsurance in the amount of$to patient)Also on July 16,2014, $of the total amount paid was transferred to account [redacted] with a date of serviceof May 31, (AETNAhad made paymenton the account of$leaving a capay/coinsurance in the amount of$to patient) AHCCCS (APIPA)was billed on account [redacted] and made paymentAccordingly, the $transferred to this accountwas refunded to Ms [redacted] on November 21, 2013.Banner Health has made a thorough coverage verification and found that Ms [redacted] received retro coverage for the Monday of May and June ofwhen approved for AHCCCS in June Accordingly, the following refunds have been processedby Banner Health:Account No [redacted] : $which represents patient's capay/coinsuranceAccount No [redacted] : $which represents patient's capay/coinsuranceWe hope that this resolves this matter to [redacted] 's satisfaction Please feel free to contact us with any further questions at [redacted]
Dear Sir or Madam:We are in receipt of the Revdex.com Complaint by filed [redacted] The complaint relates to treatment received by his daughters at Banner Medical Group East under account numbers [redacted] and [redacted] with a date of service of June 19, 2017.Thank you for submitting your concernsWe have reviewed the accounts in question and find that Mr[redacted] would have been provided an estimate of services at the time of schedulingWithout knowing the full services that are to be provided the true cost cannot be given prior to services being rendered so any amount given at the time of an appointment can only be an estimateBoth children were seen as new patients and given numerous immunizations which increased the cost and extent of both examsNotes indicate that at the time of service, Mr [redacted] was informed that his insurance was contacted and an estimated patient balance was given of $per child, which was paid at that timeOne of the accounts is still processing with insurance and has not paidWe will have coding review the level of charges as a courtesy, but at this time we do not feel refunds are warranted.We apologize for any frustration experienced by Mr [redacted] Thank you for your consideration in this matterPlease feel free to contact us with any questions or concerns Sincerely,BANNER HEALTH
Dear Sir or Madam: We are in receipt of the Revdex.com Complaint by filed [redacted] The complaint relates to treatment received at Banner Behavioral Health Center under account number [redacted] with a date of service of May 22, I We apologize for the delay in responding to Mr [redacted] 's concerns when he initially contacted Banner Health on May 25, I and in early June Mr [redacted] 's concerns are being reviewed and responded to by Banner Health Patient RelationsMr [redacted] has communicated with Patient Relations team members and continues to work with them to resolve his questions and concerns We apologize for any frustration experienced by Mr [redacted] We hope that his communication with the Patient Relations team will alleviate his concernsThank you for your consideration in this matter Please feel free to contact us with any questions or concerns
This complaint is under review by Banner Health and will be responded to within days
Dear Sir or Madam:We are in receipt of the Revdex.com Complaint by filed [redacted] The complaint relates to three (3) accounts for treatment received at Banner Del Webb Medical Center Account number [redacted] has a date of service of July 14, Account number [redacted] has dates of service of July - 20, Account number [redacted] (for a minor child) has dates of service of July 17-28, 2016.On August 26, 2016, a statement, relating to account numbers [redacted] and [redacted] , was mailed to patient at the address of [redacted] *** Mail was returned on September 17,to Banner Health On November 23, an attempt was made to contact the patient regarding these accounts On December 6, 2016, after failed attempts to contact the patient by phone and mail, the account was placed in collections On December 16, 2016, Ms [redacted] contacted Banner and stated that she had never received a statements and it was confirmed that the address on file was incorrect At that time a request was submitted to recall the account out of collections On December 27, 2016, the request was approved and on December 28, 2016, account numbers [redacted] and [redacted] were recalled from the collection agency On January 13, 2017, a statement was generated and mailed to the correct address provided by Ms [redacted] .On November 4, the statement for account number [redacted] was returned to Banner Health On November 23,and December 6, attempts were made to contact the patient regarding the account On December 28,2016, after failed attempts to contact the patient, the account was referred to the collection agency On January 5, 2017, Ms [redacted] contacted Banner Health regarding the status of the recall of the accounts from the agencyOn that same day account number [redacted] was recalled from the agency and on January 13, a statement for this account was mailed to the correct address provided by Ms [redacted] .A this time all three accounts have been recalled from the collection agencyand statements mailed to Ms [redacted] T ank you for your consideration in !his matter Please feel free to contact us with any questions or concerns
To whom it may concern,I was not given a written estimateI was told when I made the appointments that the cost would be each for a first time office visit for the kids, after check out is when I received the price totalI had asked if the price difference was because of the shots the kids received and they said NO, that, that would be an added charge later!!
Thank you for bringing this matter to our attention I have printed itemized bills as requested for Mr [redacted] 's spouse and daughter and will be sending to the address on file I was unable to find any facility bills for Mr [redacted] Mr [redacted] can contact me directly at ###-###-#### or by email at [redacted] @ [redacted] .***.Thank you, [redacted]
We have forwarded the concern to our Physician's Billing Office Please contact Kim B [redacted] at ###-###-#### for further information regarding the physician's billing concerns.Sincerely Leonard Cisneros, SrRepresentativeBanner Health / Patient Financial Services
I have not received any updated statement that would appear to correct their billing tactics
Dear Sir or Madam: We are in receipt of the Revdex.com Complaint by filed *** *** The complaint relates to treatment received at Banner Thunderbird Medical Center under account number *** with a date of service of February 28, through March I, There are total charges on this account in the amount of $11,817.00. The patient's insurance, BlueCross BlueShield was billed on March 8, 2016. Initially, insurance denied the claim citing the absence of precertification/authorization and medical necessity Banner Health filed an appeal On April 21, Banner Health received a remit from BlueCross Blue Shield with a payment in the amount of $7.084.66. The Explanation of Benefits included $1,as deductible and $2, as copay for a total patient portion of$4,On April 26, 2016, Ms*** contacted Banner Health and stated that the Explanation of Benefits that she had received from BlueCross BlueShield did not match the billing statement received from Banner. Banner Health reviewed their account and concluded that the billing was correct On May 16, 2016, the patient again contacted Banner Health regarding the discrepancy in explanations of benefits. BlueCross BlueShield confirmed with Banner Health that they were seeing two different explanations of benefit in their systemThe claim would be reviewed and a corrected explanation of benefit would be provided On June 20, 2016, Ms *** contacted Banner Health regarding the balance stating that she had spoken with BlueCross BlueShield and had been told that the facility needs to request a corrected explanation of benefits She was told at that time that a request had already been made The patient at that time states that she wanted to speak with a supervisor regarding the account and a message was left for the patient to be called Banner personnel also spoke with BlueCross BlueShield on that same date and were informed that Ms *** owed $1,deductible, $coinsurance/copay, but that she had maxed out her benefits and was also responsible for $2, but there was not a column on their form for that amount. On June 21, 2016, Banner Health informed Ms *** that BlueCross BlueShield had confirmed the payment and provided the BlueCross BlueShield explanation. At that time, Ms*** stated that she intended to contact BlueCross BlueShieldBlueCross BlueShield provided further verification that the claim was partially denied because they believe the care could have been provided as outpatient treatment. Banner Health filed a second level appeal On February 7, 2017, Ms*** contacted Banner Health and stated that she had a corrected explanation of benefits and was asked to provide a copy for review with BlueCross BlueShield She stated that she would only provide that to Banner Health if they agreed to adjust the account The patient's explanation of benefits was provided and Banner Health communicated with BlueCross BlueShield for verification and assistancePursuant to information received from BlueCross BlueShield, the claim has been processed to make an additional payment of$,390,45, The patient responsibility on the claim will be $1,applied to patient deductible and $applied to patient copay for a total patient responsibility of $2,366.82. Ms*** was contacted regarding the most current BlueCross BlueShield decision and has agreed to accept the patient responsibility and will make payment upon receipt of corrected statement.Thank you for your consideration in this matter Please feel free to contact us with any questions or concerns
Dear Sir or Madam: We are in receipt of the Revdex.com Complaint by filed *** *** The complaint relates to treatment received at Banner Thunderbird Medical Center under account number *** with a date of service of February 28, through March I,
There are total charges on this account in the amount of $11,817.00. The patient's insurance, BlueCross BlueShield was billed on March 8, 2016. Initially, insurance denied the claim citing the absence of precertification/authorization and medical necessity Banner Health filed an appeal On April 21, Banner Health received a remit from BlueCross Blue Shield with a payment in the amount of $7.084.66. The Explanation of Benefits included $1,as deductible and $2, as copay for a total patient portion of$4,On April 26, 2016, Ms*** contacted Banner Health and stated that the Explanation of Benefits that she had received from BlueCross BlueShield did not match the billing statement received from Banner. Banner Health reviewed their account and concluded that the billing was correct On May 16, 2016, the patient again contacted Banner Health regarding the discrepancy in explanations of benefits. BlueCross BlueShield confirmed with Banner Health that they were seeing two different explanations of benefit in their systemThe claim would be reviewed and a corrected explanation of benefit would be provided On June 20, 2016, Ms *** contacted Banner Health regarding the balance stating that she had spoken with BlueCross BlueShield and had been told that the facility needs to request a corrected explanation of benefits She was told at that time that a request had already been made The patient at that time states that she wanted to speak with a supervisor regarding the account and a message was left for the patient to be called Banner personnel also spoke with BlueCross BlueShield on that same date and were informed that Ms *** owed $1,deductible, $coinsurance/copay, but that she had maxed out her benefits and was also responsible for $2, but there was not a column on their form for that amount. On June 21, 2016, Banner Health informed Ms *** that BlueCross BlueShield had confirmed the payment and provided the BlueCross BlueShield explanation. At that time, Ms*** stated that she intended to contact BlueCross BlueShieldBlueCross BlueShield provided further verification that the claim was partially denied because they believe the care could have been provided as outpatient treatment. Banner Health filed a second level appeal On February 7, 2017, Ms*** contacted Banner Health and stated that she had a corrected explanation of benefits and was asked to provide a copy for review with BlueCross BlueShield She stated that she would only provide that to Banner Health if they agreed to adjust the account The patient's explanation of benefits was provided and Banner Health communicated with BlueCross BlueShield for verification and assistancePursuant to information received from BlueCross BlueShield, the claim has been processed to make an additional payment of$,390,45, The patient responsibility on the claim will be $1,applied to patient deductible and $applied to patient copay for a total patient responsibility of $2,366.82. Ms*** was contacted regarding the most current BlueCross BlueShield decision and has agreed to accept the patient responsibility and will make payment upon receipt of corrected statement.Thank you for your consideration in this matter Please feel free to contact us with any questions or concerns
Good morning, We have researched the issues in Complaint No *** by Ms*** We cannot locate the dates of service referenced by Ms*** in the system Also, Ms*** makes reference to a facility for those dates of service that is not a Banner facility. Thank
you. Donene O***
[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 ***, and find that this resolution would be satisfactory to me. I will wait until for the business to perform this action and, if it does, will consider this complaint resolved
Regards,
*** ***
Good afternoon,
Thank you for bringing this issue to our attention, I have sent this for investigation and will submit an official response when complete
Thank you,
Regina LE***
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Dear Sir or Madam: We are in receipt of the Revdex.com Complaint by filed *** *** on behalf of her minor son, *** ***The complaint relates to treatment received at Banner Del Webb Medical Center under account number *** with a date of service of September 23,
On September 23, 2016, Kevin Tran was brought to Banner Del Webb Medical Center after a fall from his skateboardAt that time, x-rays were taken and it was noted that there were fractures in the wrist. He was given a conscious sedation and the fracture was reduced and splintedAt that time, Ms*** was given information for an orthopedic follow up with The CORE Institute. It was also suggested that she follow up with her primary care physicianOn November 23, 2016, *** ***s, who is authorized to speak on behalf of Ms*** visited the Banner Corporate Mesa and spoke with Leonard C***, a patient relations representative. Her concerns were noted and turned over the patient relations department. Lorraine ***, a patient relations representative spoke with Ms*** regarding the visit to Banner Del Webb Medical Center. Ms*** informed Ms*** that she would prefer any response in writing DrWilliam M*** reviewed the medical records related to this accountUpon his review, DrM*** concluded that the follow up radiology report documents improved alignment and that the patient was provided information for an orthopedic follow up. Ultimately, DrM*** concluded that treatment was appropriate. As per Ms***'s request, a Jetter was sent on January 20, regarding DrM***'s conclusions. The letter also indicated that as the treatment was appropriate the charges were due. The account was placed on hold while patient relations conducted their investigation and audit. Upon completion of the audit, as no arrangements were made to make the payment for this account, the account was sent to collections on February 3, Thank you for your consideration in this matter. Please feel free to contact us with any questions or concerns